Cg831

Thank you for your experience based answer. I really appreciate the insight. As crazy as this sounds..... I have no access to the unit policies. I am told that travelers don't have authenticated log ins to access it. This facility is in a very underserved community and the practice and culture at this facility is not a help. I would love to hear from more ICU nurses about their experiences with this.

https://www.felhaber.com/jury-awards-2-million-to-nurse-for-defamatory-report-to-board-of-nursing/ Maybe you can retire early. Do not allow them to take advantage of you. Fight them, then sue them for the damages they caused you. God bless America.

And PS. I'd at the very least get an attorney consultation for a defamation lawsuit. You might have a case.. you never know.

This is very unfortunate and I am sorry this happened. As a travel nurse I'd like to ask you, which petty *** hole hospital was this? I'd like to avoid at all costs. Thanks !!

Thank you for your responses. Yes, there is an EMR and I'm pretty sure culture is the biggest issue here. The physicians would rather do less work and have nurses enter their orders, somehow the staff nurses here believe it is a normal way to practice. This is the only hospital I've worked at where this is acceptable and I have only worked in ICU since I became a nurse. I have worked at university hospitals as well as community facilities and it was always totally unacceptable for an RN to enter physician verbal orders. I also remember this from college. I was unable to find a clear answer when deciphering the CA nurse practice act information. It's just amazing how culture can play a role in the way a facility practices. I've been here long enough to see how it creates poor outcomes for patients as well. (Physicians start to think nurses will just enter orders for things they need without consulting them at night, physicians won't check up on lab values or I&O balances). I believe as a traveler it will just be one of those situations to learn from and ask about on my next assignments interview process.

Calling all experienced critical care nurses for advice!!! I am a travel nurse who works in Intensive care with 4 years of experience. I feel I have a decent amount of experience from working at a variety of different sized hospitals but I realize there is still a LOT to see as my career continues. At my new assignment nurses in the ICU are expected to take verbal telephone orders for MDs for EVERYTHING and enter them in the computer. Controlled substances, sedatives, vasopressors, restraints……. literally anything the overnight hospitalist wants ordered. It is the smallest facility I have worked at and there is no physically present intensivist available at night. I am very uncomfortable with this but the staff urge me to do it and seem annoyed when I ask the charge nurse to enter the verbal orders for me. I am simply trying to avoid liability from a practice I thought was improper and violating nursing standards. I am reaching out to my professional community for advice. Am I wrong? And please be honest. Am I misunderstanding the situation based on the available resources of this community hospital? I really want to understand the legality of my situation from a very factual standpoint. I enjoy the location, patient population, and the staff I work with and don’t want to become someone who they don’t want to work with. However, I want to uphold my professional responsibility to the highest standard possible and not leave my license vulnerable. Please let me know if you have any experience with this!