Nurses Always
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Nurses Always
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“ If a nurse declines to do these kinds of things for her patient, because 'it is not her business,' I should say that nursing was not her calling.” - Florence Nightingale
Why did you become a nurse? I have been asked this question countless times over the span of my career. It certainly isn’t a glamorous profession, not something you enter into because it has great pay and even greater hours. The work is hard, emotionally and physically draining. You often work nights, weekends, holidays…. So why do it?
You do it because you have the drive to help others. Nurses help people. It’s that simple.
As a child I watched my favorite aunt care for patients as a pediatric nurse; she still does. I thought she was on par with a superhero, and I knew then that when I grew up, I wanted to do what she did. I graduated with a BSN from Northeastern University and have been proud to call myself a nurse for the past 19 years.
Nursing is an incredibly versatile career, and I have taken advantage of this to the utmost. I have had the privilege of caring for patients in the most complex of settings, in a surgical trauma intensive care unit, as well as the more laid-back holistic environment of home care. The one common thread across each of these roles was my ability to make a difference in someone else’s life.
Nurses are an essential part of the decision-making process, not just at the bedside, but throughout the health system. I no longer care for patients at the bedside, but instead advocate for patient care from the corporate side. In the context of U.S. healthcare reform, it is more important now than ever for nurses to band together and empower each other to provide the best experience and outcomes possible.
No matter what road nurses choose, whether it’s providing care at the bedside, executive leadership in a hospital, teaching, mentoring, or providing subject matter expertise in a corporate environment, one thing remains true for all of us: we spend our lives giving back.
We recognize nurses this week, but we should recognize them every day of the year. Be sure to thank a nurse today!
Millions of people around the world trust InterSystems with their livelihoods and even their lives. We are here to ensure that our clients have reliable, real-time access to the data they need to do their jobs - data they can connect to, share, and draw insights from.
Main office: +1-617-621-0600 Sales: +1-617-370-4580 Support: +1-617-621-0700
Amanda Bucceri Androus, RN, BSN | Updated/Verified: Aug 5, 2022
Amanda Bucceri Androus is a Registered Nurse from Sacramento, California. She graduated from California State University, Sacramento in 2000 with a bachelor's degree in nursing. She began her career working night shifts on a pediatric/ med-surg unit for six years, later transferring to a telemetry unit where she worked for four more years. She currently works as a charge nurse in a busy outpatient primary care department. In her spare time she likes to read, travel, write, and spend time with her husband and two children.
Latest posts by Amanda Bucceri Androus, RN, BSN ( see all )
Home / Nursing Articles / Does a Nurse Always Have to Follow a Doctor’s Orders?
In short, no a nurse does not always have to follow a doctor's order. However, nurses cannot just randomly decide which order to follow and which not to follow. Unless there is a safety concern or an order that conflicts with personal or religious beliefs, failing to carry out orders can be grounds for discipline by the employer as well as the board of nursing, as it could be deemed "neglect."
Safety concerns are one reason why nurses might not follow a doctor's order. One of the most common concerns surrounds medication. One of the rights of medication administration is "right medication." If the nurse performs a safety check and finds that a medication is not indicated, he or she has every right to question the doctor's order. If the doctor still insists on administering the medication, the nurse may go up the chain of command and speak to a higher-level physician and must also notify his or her supervisor. The alternative would be administering the medication and the patient experiencing a negative outcome, placing his or her license at risk.
Another safety concern is when physicians ask nurses to perform a task that conflicts with a facility's policy or protocol. For example, a physician may ask the nurse to take a verbal order when the facility has EMRs. The nurse may feel it is unsafe due to a potential transcription error.
If nurses encounter orders that they feel are unsafe, they should first consult with a peer or charge nurse. Bringing it to the supervisor or manager's attention is also mandatory. If they still feel unsafe, they should escalate higher up the chain of command.
Declining to follow orders based on personal or religious beliefs is another reason why a nurse would not follow a physician's order. For example, participating in end-of-life care, pregnancy terminations, etc. might conflict with moral beliefs. Nurses should report such conflicts to managers or supervisors and hand off the patient to another nurse if possible.
As one can see, there are times when nurses must decline to follow a physician's order. The nurse has the responsibility to inform a supervisor as well as the physician immediately to prevent patient care delay. Failure to do so may constitute negligence. Nurses might lose their job and face discipline by the board of nursing if the proper steps are not followed. If unsure what to do or how to proceed, nurses should always check with a superior or, in the case of conflicts with moral or personal beliefs, check with their human resources department about the facility's policy.
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