I hate my supervisor - Page 4Register Today!
- Jun 23, '10 by Redhead28So riddle me this batman...................
Standard orders include an order for heparin flush for CVL. CVL is running fluids, therefore I "HOLD" the heparin. Are you saying I have to call the MD for this? Get real your butt would never grow back. There are circumstances when you would hold a med without notifying the MD.
- Jun 24, '10 by jennicoletePer hospital policy I would have to call a doctor if I hold a medication or a patient refuses medication. I would say know your hospital policy and use common sense. You are not a doctor so can't just hold something because you think it's the right thing to do. Also the supervisor could have waited til you came to work to discuss the situation instead of ruining your night and waking you up at 2am.
- Jun 25, '10 by sasha2ladyI see both sides here...I too would have held that insulin. I have never been told where I work that we have to get an order to hold insulin on someone whos bs is 50...they tell us its nursing judgement. Now,if this pt is low 4 out of 5 am in a week...Id surely be on the phone or what not...telling the doc this is whats happening so far this week...what do we need to do about it? .....We give our insulins at 6 and 630 am....which I think is stupid since they dont eat breakfast til around 8am. But, again, where I work we have never ever been told that we cant hold a med, but we have been told that we have to document why we held it. Tough question. Good answers. Makes me want to question it at work also as we do not have nor have we ever had parameters on insulins to hold them.
- Mar 12, '11 by 3dayRNJust found this post. I work on a stepdown floor and I would have held the insulin WITHOUT a dr. order also. Happens all the time on my floor. If I called the doctor about this, I work 7p-7a, I would get reamed from the dr. about calling this. We are expected to make our own judgement about this. I then would tell the dr. in the morning that insulin was held d/t low bs and he would then write or not write new order, whatever he decided.