When Medical Staff Challenge a Physician's Authority

I am known to be pretty easygoing with nursing staff. I don't yell, pitch a fit, or belittle clinical staff. My responses are generally mild, even when I am annoyed, frustrated, or incredulous. This may be causing problems. I wonder if I was more assertive about the things going on with my patients that I disagree with, I'd have an easier time of it.

This week, I've had two orders entered in my name that I disagree with. The first was a nursing evaluation for a patient who fell at her long term care facility. She had physical therapy ordered, but the facility requested a nursing evaluation. I used to just go ahead and sign these, assuming that the request was based on sound clinical judgment.

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