The Oath is 'First, Do No Harm' (Not First, Do Not Disappoint) - page 2

by beckster_01 3,760 Views | 13 Comments

Feel free to share on your appropriate social media platforms. Found this gem in the break room during lunch. Viewpoint: The Oath is ‘First, Do No Harm’ (Not First, Do Not Disappoint) Emergency Medicine News . 35(9A)... Read More


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    Ruby you are so right on your points. That person is AMA and there are communication orders that tell you to contact MD if this happens. You do it so the patient doesnt hurt themselves under your care. NPO orders are supposed to be told to the patient. When this happens and the pt does baddies then RN tells MD in order to avert bad situation. No Rn should be accountable for this. If said RN gets in trouble because this patient did not listen to said RN, then RN has right to refute an adversarial outcome of said situation, whatever that may be. Just document you educated patient and patient ate something and you told MD about it. Don't place all the patients actions and responsibilities on you. This is why nursing is so crazy! You can't control people. You can only offer treatment to make them better per an MD with the time you have.
    IowaKaren and herring_RN like this.
  2. 0
    Ruby you are so right on your points. That person is AMA and there are communication orders that tell you to contact MD if this happens. You do it so the patient doesnt hurt themselves under your care. NPO orders are supposed to be told to the patient. When this happens and the pt does baddies then RN tells MD in order to avert bad situation. No Rn should be accountable for this. If said RN gets in trouble because this patient did not listen to said RN, then RN has right to refute an adversarial outcome of said situation, whatever that may be. Just document you educated patient and patient ate something and you told MD about it. Don't place all the patients actions and responsibilities on you. This is why nursing is so crazy! You can't control people. You can only offer treatment to make them better per an MD with the time you have.
  3. 1
    oops sorry for duplicate.
    herring_RN likes this.
  4. 0
    My states Nursing Practice Act requires that the registered nurse:
    "Acts as the client's advocate, as circumstances require by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the client, and by giving the client the opportunity to make informed decisions about health care before it is provided."

    The "wishes of the patient" does not mean we give a patient anything that is harmful such as feeding a patient who needs to be NPO.
    It does mean we don't call a code for a patient with a valid DNR. It means we contact the physician when a patient does not understand a consent form or refuses a medication.


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