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Have you ever REFUSED to complete a doctor's order, and how did you go about discussing it with the doctor?

January 13th, 2022

Yes, I have refused before because I was not comfortable with the medication ordered. I discussed my concerns with the Dr, calmly explained after getting yelled at and the prepared the medication for the Dr to administer himself. Which he did not. He changed the order to a safe dose and I then administered.

You have to protect your own license however there is a line that you have to remember. They did go to medical school and we did not. There may be new research, it could be uncommon to us but not to them - direct communication and questions without attitude and an open mind are necessary.

January 13th, 2022

You might go through the pharmacist on staff as well for clarification and if there is a problem with the order the pharmacist could discuss with the physician

September 24th, 2021

First of all was it an incomplete order. Sometimes doctors forget to add specific maybe the route of a medication or frequency. In any event just contact the doctor and asked what he wanted. Why? Because you don’t understand the order based on what’s written. Have him/her clarify the order and you can a T. O. Make sure when the doctor comes in he/she sign his T. O.

September 23rd, 2021

It was a medication order. I consulted with the pharmacist, got his opinion, then I advised the house supervisor that I was going to notify the Dr of my refusal as well as all other nurses on the unit. I suggested he could call a resident to see if anyone was willing to give the med at the very high dose that was ordered, or he could give the medication himself. After I notified the physician, I documented my steps.

September 24th, 2021

As a nurse you can't just refuse to complete an order. You can talk to the doctor to get clarification. If you are uncomfortable with the administration of whatever the drug is or the ordered treatment you should have a more experience charge nurse on staff to consult with or she can help or administer the med. Having a questioning attitude and a mind set for learning will serve all nurses well. Maybe the doctor made a mistake and just clarifying with him will be useful. Since I don't know specifics it's hard to comment anything that might be too helpful to your situation. I am an NP, I have been a nurse for over 15 years, and a NP for over 5 years. I can tell you just refusing to do something will never look well on you as a nurse. I have had plenty of nurse friends get fired over this. Good luck!