Topics About 'Dr Order'.

I am being told I will lose by job if I refuse to follow a doctor's order. The doctor ordered a PICC line on a patient just because she might need it for Amiodrome. She was post op open heart and had not been on any drips requiring central placement ...

I posted last week that I was upset about my 81 yr old grandma needing a bone marrow biopsy due to a low sed rate and low HGB. Well results in and perfectly fine/normal. Tx: 2 iron pills a day with meals. Does it matter that I suggested "we...

I have a post-op patient with impaired gas exchange. He is not doing TCDB, the pulse oximerty indicates his SaO2 is less than 90%. In ABG, PCO2 is high. He is somewhat cyanotic. Can a nurse start an O2 therapy, say with nasal cannula or whatever appr...

Dear Nurse Beth, Can you give an opioid without a Dr signing off on it? I say no but my co-worker says yes. I just don't understand if the Dr hasn't signed it than how can I legally give that? Instead, I offered Tylenol which had a Drs order. Di...

So what things have you done withOUT a doctor's order, for a patient?? I don't think I'm too bad, I'll send off a stool for c-diff if a patient has diarrhea, order a stat ABG for a pt in resp distress before calling the doc as well as an x-ray and wi...

Hi, I am a pre-nursing student. I have a question that has been bugging me for a while, and I hope maybe you out there in cyberspace can answer it for me. The end of May I had surgery to remove some fibroids and clean up my endometriosis. Unfortuan...

I feel very incompetent in even asking this question but had little to no training to home health. Is it required to have dr. orders for items such as tylenol or stool softener in the home health field? Please provide me the regulations that require...

So,i am in homecare and i am having issues with this. The kids have various illnesses and most have gtubes, trachs, and vents. One of the MARS has"give Albuterol at parents discretion" with no parameters. the supervisor said that we can only give it ...

Because cauti are high, our manager said that now we can't get orders from the provider. It has to go through him and he has to approve a foley. Does a manager trump Drs orders and policies?!?!? He said we have to straight cath patients q4-6 and ther...

This week has been busy at our little hospital. The heat is getting to many folks. I had just clocked out when "Cat Code" paged overhead. Stopped just a moment and thought "Hell, I better go.". Arrived to find a male pt very diaphoretic, gray and...

I am needing to verify when a dr. order is required in home health and when its not. We have a client that requested our aide put ace wraps on her LE. the aide placed them and notified the primary nurse that she did this. We have had discussions at l...

Dear Nurse Beth, I am currently working in a small clinic doing conscious sedation for minor procedures. Our MD has innocently had his license lapse due to absent-mindedness. If we continue to do procedures and give conscious sedation while t...

I am sick and tired of being reminded that I missed such and such order. I forgot to do labs etc. I am less than a yera old RN and try hard to note and act on all orders but sometimes due to getting busy with other patients, I don't know when Dr come...

This happen on my 11-7am shift last night. I work in LTC. Here is what happened. A pt. [not mine] was agitated and wet. I helped the CNA walk him to the BR. he told me he was going to die!! Scared the bejeebies out of me!! I tried to divert his think...