Yeah, that’s Yoko over there. I’ll wait for everyone to roll their eyes.
I’ve always had a soft spot for Yoko. Maybe because I “got” bagism back when I was an impressionable youngster. I always seemed to know what she was trying to say.
That doesn’t mean I didn’t cover my ears when she sang.
So I was pleasantly surprised and intrigued when I saw this CD on iTunes.
Maybe the world is ready for Yoko – she definitely fits into the techno scene. Who else could manage that in their 70’s?
Thank goodness I brought headphones with me. If I hear one more reggae song at Starbucks I am going to scream.
Never mind that I feel like running around calling everybody “mon”.
I like channeling my inner “Jamaica” as much as anyone but enough is enough.
So I’m listening to
Journey the Band-That-Shall-Not-Be-Named. And Yoko.
In about five minutes I’ll be listening to the Browns vs. Lions game via the internet.
I really hate this T-shirt.
How is this supposed to promote collegiality between the professions?
My sense of humor is as good as that of the next person.
This isn’t funny.
As a nurse and patient advocate, I’m supposed to question any order by a physician that I believe detrimental to my patient. I can refuse to carry it out, respectfully letting the doctor know that they can give the drug/do the procedure, but in good conscience I cannot.
I have never once done that. I’ve never had to.
Once I had to explain to an intern that an order of Toradol 60 mg BY MOUTH was probably not what she meant. She was rather stern in her insistence that her order was correct. I called the hospital pharmacy to verify the PO dosing range – I was right.
On rare occasions I have to verify an illegible written order or I spot an incorrect dosage and I am responsible for informing the physician.
Should errors happen?
Are any of us perfect?
My point here is that I don’t “question” a doctor’s judgement.
Nursing heresy, you say! Hardly.
It does not mean I blindly accept everything written. I do not question, I ask for clarification. There is a big difference here. If I don’t understand why an order is written, I’ll ask for the reason behind it. That’s asking a doctor to clarify something for me. If it is a blatant error in dosing or treatment, I’ll ask the physician to rectify it. The patient benefits if the order needs changing and/or I learn from understanding the thought process behind the order.
Think about it. The difference between “WHY are you ordering THIS (you idiot)?????” vs “Would you explain the rationale behind this order for me?” or “Did you really mean to write for 250 mg of Atenolol”? vs. “WHAT do you mean by THIS?
I always have my patient’s welfare foremost in my mind. I like to think that the doctors I work with know that I have their back, too. That I am on top of orders that are wrong or just seem out-of-place. That I will follow up with them to clarify any order that seems problematic (or is just plain wrong).
I know nurses who firmly believe in the motto on that T-shirt. I’m sure it shows in their attitude toward physicians, too.
Call me crazy, but in my world the nurses work for the good of the patients with the physicians, not in spite of them.
In our haste to demand respect commensurate with our professional status, let’s not forget that we need to give the same respect to those we work with.