Nurses Safety
Published Aug 15, 2007
busy-bee
101 Posts
I called the doctor to obtain an order for a patient several days ago. When I returned to work, the order was the same however a nurse added to the physician order. Isn't this illegal? I am very worried about this. When I write a verbal order, I don't want anyone to write on same order for it makes it look like I took that order too. I asked her to please write a clarification. No matter how simple the oder, this should not ever be done. Am I correct about feeling this way?
AngBthatsme
43 Posts
Yes you are right. Noone should ever write anything to anyones order. This issue should be addressed with your manager. That nurse should have written a clarification of the order if she had talked to the physician about that order. Good eye. Happy nursing.
Dolce, RN
861 Posts
This is why computerized order entry is such a wonderful tool! No messy handwriting and it is 100% clear WHO placed the order at the specific time. No one can "write over" a computerized entry.
mom4josh
284 Posts
I had a resident do this to me (see my post below). I'd write an incident report to CYA. The nurse should know better.
https://allnurses.com/forums/f8/altering-documentation-210610.html
fultzymom
645 Posts
Once an order is writen by you, nobody should be adding anything to it, no matter how big or small the order. You are then responsible for it. I don't blame you. I would have said something too.
When I asked the nurse to write a clarification she really was upset with me. Not to mention she is my superior, it really made me nervouse to ask her to do this. I would of not caught it, but the hospital called to ask us to fax the order. She rode my *ss the rest of the day.
morte, LPN, LVN
7,015 Posts
i would have a talk with the next person up the "food chain", this, it would seem, is the beginning of harrassment...best nipped in the bud
MAISY, RN-ER, BSN, RN
1,082 Posts
Never had another nurse add to my orders, but residents were notorious for doing it. Now, after an order is written-I block out the rest of the order page so that no additional orders can be added to the date and time. This way I know when a page is done it is done! You may want to try that.
Maisy;)
ORNurseAngie
48 Posts
Never had another nurse add to my orders, but residents were notorious for doing it. Now, after an order is written-I block out the rest of the order page so that no additional orders can be added to the date and time. This way I know when a page is done it is done! You may want to try that.Maisy;)
I do the same thing with orders also (blocking it out) I would make a copy of it and show it to my nurse manager. also let her know the other nurse is giving you a hard time about it.