tag:blogger.com,1999:blog-37811152.post1927012735219270266..comments2024-03-20T10:44:38.106-05:00Comments on madness: tales of an emergency room nurse: refusing a doctors orderUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-37811152.post-67599982366835507302011-04-19T08:10:13.361-05:002011-04-19T08:10:13.361-05:00Hell yeah I've refused to carry out dr's o...Hell yeah I've refused to carry out dr's orders! I have refused to bolus a lady with a liter of NS because she had +2 pitting edema and crackles up to her eyeballs in her lungs. Got an order for lasix instead and it fixed several issues including her pressure of 80/30.silence is blisshttps://www.blogger.com/profile/08223758188826828835noreply@blogger.comtag:blogger.com,1999:blog-37811152.post-20845642704220820892011-04-14T13:37:58.110-05:002011-04-14T13:37:58.110-05:00This comment has been removed by the author.Unknownhttps://www.blogger.com/profile/03139026118116671178noreply@blogger.comtag:blogger.com,1999:blog-37811152.post-84796637833237346122011-04-14T12:04:36.552-05:002011-04-14T12:04:36.552-05:00I definitely have not carried out a doctors on a c...I definitely have not carried out a doctors on a couple of occasions. I feel that as a nurse we have to use judgement because it ultimately comes "down on us". It's always the nurse's fault situation. One particular incident was with a seeker as you described. I felt like I was just adding gasoline to the fire! Not to mention that on the shift before me, the patient went into respiratory distress and was giving narcan. So when I saw that the md had ordered 4mg iv dilaudid every 4 to 6 hrs, I freaked!! I said to the doc, I don't feel comfortable giving that because of all the other stuff he is on and what happened the previous shift. He still did not dc it, and I didn't care what trouble I could get in so I didn't give it. Well someone on the next shift decided, okay I'll give it. Well guess what happened! The patient went into distress and died. Needless to say the doc couldn't look me in the eyes for the next few weeks.SaraMichellehttps://www.blogger.com/profile/14146176558180633006noreply@blogger.comtag:blogger.com,1999:blog-37811152.post-36282820132373541872011-04-13T22:20:41.411-05:002011-04-13T22:20:41.411-05:00I certainly have...I had a resident order potassiu...I certainly have...I had a resident order potassium replacements on a patient whose last levels were drawn 18 hrs prior...."Okay...her last potassium was 3.2 and you want me to give her 4 runs but we haven't checked her since yesterday morning??" Yeah...I didn't do it. On AM labs a few hrs later she was 3.6 on her own. =)LaceFacehttps://www.blogger.com/profile/04615171111386544491noreply@blogger.comtag:blogger.com,1999:blog-37811152.post-8433728983213804542011-04-13T14:53:00.423-05:002011-04-13T14:53:00.423-05:00I did once. She left before I could verbally say i...I did once. She left before I could verbally say it to her face. In ICU we have multidisciplinary rounds, so I brought it up with the ICU MD, who was on the case. The patient had been through septic shock and renal failure over the course of a month. a one time dose of 40mg of Lasix was not going to fix his I/O of +30,000 liters (besides, the pt was dry as a bone!). So I questioned it. NO ONE wanted to help me. it was basically "if she said it do it" until I got a hold of the surgeon still on his case. He agreed and canceled her order. He's my hero!krystinahttps://www.blogger.com/profile/16559841010604947073noreply@blogger.com