Nurse Manager Write-Up

[Girlygirl69]

Question to all of the experienced critical care nurses- EEG results showed pt having seizures without any visible evidence of seizures and MD orders Versed drip. RN questions another experienced RN and the ordering MD the need for versed. Response from ordering MD is that after reading results Neuro fellow states this is the drug of choice. I hang the drip and get chewed out by nurse manager and ICU attending because this particular unit does not "like" to use versed. There is no policy in hospital showing which drugs are first and second line choices and which drugs should all together not be used. Can I be written up for this?

[NooNieNursie]

Question to all of the experienced critical care nurses- EEG results showed pt having seizures without any visible evidence of seizures and MD orders Versed drip. RN questions another experienced RN and the ordering MD the need for versed. Response from ordering MD is that after reading results Neuro fellow states this is the drug of choice. I hang the drip and get chewed out by nurse manager and ICU attending because this particular unit does not "like" to use versed. There is no policy in hospital showing which drugs are first and second line choices and which drugs should all together not be used. Can I be written up for this?

Um, if the drug is appropriate, if the dosage and everything was reasonable, if the MD orders it, if you verified the order with the MD and questioned it, if it is not against your scope of practice or rules/regulations/laws of the facility to hang that drip... there is A BIG FAT ZERO reason your nurse manager should be angry with you.

The role of the nurse is to carry out physician orders (assuming prior conditions outlined above were met - i.e. the order is correct, you verified the order, it is an appropriate order and the doctor has not lost his mind, it is within your scope of practice/facility regulations to do it).

Sometimes certain nurses forget that they are not doctors and it is not their job to stop physicians from performing the treatments their medical education leads them to believe is best. These nurses **** me off. Uppity managers.

If she tries to write you up she has zero grounds to do so on, you did everything appropriately.

I"m not a CCRN but this is beyond obvious. I see this attitude everywhere. There is a fine line between questioning the MD and using good nursing judgment, vs being a jerk/overstepping bounds.

[NooNieNursie]

Oh and odds are the ICU attending threw a whiny fit at the NM because he didn't like the order, rather than being a man and taking it up with his colleague (questioning/whining at him why he made the decision he did). So the NM just took it out on you because she needed a scapegoat.