What to do when a doctor won't let you read back an order

  1. 1 New nurse here. Had to call a doctor the other night after I followed hypoglycemia protocol and the patient wasn't responding to the treatment. He gave me his order and I began to read it back. He interrupted me saying, "Yeah, yeah, yeah, yeah." And hung up on me.

    As I wrote out the order I wondered if I should even write torb as he didn't allow me to do so.

    What should I have done? Called him back? Charted that he wouldn't allow me to read it back? What would you have done?
  2. Visit  aem31 profile page

    About aem31

    Joined Apr '10; Posts: 71; Likes: 71.

    29 Comments so far...

  3. Visit  not.done.yet profile page
    11
    I would have called him back and if he still was not cooperative I would have informed charge and documented first and last names of all who were involved and exactly what happened. That is so unacceptable.
    myelin, JZ_RN, natnat122, and 8 others like this.
  4. Visit  aem31 profile page
    1
    I considered it but was worried about backlash.
    anotherone likes this.
  5. Visit  nurse2033 profile page
    7
    Standard nursing practice requires readback. Ideally you should have called him back and explained that you can't execute the order until you follow all steps in the telephone order protocol as per safety requirements. Any place that would discipline you for that isn't worth a bucket of warm.... At worst you should have documented that the MD cut you off prior to readback and said "yeah yeah yeah" as he hung up on you.
    Bella'sMyBaby, JZ_RN, natnat122, and 4 others like this.
  6. Visit  classicdame profile page
    5
    chain of command is written for just these purposes
    myelin, JZ_RN, lindarn, and 2 others like this.
  7. Visit  squatmunkie_RN profile page
    3
    I make sure I listen very very carefully the 1st time because this happens ALL the time. The backlash from what you're talking about doing is not worth it.
    natnat122, NyteshiftLVN, and lindarn like this.
  8. Visit  eatmysoxRN profile page
    3
    I would have just read it back while he said yeah yeah yeah. The doctor being so complacent is unsafe though. I would definately call back if the order was questionable. If you wake an MD up for an order, it is good practice to really think about what you're about to do.
    natnat122, anotherone, and lindarn like this.
  9. Visit  aem31 profile page
    3
    Quote from squatmunkie_RN
    I make sure I listen very very carefully the 1st time because this happens ALL the time. The backlash from what you're talking about doing is not worth it.
    Yep. I figured it might happen a lot and that's why I chose to be careful how I handle it. I'm new. I don't know the in's and out's quite yet. I certainly don't want to start off on the wrong foot and ruffling feathers, but I also want to be safe for my patients and have my butt covered.
    natnat122, anotherone, and 37 C like this.
  10. Visit  Quit Floating Me profile page
    4
    I've learned with some doctors you have to talk very very fast. (:
    natnat122, anotherone, lindarn, and 1 other like this.
  11. Visit  DutchRN09 profile page
    2
    I say something like " so give ---mg q2, is that right? And they say "yes" takes like 2 microseconds
    natnat122 and lindarn like this.
  12. Visit  JBudd profile page
    5
    I tend to repeat back each thing as they say it while I'm writing, so it comes out kind of slowly but they can't go faster than I can write that way.

    2 mg.....q4h......prn....n/v.....okay next?
    not.done.yet, DroogieRN, Meriwhen, and 2 others like this.
  13. Visit  lovingtheunloved profile page
    9
    Welcome to nursing.
    DroogieRN, LTCNS, Multicollinearity, and 6 others like this.
  14. Visit  Syrenia profile page
    10
    I have actually interrupted a Dr. in the middle of his "yeah, yeah" with "I am not finished" Actually shut him up and he listened. For once. He's always real good at speed talking his order and hanging up.
    Miss Lizzie, ElSea, Tree5981, and 7 others like this.


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