i am really, really tired of the old-fashioned, dates-back-to-the-military-of-clara-barton-and-florence thing that "doctors give orders and nurses follow them." i call for an immediate end to the use of the word "orders" in all collegial relationships, including this one.
in this day and age, every patient has a medical plan of care, some parts of which may require nursing implementation, and every patient has a nursing plan of care.
we already know that the ana scope of practice requires rns to be responsible for patient care to the extent that we must refuse to implement any dangerous component of a medical plan of care-- blind "order-followers" wouldn't have that kind of autonomy and power-- or responsibility.
does anyone out there, besides maybe students or wannabe nurses, think that you could get away with saying, "i just followed the doctor's orders" when something bad happens? nope, didn't think so.
therefore, i call upon all my colleague an'rs to immediately modify their language in this regard, when discussing patient care with the press and other media, physicians, students, other professionals, patients and families, and ... other nurses. imagine how we could change the face of nursing for all those people by engaging them with just those simple words.
"dr smith, what's your plan to manage mr. jones' pain?" instead of, "we need pain medication orders."
"the nursing plan is to assess what else is going on here to see what other means can help mr. jones prevent and manage his pain."
"what's your plan for diagnosing this presentation?" rather than, "write lab and radiology orders." "the primary nurse's plan is to have nursing look at the role his home situation and health education has in his repeated admissions."
"your wife's physician plans to manage her pulmonary edema so she will be able to breathe better, and involve social work and the visiting nurse to help monitor her at home. the vna will plan how much help and what kind she needs," rather than, "dr. smith wrote an order for lasix, the vna and social work."
i dare ya. give it a shot for a week. go to the forms committee at your hospital and have the paperwork changed to reflect this. how does it work for you? i can tell you it makes lawyers sit right up in their chairs!
Yikes:eek: So we're all just puppets? :) No other areas where we think and react autonomously? No psychosocial interactions that nobody could write an order for? No nursing measures that we can do?
Are you in med school ? (if so, congrats) Or don't like being a nurse? I'm sorry if that's so... Just nurses on this board? There's another board where the nurses want to practice medicine? :)
:)
Heh-heh, of course there are. I have argued that very point many times on this board. buuuuuuuttttt, many of our colleagues simply do not concur. I was merely trying to save OP some trouble and letting him/her know how it is around here.......
Specializes in Acute Care Cardiac, Education, Prof Practice.
Heh-heh, of course there are. I have argued that very point many times on this board. buuuuuuuttttt, many of our colleagues simply do not concur. I was merely trying to save OP some trouble and letting him/her know how it is around here.......
Your gross generalizations of the AN population are not necessarily needed to ensure proper information flow. But thanks.
@Grntea: Unfortunately I use this terminology all the time, but not in reference to orders. When I ask "what is the plan", as a PP stated, I generally am looking for a conversation about the plan of action to move the patient from the floor to home. "Orders" to me just means "put down your specifics in the chart, oh and don't forget to sign them before you go!"
I understand where you are coming from, but I think this might be a very hard rock to move. What I would prefer to see is nurses not sitting on counters flirting with hospitalists, or crouched on one knee next to a lecturing MD (yes I saw it, and the nurse was over 15 years seasoned.)
Heh-heh, of course there are. I have argued that very point many times on this board. buuuuuuuttttt, many of our colleagues simply do not concur. I was merely trying to save OP some trouble and letting him/her know how it is around here.......
It's great to want to save the OP time with YOUR views- but please don't speak for me or why I have my opinions :) I can speak for myself But if I want someone to know exactly what I think, I'll know who to ask so I don't have the opportunity to participate in the discussion myself:uhoh3:
Your gross generalizations of the AN population are not necessarily needed to ensure proper information flow. But thanks.
You're welcome.
It's great to want to save the OP time with YOUR views- but please don't speak for me or why I have my opinions :) I can speak for myself But if I want someone to know exactly what I think, I'll know who to ask so I don't have the opportunity to participate in the discussion myself:uhoh3:
It's funny but when I responded, neither you nor your opinion was even considered. Go figure. I was sharing MY opinion of the tone around her and I will continue to call it as I see it.
And I cheerfully remain available when you need help knowing what to think......you're welcome.
It's funny but when I responded, neither you nor your opinion was even considered. Go figure. I was sharing MY opinion of the tone around her and I will continue to call it as I see it.
And I cheerfully remain available when you need help knowing what to think......you're welcome.
:)
But if I want someone to know exactly what I think, I'll know who to ask so I don't have the opportunity to participate in the discussion myself:uhoh3:
Orange Tree
728 Posts
Right. Right. And my cat is not a pet- it's a companion animal.
Let's make a whole new language that sounds a lot like French!