PT. advocacy- Was I out of line? - page 2

I really need your help here guys- pt. came in c/o srom. Nitrazine was +, no doubt. Orders to pit her were received, vag cx obtained. At the end of the day the doc on call for the weekend came in,... Read More

  1. by   rdhdnrs
    Strong work, Nurse!!!
  2. by   nursechar
    Was a BPP done, and if so what was the score? Also, I would question why the pt. was sent home on p.o. antibiotics. It is the standard of care to treat GBS with IV Pen-G, Ampicillin or Clindamycin. I think you did the right thing and should be commended by your co-workers as well as the hospital. I'm sure the OB M&M commitee would like to question this so-called physician about his actions.

    GOOD JOB!!!
  3. by   Angel Baby
    Gosh, did this doc never hear of small leaks, or chorio, or that stupidity will definitely be rewarded by litigation?????

    Even the Board of Nurse Examiners tells us that we are obligated to intervene if we know that a treatment regimen is non-efficacious. Sending this patient home would have probably resulted in fetal demise--so remember that when you think back on this or get anxious when you see this physician that it's better than carrying around the image of that mom with a demise.

    You were absolutely right and I've got a pretty diverse background. OB is the toughest area I've ever worked, when it comes to physician/nurse collaboration. It's hard to take a stand and be burned at the stake (usually in front of co-workers, patient and visitors). I don't know if it ever gets easier.

    Dr. Phelan is a nationally renowned speaker who lectures about forseeability of injury--if the mother/fetus showed signs of foreseeable injury and action is not taken you will be liable. Nurses are just as liable as the physicians if we fail to act as an advocate.

    This patient definitely showed signs of forseeable injury--questionable time ROM'd, fever, elevated WBC, fetal tachycardia (we should be just as concerned with tachycardia as fetal bradycardia)--you know what you're talking about. Thank you for taking a stand--that patient will probably never know that a living angel crossed her path and saved her baby's life...........
  4. by   susanmary
    God bless you. You are a great nurse & a strong patient advocate. You did the right thing. Absolutely. I believe you saved the baby's life. Don't let the doc's hissy fit make you think any different. You are the kind of nurse every patient needs. So proud of you!!!!!
  5. by   obtnt
    Bravo for standing up and doing your job! We have been intimidated for too long by MDs who are in need of a change in their life and or career! How many times has this happenned and the nurse just went along with the MD? MILLIONS OF TIMES! It is our DUTY to protect the pt. Period.
  6. by   mother/babyRN
    Usually, with doctors like that, it's all about control....In that case, the patients needs become second, unlike first, in your case...You did a great job and I would hope my family and friends would be fortunate enough, given a similar situation, to have a wonderful nurse like you to intervene...You have integrity, smarts, compassion and guts.....Thats why we are nurses, after all, isn't it?
  7. by   rnoflabor2000
    Our policy is to use the ladder of command and notify risk mgmt if you are not happy with the final decisions so you can cover yourself (sad but true). You were appropriate in trying to protect your patient and anyone who belittles you for doing so is a below par person, if not a below par doctor....doctors need to listen to us...we are their eyes and ears. We go to court right there next to them when an outcome turns bad.
    Last edit by rnoflabor2000 on Apr 9, '02

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