one of the worst things that the phrase "dee en are" has become over the years is it has mutated itself into a anti-nursing anti-patient phenomenon. like power sapping, destructive kryptonite to superman, once a nurse hears that phrase, he or she automatically shut off their brain and their mind already begins measuring coffin size for the "soon to be deceased."
dnr never, ever, ever means to withhold care; our nursing degree did not suddenly change to imply mortuary sciences.
in essence, dnr simply means that after a patient has died, we are then supposed to do nothing extraordinary to try to bring then back from death. but, up until that point, we are still obligated to pull out all the stops, intubate, fluids, transfusions, whatever... anything and everything to keep that person alive.
granted, there are some things that, given a patient's condition, may be deemed medically or clinically futile. however, that's a medical decision, and not a nursing judgment. over the years, dnr has somehow morphed itself in some nurses minds to imply carte blanche for them to deny care based on their nursing judgment; that couldn't be farther from the truth. the op in this case did the absolute right thing in calling the md, using non behavioral restraints with an md order, to facilitate airway and line protection.
op, as for your colleague's belittling comment of, "...hoping that she never gets a nurse like you" i would tell her to be really careful what she wishes for.
as for her suggestion to you to perform a necessary life saving function, record the positive results of that action, and then clandestinely, deliberately withdraw and withhold that life saving function knowing full well that the patient will die as a result?
that is called conspiracy to commit murder. :eek:
you did absolutely the right thing in ignoring her. further, if i were you, i would report her not just to your employer but to the state.