djquadratic

In order to properly document it, there would need to be visual confirmation of the medication being taken, and if it’s refused the medication needs to not be in the patients access. Otherwise OP is not a reliable historian and is unfit for their job as they refuse to comply with standard of care.

I’m on clinical rotations right now , and I literally just asked the nurse next to me about this and she said OP is dead wrong.

Except when there are bad outcomes because the actual patient status doesn’t match up with MAR? And then it becomes the M&M case of the week.

Imo it depends on the patient. If the patient says they take the meds but their signs - vitals, telemetry, routine labs, PE, etc show otherwise - then it’s your responsibility to confirm or deny patient medication adherence.

I’d like to say a functioning healthcare team means that the top level providers will trust their nurse’s judgement about the patients they are in charge of.

But at the end of the day this is about treating patients and ensuring that a standard of care is met. Part of that standard is allowing for shared decision making, non paternalistic care, etc.

But again, it is your responsibility to know what is happening with the patient. It’s not really that you’re forcing the patient to adhere, it’s to confirm if they take it or not.

Nah it’s not just a state. A lot of Ob/Gyn physicians no longer feel comfortable practicing in states with extremely prohibitive abortion laws because it genuinely limits what kind of healthcare they can practice. This limits access to care, which can result in poor outcomes.

Actually there are a good number of Arab Israelis who are not of Palestinian origin. It’s a more encompassing term. Plus from what I know Times of Israel is left leaning - so you might be barking up the wrong tree here.

And non Palestinians? What are you on about here