I hate my supervisor - page 3

(moderator edit of name) called my cell phone 2 am to write me up for errors that she had found because she didn't have anything else better to do than looking to write employees up for making tiny... Read More

  1. by   rn4ever?
    Following every Dr.’s order is not a guarantee to a lawsuit-free career in nursing. Remember that as a nurse, you also should lobby for your patients. If a dose or order is incorrect, do not give it…..you have to say something and have it corrected. If the order was erroneous and you carry it out and something bad happens to the patient-----guess what, it’s still your fault-----not just the Doctor’s (if he is at fault at all-----they'll probably grill you and say, why did you give it if you knew it was not right!?). I don't think answering: "Because there was no discontinue order and the Dr. that I paged didn't respond until three hours later, so instead of holding the med, I gave it because the order was active." will fly.
    Last edit by rn4ever? on Jun 20, '10
  2. by   ThankANurse
    I agree with mauxtav8r. It's tough, but here you are open to constructive criticism ... kudos to you for that!
  3. by   imintrouble
    I never hold anything without calling the MD first. It's not my call to make. Nothing new in my response, just wanted to add my voice.
  4. by   sissykim
    The right choice was made by the wrong person. That was totally the doctor's call. What has happened is we nurses protect the docs who don't want to be called instead of protecting the patient and our self. Next time call him, wake him up. At lease he has the balls to call you a fish to your face instead of writing you up behind your back and costing you your nursing license. In the long run you would be gratefull for the nasty attitude as oppose to the sweet face back stabber.

    Now go and do the right thing.
  5. by   Redhead28
    So 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.
  6. by   koalafiedRN
    Per 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.
  7. by   sasha2lady
    I 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.
  8. by   3dayRN
    Just 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.

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