Nursing has brought up a safety problem: they often do not get clear instructions from the surgeon on which meds to give or hold prior to an inpatient going to surgery. They often use their own judgment (clearly outside of nursing scope). On top of that, we have the classic communication problems when multiple providers are co-managing a patient (Example: Will the cardiologist d/c the Plavix or is it the surgeon's job? What's the plan?).

I'm looking for ideas! If your institution has this figured out, please share.

Thank you,

Erica