How often does this happen

Horseshoe, BSN, RN · Mar 30, 2016

Just an FYIzzle...
Nurses do not obey doctors' orders.
Nurses do not even FOLLOW doctors' orders.
Nurses CARRY OUT doctors' orders when they are appropriate
Nurses have their OWN practice act, their OWN licensing boards.

I was going to "like" it again, but it won't let me.

LadyFree28, BSN, LPN, RN · Mar 31, 2016

the scenario is too vague. What type of setting? Is SO a charge nurse? That would be the only way SO would have a say in something.
On a side note, I would never disobey an order or do something out of scope without an order. There are other remedies. I work in a teaching hosp so if it is a resident issue, there is always someone higher to go to.

I don't mean to like, but to quote; although you have a point that the input that the OP's SO would have is being a charge nurse or manager...

HOWEVER.

OP claims to work in the NICU per their previous posts; I'm inclined to think that OP is not a nurse, because working in that particular setting the would be aware of the nurse-provider dynamics; thus making me speculate that this person is just here to start controversy. :cool:

Farawyn · Mar 31, 2016

I was going to "like" it again, but it won't let me.

I know, right? I wannna put it on a t-shirt.

Penelope_Pitstop, BSN, RN · Mar 31, 2016

I was going to "like" it again, but it won't let me.

attachment.php?attachmentid=21527&stc=1

Penelope_Pitstop, BSN, RN · Mar 31, 2016

I know, right? I wannna put it on a t-shirt.

attachment.php?attachmentid=21528&stc=1

KelRN215, BSN, RN · Apr 1, 2016

the scenario is too vague. What type of setting? Is SO a charge nurse? That would be the only way SO would have a say in something.
On a side note, I would never disobey an order or do something out of scope without an order. There are other remedies. I work in a teaching hosp so if it is a resident issue, there is always someone higher to go to.

You wouldn't "disobey" an order to give vanco or potassium IV push? Or to give a bolus feed into a J-tube? If a provider writes an order that it unsafe, it behooves the nurse to refuse to carry it out. We don't "obey" MDs or blindly listen to everything they tell us to do. More often than not, in my current role, I'm telling the provider what to order. And when I get handed a prescription for 4 feeding bags/month for a child going home with a new G-tube, I hand it back to the provider and tell them to fix it.

roser13, ASN, RN · Apr 1, 2016

How common is it for the RNs to not getting writen up for behavior issues such as not listening to the provider and basically almost causing danger to patient ? My SO works at hospital and has mentioned it's fultile to explain to some nurses what not to do because they do the opposite when they feel they do not trust the provider but unfortunately it has repercussions and for patients health at times yet the RN does not get reprimanded. So now he will have a rapid response nurse go show the RNs what to do or what they need to do because he said its not worth the fight for him. They won't listen.

OP, your SO needs to get his s*** together and ask his own questions/figure out his own issues, if he truly has issues.

I'm inclined to think that you are the one who has issues.

Julius Seizure · Apr 1, 2016

Her SO is an Internist

As in, a first year resident?

Jensmom7, BSN, RN · Apr 1, 2016

As in, a first year resident?

That was my first thought, that she meant "intern", not internal med doc.

However, since she seems to have abandoned this thread as she did the others she started, I fear we will never know...

ICU_UcMe, BSN, RN · Apr 3, 2016

See, this to me isn't disobedience. You're advocating for your patient by calling the doctor to first clarify, and then make the safe choice by not giving it. You're being a good nurse.

OP, don't assume doctors don't make mistakes. I'm but a mere senior in nursing school but I caught a mistake on an EMR in a previous rotation. My professor made me call the doc (I was terrified), but he was so nice and thanked me profusely for catching it before the order was followed by the floor nurse. Perhaps the fact that the physican was an RN prior to becoming a doctor is why he showed me such respect, but trust that I've seen many mistakes in my year and a half of nursing school.

Example: An OB ordered Nubian for his gravid pt. She was on methadone. I told the nurse that I didn't think you could give them together because it'd make her go sick with withdrawal (translation: I knew she couldn't, but I was being a wimp and not being assertive because the nurse was not nice). She got snippy, told me I didn't know what I was talking about because I was "only a student" and they frequently give it to "meth heads" (girl wasn't one); needless to say, she gave it anyway. Guess who was right? The stupid student was. The butt chewing that followed was passed off on everyone, by everyone, and I kept my mouth shut the whole time about having told them not to give it. Had the nurse just taken the time to listen to me as my mentor for the day, questioned what I was saying, and looked it up on Davis rather than assuming the physician and pharmacist were correct in allowing it, then this poor, laboring girl would've had a lot less trouble. The point of the story isn't to toot my own horn, but to tell you that you shouldn't ASSume that more education or experience automatically translates into always correct. We are human. We make mistakes. If the nurses aren't following the orders then perhaps your spouse should "man the heck up" and ask them why. Odds are that he may learn something as they're the ones with these patients for longer than five minutes a day.

Thats my opinion. Take it or leave it.

LaneyB · Apr 8, 2016

If there is an order you believe is wrong then you don't do it, but as someone else pointed out there is always another person you can ask. I had an order I was worried about from the intern, so I talked to the resident, fellow and finally the pharmacist to make sure it was safe. After talking to all three I felt fine carrying it out.