….I was going to write a bitter polemic about this, but realized that it would just fuel Happy’s ego. It’s bad enough that I’m linking to it, but I had to say something about it. So here goes:
1. More often than not as nurses, we’re not allowed to exercise our critical thinking and judgment thanks to rules, regulations and policies. Even when we know that it is not necessary to call (thanks to our experience, training and critical thinking), we still have to call, or if nothing more, document why we didn’t.
2. Some nurses are better/more experienced/better educated/have more common sense than others. Same goes for doctors. ‘Nuff said.
3. We’re not always sure the doctors are aware of the situation (many times they aren’t…) so we call to inform them of it.
4. Us night shift nurses really love nothing more than to call up a sleeping hospitalist at 3am to report a critical value (that really isn’t, see point #1). It’s almost as much fun as having to call a cardiologist at that un-godly hour.
Just my view.