Question about LTC and RNACs

[chiya]

Hi all just discovered this board and have a question which is really bugging me, I recently moved to LTC from acute care and am finding that one RNAC in this facility frequently calls the unit and orders the RN to call a DR. and obtain an order for whatever. The last time this happened to me. the order she wanted would have had to be given by an on call Doc as the regular was on vacation and was something that the I knew the regular Doc would have blown a fuse over. So I called the on call and he just said yeah go ahead and hung up. I documented that the order was obtained on The RNACs request and called the DR back and said wait a minute you need to hear more of this story before you agree to the order, And read him some of the patients other orders which pertained at which he then said no way to the order. Now when the RNAC found at that I had charted that the order was obtained at her request (there are 2 of them in our facility) I thought both of them were going to stroke out. which is really making me wonder how kosher them calling the units and asking us to obtain orders is.

[sirI, MSN, APRN, NP]

Hello chiya and welcome to allnurses.com

Good to have you with us.

I moved your thread to the LTC forum for a better response.

We hope you enjoy the site.

[chiya]

Yes I am enjoying browsing it very much thank you. and for the first time in over 25 years of nursing am thinking about not working out my notice, There are a bunch of other problems with the facility I am currently working in and I have already gave them notice, but the more I think about it the more I think I am being set up and it would be a good idea to just cut my losses and get out

[chiya]

Thank you for the welcome, I was looking for just this kind of board because I am having other serious issues with the facility I am working in and really could use the insight of other nurses.

[CoffeeRTC, BSN, RN]

So the RNAC wants to practice medicine? When I was working as an RNAC I might have asked the floor nurse to do this (Ie...call the doc for a simple order...seat belt, postioning thing, ask for a lab etc) but would have only done this if say the nurse said she was calling the doc for something else. OR...I would have called the doc and included what she needed from the doc too.

I prob would have charted the same too...per RNAC request or IDT team suggestions...

I think that if it is a difficult request...they need to be doing the calling. In the places that I've worked we group all calls to the doc unless it is an emergent need. So, IMHO...no..you shouldn't be doing those calls.

Welcome to LTC!

[chiya]

Thank you so much for the response. it does answer some questions. And on the other hand really worries me because she was asking me to call an oncall doc to get an order that I KNEW was contra-indicated and would send her PCP through the roof.