 Hi guys! So today I want to talk about standing up for your patients and yourself when you disagree with what doctors are ordering for their patients. This is kind of a tough subject to talk about. So I'm just gonna kind of get started. As nurses we are huge advocates for our patients and we a lot of times know what they need because we are there and we see what's going on and we're dealing with all the other doctors that come by and all the therapies and everything like that and sometimes doctors will order things for their patients or not order things for their patients that maybe we disagree with and first and foremost you have to understand that even though you're a nurse technically doctors orders Trump what you think and what you want and in the end you have to follow the orders as long as it's appropriate obviously if there's a medication like if a doctor says give 60 milligrams of morphine IV push now you're going to question that order but in the end doctors orders Trump what you think as a nurse and this can be hard for some people more so than others if you are one that doesn't like to take direction or things like that from people that are above you I think there's a respectful way to approach doctors when they order something that maybe you disagree with or you're confused about and first and foremost what I will do is I will straight up ask the doctor like hey may I ask why you're ordering this or what's your rationale behind it like I just want to understand a little bit better and a lot of times not all the time there are those special docs out there that just think that you should just know everything they all sit there and explain it to you like hey I decided to order Lasix and Albumin because Albumin draws in that extra I want to say liquid oh fluid fluid into the intravascular space and then the Lasix is the diuretic and that will help them pee more out and you'll be like oh okay that makes sense sometimes by you just saying hey how come you're ordering this they realize like oh I ordered that on the wrong patient like thanks for catching that I had that the other day suddenly a doctor ordered a chest x-ray on my patient for a pneumothorax and I was like uh why you know they're not short of breath they're like they have no clinical indication of having pneumothorax and the doctor's like oh thank you I ordered that on the wrong patient so if a doctor explains their reasoning to me and I disagree with it then I can respectfully say you know I'm concerned about this or I'm worried about this and or the patient said this and I really just don't feel like that's a good idea and sometimes they may say well what else can you suggest or oh are you right I didn't realize that let me cancel that order or they'll say nope do it you know that's what I've ordered you know it can go any which way in the end if you disagree with what a doctor's ordered and they've ordered it or you don't understand the rationale behind it some doctors seriously have no evidence-based reasoning behind why they order things they just order it because they want to like that's what they do and they're that doctor who just you know just orders those things because that's what they do and if you question them then you're wrong and you just kind of have to feel out for who those doctors are on your floor or unit or whatever but in the end even if you disagree and if that's what the doctors ordered it's under their license so if they've ordered that and for some reason it has a negative outcome on the patient then that's under them that's not under you as long as you were following the order correctly and you weren't doing something that was like totally crazy like giving 60 milligrams of morphine obviously like that's under your license too if you gave a medication without realizing the appropriate dosing for it so sometimes at the end of the day you just have to bite your tongue and you know kind of just move forward with it I'm not saying that you need to uh be disrespected by doctors things like that that's a whole another topic but it's okay to disagree with the plan of care and as long as you've advocated and charted what you've brought to the doctor's attention um then you're covered and I stress the charting part because let's say a doctor orders something you disagree with it and you say you chart you know what time you called what you notified the physician of what the outcome of your conversation was um then that's all you really can do so that's that I hope you guys enjoyed this video make sure you get a thumbs up and subscribe to my channel and I see you guys next time bye