Questioning Doctor's Order

Nurses General Nursing

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http://www.nso.com/nursing-resources/article/61.jsp

Wanted to share this article from NSO and pose a question: A portion of this article states that we should document our objections and the response of the people contacted related to questioning an order that a physician chooses not to change. How would I do this? I have not come across this just yet, but if I did, how would I objectively document in a chart that an order was questioned?

Thanks!

You are correct. What could have happened to me is out of being so frustrated with the entire ordeal, I would be tempted to write ":banghead:Idiot physician who got his license from a matchbox told me to give such and such...I then said to myself 'he must be off of his rocker' and told him to kiss where I twist"... (exaggerating, but you get my drift...:lol2:)

"Kiss where I twist"...that's my new fave line. BWAWAWA

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Specializes in Community Health, Med-Surg, Home Health.
"Kiss where I twist"...that's my new fave line. BWAWAWA

I have loads of them...but, I might get thrown out of here due to the language...:yeah:

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Specializes in Community Health, Med-Surg, Home Health.
I think we have the makings of a new thread here:lol2:

CHARTING WE WISH WE COULD GET AWAY WITH

Can you imagine?? "Nursing Note 11/1/08 2:20am: Reviewed and acknowledged that this insane order could not have been written by an educated individual. Collaborated with pharmacist, nsg. supervisor and DON for a good laugh. For good measure, informed patient of the insanity of following this order because he would be dead, nurse unemployed r/t the stupidity of following it. For the best interests of collagues, copies of above order copied, emailed and plastered all over the facility for all to witness in awe. Patient's name removed due to HIPPA, but no one said to protect the doctor. The world must know" Signed :nurse::down:

Yeah, I know in my dreams, but it would be nice...:lol2::typing

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Specializes in tele, oncology.

I love that! Pagandeva, you should really open up that thread with charting we wish we could write, obviously you've put a lot of thought into it!

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. . . and wikipedia says this: http://en.wikipedia.org/wiki/Azactam.

The day I see Wikipedia charted as a reference in a note is the day I quit medicine and never look back. :D

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Specializes in Community Health, Med-Surg, Home Health.
I love that! Pagandeva, you should really open up that thread with charting we wish we could write, obviously you've put a lot of thought into it!

Done! Oh yeah, I say these silly things to myself to survive throughout the day and discretely share with those that want to laugh. I spread my wealth...:smokin:

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charting and observation !!!

sometimes you have a lot of resistant ab and one which may or may not have caused a reaction.

either the patient is not sure which med was taken

reaction could have come from another med taken at same time

sx of reaction could have been confused with sx of the disease which pt was being treated for

because a mild reaction can be followed by a life threatening one i would chart, alert cna to be an extra pair of eyes in observation and check frequently

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by the way i think that op [deva] handled it very well, protected patient and her license and even wound up protecting doctor

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Specializes in Community Health, Med-Surg, Home Health.
by the way i think that op [deva] handled it very well, protected patient and her license and even wound up protecting doctor

Thank you so much. It means alot to have agreement and support!

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