I am not doubting your credentials. I am disagreeing with what you are saying. So to clarify.
1. Who and on what authority are withholding ACLS without proper consent? If this is being done or should be reported to the state licensing boards as a violation of patient autonomy which is an abuse. Additionally, if it a hospital policy as you say then it should be reported to the state regulatory institutions. Have you done this? If not, then why not?
2. I work with critical care nurses everyday. They are lithe best of the best. And they are not shy to express an opinion if the believe something is being done wrong. Further if there are nurses with this knowledge please report it to the peer review committee structures in the hospital. I assure you if a physician came before our panels changing the code status without proper consent it would not be pleasant for that doc
3. It is curious that you report in lock step what I know to not be true. I would encourage and support your nursing colleagues to bring these abuses forward to make sure that if this occurring it would be severely punished.
4. Are non physicians changing orders without consent? Please answer directly.
Finally, you may disagree with the practice of palliative care consultation but this is not a violation of anything. You say people are bullied by palliative care. Have you ever met a palliative care doc? They usually are the most widely gentle and nonconfrontational of the medical staff
You are mixing your opinion of disagreement with valid medical judgments and practices with actual violations of patients rights.
A very elderly ill person I know was in the hospital and the doctor who came to talk her into hospice care was not at all nice about it. He came to see her when she was alone, no family or friends with her, and basically said if she wouldn’t go into a rehab facility she had to go on hospice. This was a year ago when a lot of facilities were still not allowing visitors. The doctor couldn’t tell her where the rehab was or anything about it. He pressured her into saying she would do hospice.
Then the doctor just called the family and said she had “decided” to go on hospice.
So maybe hospice doctors are nice, but the doctors who “sell” it in the hospital are not nice.