Published Aug 26, 2013
mcclot1993
99 Posts
What I mean is what things are you allowed to do once the doctors order is written.
Do you have to have an order to do
Staring Iv's
administer medication
IM and SubQ injections
dressing wounds
Vital Signs
catheter insertion
blood transfusion
Inserting a nasogastric tube
etc.
Do you have to have an MD's orders to do these tasks.
psu_213, BSN, RN
3,878 Posts
Staring Iv's order required
administer medication yes--doctor writes the med order and when/how often it is to be given..must have an order to give a med
IM and SubQ injections the doc specified a route in the med order (i.e. PO, subQ, IM, IV, PR, etc.)
dressing wound yes, although I worked on a unit where doctors would write "chest tube dressing changes per protocol (protocol on this unit was q12 hours and as needed)
Vital Signs This is per unit protocol, although the doc can always specify more (or less) often that the unit's protocol
catheter insertion order required
blood transfusion order required
Inserting a nasogastric tube order required
roser13, ASN, RN
6,504 Posts
I think that your question has been fully answered one of your other threads:
https://allnurses.com/pre-nursing-student/what-tasks-nurses-841358.html
(What are tasks that nurses can do with or without a doctor's order?)
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
Homework again? ::sigh:: We already answered your homework question on that other thread.
Listen up. We don't take "orders." We are not in the military. Well, most of us here, anyway. :)
By law nurses implement some parts of the medical plans of care as prescribed by a physician or NP-- not all parts, which are implemented by other disciplines, like therapy, lab, dietary, radiology, etc. Nurses also have a great deal of responsibility and autonomy to assess, prescribe, and delegate/implement actions in the nursing plans of care which are not part of the physician plan of care and not prescribed by physicians. I wish more people would get their heads wrapped around this concept.
OP, I do think that your many (I count 9) threads have given you a wide variety of advice and opinions about the career of nursing (sometimes in duplicate or triplicate). I think that you have likely had the best responses that an online forum can give.
Your next step would logically be to visit an actual nursing school and investigate your options and ask your questions for specific-for-you answers.