Quote from thesundowner
As a nurse, it is my job to ensure that the admitting doctor and all of the consults accurately assess the patients, order the correct labs, order the correct meds, read the consults notes, and do not miss anything with the patient. It is my job to report to the consulting physicians so they can write orders without ever seeing the patients. It is my job to point out trending high BPs and to convince the doctor that the patient needs an increase in BP meds. It is my job to ensure that doctors never have to deal with family members or answer any questions. It is my job to protect the doctors, make sure they are doing their job, make sure their orders are correct. I am an RN - an advocate for doctors.
I think you pretty much summed it up! Unfortunately, you are correct!! I was working with a PA the other night in a VERY busy Fast Track. We see 100 patients per day. He kept writing orders for the wrong things for the wrong patients, IV meds when he meant PO, knee immobilizers on people with lacerations of feet, discharge orders on people he hadn't seen, etc. I am trying to figure out what he really means because I actually triaged the patient.
When I would point out an order in question and asked for clarification, he responded saying, "you know what he needs, just fix the order to make it fit". He was not the only provider fortunately, so I could focus on "fixing" his errors. I finally told him, "I can do my job or I can do yours, but I'm not doing both". It never got any better, but I have a feeling he won't be working with us very long.
Nurses have to learn at a very young age that they are responsible for implementing a blatantly wrong order, so if it sounds wrong or you don't understand it, then INSIST they clarify and make sure you understand!
I saw a t-shirt once that said, "Thank a nurse! They are the ones who keep doctors from killing you".