Untold medical error confessions

[moskito1977]

Patients that were on a beta blocker before admission should take it with in 24 hours of surgery. Evidence based research shows that it reduces risk of MI for up to year post op. When they do not take it I discuss it with anesthesia. Many times they say ok but do nothing. I went to management but I was told they know what is best for our patients. Thoughts?

[Ruby Vee, BSN]

I thought this was going to be a thread about medical errors. Instead, this is about your disagreement with the anesthesiologists at your hospital about whether patients need to take beta blockers pre-op. This isn't a medical error; it's a difference of opinion. Guess what -- they win. Your manager can't do anything about it.

[Psychcns]

Only one person writes the orders, the rest have input. If you want to write orders, get the appropriate education and license - i.e. MD DO APRN PA

[Aurora77]

One of the SCIP requirements is a beta blocker 24hrs pre/post op if the patient is on one. Contraindications have to be documented by the provider if this isn't done. I'm surprised your facility's QI people aren't all over this.

[dudette10, MSN, RN]

One of the SCIP requirements is a beta blocker 24hrs pre/post op if the patient is on one. Contraindications have to be documented by the provider if this isn't done. I'm surprised your facility's QI people aren't all over this.

Exactly what I was thinking. I hope QI will be sending a message to the providers for documentation of contraindication soon enough.