Was I out of line ?

[PRicanRN]

I think you had good intentions but yes I feel your charting his comment was out of line. Like everyone else said if you had a question whether it was necessary or not, always err on the side of caution. I mean think about it, your out there triaging and then you go grab a doc who is very busy with his own 9-10 pts. he is assigned and then you ask him a question, about a pt. he has never seen. Only you saw the pt. come in, only you saw his presentation and listened to his complaint and did the triage assesment. He may have given you a flippant answer but to chart it was unnecessary. You don't know how many times I go to ask a random doc about a pt. that came in by ems for this that and the other and I am just told by the doc to follow protocol, or sometimes given unhelpful answer. I just always follow the protocol. Alot of the times the docs trust you to know what to do without having to ask them all the time unless its critical, at least where I work at. For ex. you know when a CP comes in to get ekg,place on monitor, IV, labs, asa, ntg sl or whatever form in your hospital, all this we know to do without asking a doctor. Where I work the docs don't like giving orders on a pt. they haven't seen unless its very serious or critical, in which a doc needs to be there anyway. I think maybe an apology for the charting it is necessary but I would also let him know that your were looking for a professional medical opinion instead of what he gave you.

[code50]

I DID NOT POST THIS THREAD! PLEASE RESPOND TO THE APPROPRIATE NURSE. tHANK YOU.

[Monica RN,BSN]

I'm sorry, I have to disagree with everyone who has replied here. Unfortunately, we have gotten to the point where we need to CYA. The doctors feel they can do whatever they please to whomever they choose. They won't stand up for you in the event of an adverse outcome. I have seen it time and time again, if it comes down to it, it's them against you and they won't hesitate to lie. Quoting the doctor verbatim (not forbadden) is a way to make sure that you are covered should this be called into question. As long as you charted it factually (IE: Pt reporting neck pain, recently involved in MVC, MD informed of neck pain and questioned about need for C-collar. MD responded, "If she walked in, she doesn't have a break. It is not necessary", and didn't resort to making your opinion on his response known in the charting, I think you did fine.

Yes, I would have went ahead and placed the collar before talking with the doctor and let him remove it if he wanted to do so, then charted that as well. Placing the collar on a trauma patient, with or without the complaint of neck pain or patient's ability to move around, is simple nursing action and should be done.

wow and here, I thought I was in the minority thinking the same thing

Have a nice day out there

[alkaleidi]

LOL!

I think it was definitely out of line, though I did something similar once (and was scolded for it by my nurse manager, though SHE thought it was funny too). But, I think it's hilarious. So, next time you should probably something like "MD updated on patient's complaints and assessment; no orders received" or something about clarifying that the MD did NOT want a c-collar applied.

But I still think it's funny. Inappropriate, probably, but entertaining. :)

[FranEMTnurse, CNA, LPN, EMT-I]

i'm sorry, i have to disagree with everyone who has replied here. unfortunately, we have gotten to the point where we need to cya. the doctors feel they can do whatever they please to whomever they choose. they won't stand up for you in the event of an adverse outcome. i have seen it time and time again, if it comes down to it, it's them against you and they won't hesitate to lie. quoting the doctor verbatim (not forbadden) is a way to make sure that you are covered should this be called into question. as long as you charted it factually (ie: pt reporting neck pain, recently involved in mvc, md informed of neck pain and questioned about need for c-collar. md responded, "if she walked in, she doesn't have a break. it is not necessary", and didn't resort to making your opinion on his response known in the charting, i think you did fine.

yes, i would have went ahead and placed the collar before talking with the doctor and let him remove it if he wanted to do so, then charted that as well. placing the collar on a trauma patient, with or without the complaint of neck pain or patient's ability to move around, is simple nursing action and should be done.

i completely agree with you, honey. if you don't stick up for yourself, those stinking docs who think they are god's gift to nurses and their patients need to come down to earth!!!! i like your spunk. nurses have saved the license of a good many docs all due to their carelessness, not reading enough of the patient's record, etc. i had one of them once, and when i was on a steroid other than solu-medrol since that gave me steroid induced myopathy when i had a pe yet. i can't remember the name of the steroid offhand, but it changed my entire personality. :angryfirei loved it when i made old grouchy back down. :lol2:

another time earle58 called him for me because he didn't want to see me.:angryfire she made his ears red.i have been a devoted and loyal friend to her since. he was so incensed by what she said, he couldn't believe his ears. made me laugh.:lol2:i fired him after misdiagnosing me twice, and got myself the most kind, most wonderful physician ever. i absolutely love him. and he's right on top of my care too. i have a horrific medical history since graduating nursing school, and he studies a lot. i just can't say enough kind things about him. he has listened to me when i gave him a new s/s and he prescribed accordingly. something the old grouch did not do. and as a result, i am now stable, walking again, (even though i'm not able to stand for very long) i'm off all narcs, and am just on nsaids and mobic for my oa. now i call that one top notch doc.