Ever Refuse a MD order?

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Just wondering if anyone has ever had to refuse a MD order??

So the "standard to meet" is everything and anything that convinces those in your immediate environment.

It would be interesting to see your intended link for some insight as to what would convince you of this. I find it interesting because of the notion of the "culture of blame" and how that would shake out in a scenario where the entire team, unit, or institution itself were under fire.

Unless I am terribly flawed in my approach, timeliness of appropriate interventions to the maximum level of my clinical privileges, will always keep me out of trouble. The layman could not possibly expect any more (or less) than that.

As for my kids eating again. Well then, rice and beans it is until my wrongful termination judgement. ;)

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Thank you for each and every response! I have refused twice in almost 10 years of nursing. Both times I was verbal about situation, and asked other nurses to assess...none of them (4 Rn's) would give ordered med either. Yes, we are each responsible for our actions!! Thanks again all for sharing!!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

[qote=Jolie;4488245]My favorite resonse to that one: I'd gladly give it to you, if only you were qualified!

I am also fond of...."Where did you go to med school" ........I tell them HARVARD......but I decided to further my career so I went on to be a NURSE!!!!!!!:lol2::yeah:

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Specializes in Maternal - Child Health.

Esme12,

Off topic, but is that dog a Weimaraner? Our neighbors have one, and I think he is one of the most beautiful dogs I've ever met!

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A surgical resident reputed to be incredible in the OR had the habit of responding to requests for pain meds as a verbal order for "suchscynolcholine (sp?) 100 mg iv." One nurse followed it while trauma pt was in CT and he died from respiratory arrest. Over a few years she gave me the same order several times. Each time I tried to verbally shock her into thinking about what she was mechanically saying.

I am astounded at this AND that it was allowed to continue over years! Where the hell was this resident's supervisor? Succinycholine isn't even pain medication, it's paralysis! Why was this not brought forward the very first time she uttered this? This isn't mechanically responding this is complete and total incompetence and dangerous disregard by the rest of the hospital staff who allowed this to continue!

A dangerous order needs to be not only not followed but also followed up on to ensure it doesn't occurr again

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Esme12,

Off topic, but is that dog a Weimaraner? Our neighbors have one, and I think he is one of the most beautiful dogs I've ever met!

Yep.......she's a weimaraner. Her name is casper and yes they are amazing dogs......:redbeathe

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