LOL I would have asked him for a bailout. One night we had a old lady come in that was loosing her mind, she was calling the doctor the devil and in her mind he was. It was sad for the daughter because while they were trying to commt her to cherry ...
I also don't use "No change" because if something happens how can you prove no changes unless you assess the pt . For examople, can there be no changes to lung sounds without listening again to say no change.
Comes with time and experience. Sound like you know what your doing makes it easier. Side note: I believe male nurses are recieved different then females. This includes getting orders.
I think it could go two ways: 1)start it and then have the day nurse follow up with md. 2-3 hours not going to send the pt over the edge. 2) call MD at 7am to clarify. If your not going to carry the order out, you have to have a justifiable reason....
Technically it's assualt, yes. My point is that the hospital probably would never do anything if the pt is elderly verses young. Right or wrong certain situations carry various reactions with people. For example, if a 80 year lady is hitting on me, ...