U.S.A. New York
Published Jun 4, 2007
You are reading page 2 of Verbal order
bstern
9 Posts
I'm rolling my eyes over the actual writing of "verbal/telephone order" in the chart. What--this is to cover either eventuality when she finally does get the dadgum order? That's sad and sorry.As to why someone would do such a thing, my first guess is a bit of overconfidence. Many of us get to the point where we have a pretty good idea who will prescribe what. That's not a problem. But writing anticipatory orders is. There's a fine line between knowing what a doc is likely to want and ordering it yourself. She crossed that line. With both feet.
As to why someone would do such a thing, my first guess is a bit of overconfidence. Many of us get to the point where we have a pretty good idea who will prescribe what. That's not a problem. But writing anticipatory orders is. There's a fine line between knowing what a doc is likely to want and ordering it yourself. She crossed that line. With both feet.
WOW...someone else who gets up as early as I do? I don't leave for work until 5, but find that if I get up at 3 I have some quiet time to myself. mmmmm....it is great!
rn/writer, RN
9 Articles; 4,168 Posts
I don't get up this early (heavens, no!). I stay up this late. I'm a die-hard night shifter. Even when I don't work, I stay up till about four and get up at noon. Can't shift the bio-clock too far or it starts to whine.
Have a great day at work.
I don't get up this early (heavens, no!). I stay up this late. I'm a die-hard night shifter. Even when I don't work, I stay up till about four and get up at noon. Can't shift the bio-clock too far or it starts to whine. Have a great day at work.
Thanks! I know what you mean about the bio-clock. I worked midnights for over 20 years.
chuck1234
629 Posts
I'm not really sure what you mean when you say she stepped on toes before, and now it's a matter of getting even. I really am not involved directly in this at all, except as one of the staff nurses in the facility. The NP and the co-signing nurse are the reporters of this incident. I don't feel their reporting it is getting her in trouble, her actions got her in trouble. She has no one to blame but herself for using very poor judgment. I just wanted an outside opinion on the matter.
Normally, something like this all you have to do is to report it to a Nursing Supervisor and he/she will go from there.
However, you mentioned about the Dept of Ed. Actually, it is the BON. My educated guess is you have a problem with that nurse and this is the reason why I said "stepping on your toes." From my baby experience in the nursing field, unless you wanted someone to be out of work, and out of this nursing field, and out to a homeless shelter. Normally, no one will want to report it to an organization that has the power to take away your license...this is too extreme.
Don't forget! Today it is her...tomorrow it might be your turn. Come around and go around.
I'd say this is something to consider if the nurse had made an honest mistake, the kind we all run into at one time or another. But willfully falsifying information comes under a completely different heading. You can accidentally forget to give a med at the correct time. But there's nothing accidental about writing a bogus order in a chart and then letting another nurse go ahead and carry out that "order." That isn't an oops. It is a deliberate fraudulent act.
My educated guess is you have a problem with that nurse and this is the reason why I said "stepping on your toes."
From my baby experience in the nursing field, unless you wanted someone to be out of work, and out of this nursing field, and out to a homeless shelter. Normally, no one will want to report it to an organization that has the power to take away your license...this is too extreme.
I understand the desire to protect one of our own, but geez, she knowingly wrote a false order. I find it odd that you're focusing on her protection, while there's no mention of the people whose safety she jeopardized.
Responding to rn/writer, I have no intention to protect that nurse; and this is the reason why I suggested bstern to report it to the Nursing Supervisor. The facility will make a decision as whether it should be reported to the BON or not. Patient's safety is always my #1 priority.
Normally, something like this all you have to do is to report it to a Nursing Supervisor and he/she will go from there. However, you mentioned about the Dept of Ed. Actually, it is the BON. My educated guess is you have a problem with that nurse and this is the reason why I said "stepping on your toes." From my baby experience in the nursing field, unless you wanted someone to be out of work, and out of this nursing field, and out to a homeless shelter. Normally, no one will want to report it to an organization that has the power to take away your license...this is too extreme.Don't forget! Today it is her...tomorrow it might be your turn. Come around and go around.
I'm sorry to say your educated guess is wrong. I had no problem with this nurse. I barely know her. She is new to our facility, just came from another. I think she falls into the category of one who was given a "good reference" just to leave the facility she was employed at. We all know nurses like that. I'm saying that if she is doing something like this right out of the gate, she is not worth keeping, and is a threat to all of our patients, and our licenses. I worked hard to get mine, I've maintained a good reputation, and I don't intend to have it marred by someone with no professional ethics. Would I "want" anyone to lose their job? No. Do I want to work side by side with someone capable of falsifying an order? Or work next to someone who would hang me out to dry rather than tell the truth? No, I do not. I think that someone should not be in the nursing profession if they are not willing to be a truthful, ethical person. If tomorrow turns out to be "my day", you can bet I will tell the truth and take my lumps. And that is the difference here.
teenynurse
69 Posts
what did the np want to do about it?
The NP would have been content to have the person warned not to do it again....but then she lied and said she did talk to him....put it in writing as well....that changed his opinion right away....now he feels as though she cannot be trusted...and would like her gone....