Background: I work in LTAC. Started 2 months ago. Pt had Ingrezza in her order from 2025, but I guess the nurses stopped giving her due to unavailability.
I noticed it today and called the pharmacy and re-ordered. He was mad that previous nurses just flat out stopped giving it to her without notifying him. Which I had no control over. Also the med isn’t passed during my shift so it’s not even on my EMAR.
Earlier in the day, I had notified Dr. B via text that the pharmacy reported a delay of one week or longer in obtaining Ingrezza and asked if there were any interim interventions we could initiate. He never texted back.
I saw him in the hallway. I requested that Dr. B assess the patient due to worsening tremors. Dr. B declined and stated, “I don’t have to go check on her.” (In person convo) So then I asked for the plan of care for the patient while we wait for meds. Dr. B responded, “I don’t have to share the plan with you.” (In person convo)
I informed Dr. B that I was advocating for the patient and that the situation would be reported. Dr. B stated, “This conversation is over,” and did not provide further information regarding the care plan.
I proceeded toward the patient’s room to update her regarding the situation. Dr. B then approached and entered the room. He stated that he would not speak to or assess the patient unless I left the room.
*** I informed him this will be documented and reported and he also said he will report me as well. I charted in the safety note and let the DON know as well. What else can I do to protect myself? Do I also report him to the board or the home health company he works for?***