A med-surg RN learning the ED way

Specialties Emergency

Published

The other day the ED doc :specs: was to do a closed reduction to an ankle fx with conscience sedation. I asked if we could do a time out because I :nurse: thought that was a standard of care across the board. The ED doc did the time out then called it pointless:mask: right in front of the patient and his wife. I know that it was plain as day the mans ankle was messed up but was I wrong for asking for a time out before giving the man medication? My thought process was #1 it is a patient safety issues and he is not going to die if we take 30 seconds to verify. #2 you never know who the patient is or his family and I don't want to get caught up doing wrong especially when it is easy and safe to do right.

I felt really stupid :blink: after the doc made that comment and I know it was not directed toward me (at least I hope). I don't want to have to defend myself or have to "check" a doctor because his smart mouth.

Thanks!:down:

Doc was being a weeny... nothing more, nothing less.

Of course you're supposed to do a time-out... and verify that pt was consented... and that doc reviewed the H&P...

Doc knows this stuff to be the case and is just being a jerk...

How do I know that the doc knows? Because s/he did the time out, even with the 'tude.

U must be assertive and command respect. After that statement, I would address the family in front of him as well as the patient. Nothing that I request from a doctor is pointless, we are required to follow these procedures to follow safety guidelines. There have been many mistakes avoided.by taking the time to do time outs. What's pointless is that attitude...remember to Try it with the next nurse.

Specializes in CAPA RN, ED RN.

Good job asking for a time out. Next time feel free to just go ahead and do it even if the same doctor is there. He/she knows it's the thing to do and besides you aren't handing him/her any drugs or giving any sedation until the time out is taken. The patient and family should be reassured even if everything seems obvious. I always say something like "We want to be sure we get the correct broken ankle" and smile. And then I finish taking an official time out, check the other things with the staff and pt and we go ahead. It's a great habit, it's the standard of care and it will keep you out of trouble at some time during your practice.

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