@JJBookman My question to you was "What is your point?" and that is also legitimate.
You present a wide and vague criticism of nurses you work with. I can think of several reasons why you might do this and I am directly asking you what yours is.
If you are their supervisor, get more info to determine whether education is needed. It would be your job to sit each nurse down and ask her about her rationale, and whether or not she called the doctor.
If you are a coworker on the same level, it isn't appropriate for you to spend your work time asking the necessary questions and doing the necessary investigation to evaluate your coworker's clinical judgment.
If you want to know what we think about holding a med in any particular instance, be specific. I can't and won't judge your coworkers based on the info you gave me. I also would appreciate your question more if you were asking about your own practice. I love to help other nurses.
I gave you an example of when I would hold a med for SBP 119. I would probably call the doc, but not necessarily, like if I know I'm going to see the doc for rounds, or Doc and I had already discussed what might happen and I know she is going to be looking for my note.
If that situation happened and you, as my coworker, started grilling me in an accusatory way about why I held the med and did I call the doc, I would be highly annoyed with you and rightly so. You might even damage your relationship with me.
More than once, I have been questioned in an accusatory way by a nurse who was not my supervisor and who actually knew less about the situation than I did. Some nurses think they should do that, and that's unfortunate for the culture of the working environment.
If you are actually concerned about patient safety, go to your supervisor and report your concerns.
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