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Nursing Policy - reply - replyFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Mon Oct 21 14:46:33 1996
In message <961021134625_1448058629@emout09.mail.aol.com>, Ealgail@aol.com writes >In a message dated 96-10-20 15:02:29 EDT, you write: > ><< that ultimately it's my responsibility, and with > ultimate responsibility goes ultimate authority ! >> > >I, too, labor under that illusion. However, over and over I get corrected >about the authority issue. (No one seems to want to argue about the >resposibility issue- they are more than happy to let us have that). >It is a myth that we still have much authority at all. Nurses and hospital >administrators can "cancel" our orders. HMO's can "order" us to discharge >patients from the hospital. And.....we can exercise our "authority" and >refuse. >But.....they will punish us for it, if we keep "acting" like that. I appreciate that the health care systems on either side of "the pond" aren't the same. Over here certainly nurses and midwives aren't in awe of doctors. My responsibility/authority statement is **VERY** rarely used ( twice in last four years ). When I make it I make it clear that what I mean is "If everybody does what I say and things go wrong - it's my fault. If you don't do what I say then the patient, lawyers, judges, managers will blame you !" It's very powerful at focussing the senses of other professionals !
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office)
01525-222849 (home)
Fax: 01582-497424
email: Malcolm@mgriff22.demon.co.uk
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