quiggles

I forgot to say that the meds were not ordered prior to the sheath pull. I also had to chart the meds given on the med sheet because the nurse and new grad did not. I stand up for what I did, in ICU we sometimes work in a gray area, although the fostering of the doctor nurse relationship is needed. I have worked with these doctors for the last 8 years.

Last week had a patient post angio, another nurse with a new grad pulled sheath. Patient had uncontrolled hypertension during the pull. Nurse doing the pull administered 4 mg of morphine and started a ntg drip. I wrote the order and put a call out to the doctor. He did not call back. I knew for patient safety that the relationship with this doctor it would be covered. The night nurse decided that the ntg order was to be used other than for just sheath pull that was said on the order. The morning MD came in upset over ntg started during the night and spoke with the supervisor. Md said that the order in which I wrote he is covering, although the other nurse needed to be educated on starting home meds that were ordered instead of starting ntg. Supervisor made it clear to the MD that he would not allow him to cover my order and state reeducation of the other nurse. The supervisor is trying to fire me with practicing medicine without a license. And possiblely go after my liscense as well. Any and all advice would be helpful.