Quote from fergsu22
The physician only comes once a week on the day shift. I do have a boss that is supposed to be on call 24/7 but they didn't answer the phone. I am the only nurse for the building at night and I'm also a new nurse which is tough cause I often rely on nurses with more experience in situations like this. So if I'm not sure I have to send to the hospital but sometimes it feels like a waste of services.
The physician may only visit the facility once a week on the day shift but that doesn't mean that's the only time frame in which a provider is responsible for the patients.
Your boss is not the medical provider responsible for the patients. Who would you call if you really needed an order for something? That's who you call when your patient has a change in condition and you need help figuring out what to do.
I understand that because of various policies, practices and arrangements the fact that there is a medical provider responsible for all of these patients becomes less clear. But it's a fact; at least it better be.
Next time you go to work, make a point of finding out which provider is on call just so you know this person/role exists so you have an additional route of assistance in mind for the future, should you need it.
I agree that under the circumstances it wasn't wrong to send the patient to the ED.