belmont99

I appreciate the feedback!! I, personally, am of the opinion that if an ICU nurse cannot use his/her nsg judgement and critical thinking skills...then they need not be in my Unit. However, the docs don't like it if they are called over little things and they also get their drawers in a wad if we don't call over some little things. There is no happy medium and we may have to suck it up and deal with it. Goodness knows we cannot please them all! However, these same docs, have a SERIOUS God complex and seem to have the most pull with upper administration. I suppose we will see what happens...

I am the night shift manager of a 12 bed ICU in a rural hospital. Because it is rather small, that doctors have more say-so than they should-in regards to general issues. What I am looking for is some information to put together a new "policy" that basically states parameters to call or not call a physician regarding pt status. (Ex: pt has 2 min. run SVT, not symptomatic, sleeping, converts on own...etc) I realize for most Critical Care nurses that is a no-brainer statement...however...for the sake of keeping my head attached to my shoulders and retaining the great staff I have....I have to come up with a policy of such nature. I say all of that to humbly ask for suggestions and any info you would like to share. Thanks!!