I too, was involved in creating the Pre-printed Orders and Practice Guidelines, with our physician group. The intention is the same as protocols except that a protocol allows the nurse to initiate...
It is a very difficult situation, and I feel for you. There should be agencies/people to help: Sexual Assault Nurses, Child Protective Services, Councilors, Patient advocates. I agree that every...
So, I'm guessing you have never had a doctor denie that they gave a verbal order, or change a written order or the time of an order? How about writing "I did not order this!" on a protocol order?...
The preprinted carepaths are individualized by just adding the sheet with the pt name to the chart and the doc signs them. No big deal, the orders were things the docs had already decided on some time...
I am currently attempting to get a clear answer from Joint Commission, but their latest attempt to screw up ED practice is that a protocol is fine as long as it is signed off on by the patient's MD....
A state senator walks into our ED. Management rushes in to ensure the pt gets in ahead of all others. all the beds are full to hall 8. Our charge nurse says no, I am in charge during her lunch and...