Ronda121

Yea that sounds great, check out your policy and shoot it to me. I am not in a good situation, however, I guess if I want to continue working there, I do need to eat crow. Been thinking alot about this, and I am just gonna put them on everybody, who is a general case. I'm not fighting this fight. I do feel as though I am my own advocate, not even our nurse manager is our advocate. Thanks for your input!

To brownbook: Here is the deal.... I do not have a problem with putting them on everyody that needs them, or according to our assessment tool, needs them. My problem is, according to our assessment tool, not everybody needs them. For example if the surgery is less than 45 mins even if they meet the standards, they do not need them. Like our number is 2. If the pt has a 2 according to the assesment tool, then they meet requirements. That is if they are walking through our doors, so to speak they need them. But if the surgery is less than 45 mins and they still have a 2, they should not need them. I was verbally written up for not appling them to a pt with that same senario. I was told I was not following policy and I could be fired. I was also told that they are keeping a tab on all the preop nurses od who is not being compliant with the VTE procedures so they could report back to corporate and possibly be fired. The assessment tool specifically states" VTE ordered" and I" have ordered the apprioate VTE for this pt" and requests a physcians signature. I am the only one signing this, no physcian is signing this nor am I getting a order for this. I have been told that no physcians order is needed, however this is not presented in the policy that managemnt says it is. I do not have a problem with providing safety measures to prevent clots by any means. But dont threaten my job because I am following the assesment tool that they created, and a policy which is not clear. I am at a loss as to how to handle this. Nursing has become so politcal and corporate based, I love caring for the pts, its all the BS that is hard to deal with. It also is not just me, its all the preop staff they are doing this to. HELP!

I work at a free stnding ASC, I have been a nurse for 22 years. In the past a physcian order has been required for TED hose. At my facility, I have been told since it is not a billable item, no order is needed. They ask us to fill out a form to see if the pt qualifies, based on that, WE decide whether the pt needs TEd hose. They also told us that policy supercedes any physcian order therfore no order is needed for TED hose. However our policy is very vague, and does not specifically state no order is needed. Just trying to cover my butt, keep my job while still maintaining my licsense.