Annoying ER doc's habits

  1. I wonder how common this is in small hospitals. We have a 4 bed ER and a doc comes in and stays in the lounge when there are no patients. For the past few nights, a patient will come in, and if I have no clear direction that I can do before the patient is actually screened by the doc (draw blood, order X-ray for r/o fx) I have to call him and let him know there is a patient waiting to see him. This one doc will interrogate me over the phone about the patient's history, symptoms, onset, etc, which is okay to a point, but some stuff he is having me ask the patient while I am on the phone with him....instead of HIM coming down and actually LOOKING at the patient. Is this common or am I running into an annoying doc?
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  2. 14 Comments

  3. by   petiteflower
    You are not alone!!!!!!!!!!!
  4. by   susanmary
    Originally posted by ScarlettRN
    I but some stuff he is having me ask the patient while I am on the phone with him....instead of HIM coming down and actually LOOKING at the patient. Is this common or am I running into an annoying doc?
    Tell the doctor this in very simple terms. He needs to come and assess the patient. Period. Common or not.
  5. by   canoehead
    He needs to assess the pt before any orders will be carried out
    (except in emergency) See if you can get your manager to back you up on that too.
  6. by   gwenith
    Whho is HIS Boss? I would talk to him about a good way to proceed and if he does not comply take it up the chain of command.

    Do not forgetyou have the right to pull a "white mutiny". Work to rules "Oh doctor - I can't do that!" Co-operation works both ways.
  7. by   TazziRN
    I work in a 6-bed ER with docs who do a min of 24-hour shifts. Some of them are real good for interrogating over the phone and then saying "Okay, I'll be right there." I learned to stop after the third question and say "Why don't you come in and ask the patient that yourself?" As for orders given before seeing the pt, I weigh the seriousness of the pt's problem before deciding what to do: if I know the doc will probably only spend a few minutes with the pt and I know what he would order, I'll go ahead and take the phone order and call him when the results are in. If I feel the pt needs to be eyeballed first, I'll tell him "You need to wake up and come see the pt first."
  8. by   kevro1013
    Maybe you guys could agree on a set of protocols, ie: things you could order and then give the doc a call (obvious deformities get x-rays, fevers give APAP, etc..) they are a time saver for us, but of course the emergent patients we call the MD to the room as we are starting the obvious things
  9. by   happystudent
    The ER I work in is a teaching hospital...soo we get a "new trauma" team every two weeks. I have noticed that everytime there is a trauma and the docs are working on the pt....they ALWAYS leave the pt naked on the stretcher..... I have not seen one resident even attempt to preserve a pts modesty..........I mean they go to town cutting off their clothers but never cover them up!! What s up with that?
  10. by   RNCENCCRNNREMTP
    My "favorite" ER doc has this nasty habit. He will do something the same way about 99 times. But on the 100th, when you have anticipated him he will change his practice. My theory is, when he was a PA he was sh*t on and now that he is an MD he gets to do the Shi**ing.
  11. by   atownsendrn
    Very annoying. Is this doc one that works at your ER frequently? If he is then you need to stop this "very annoying" habit quickly. Call him, tell him that he has a patient, and hang up. And smile sweetly when he comes to evaluate the patient
  12. by   KarafromPhilly
    Maybe ask him if he'd like you to hand the phone to the patient, so he can speak directly to them? Wow, talk about L A Z Y. I wonder if he's reclining while he talks to you on the phone.
  13. by   NativeTexan
    Document times you called him, and what time he actually came in to see the patient. It will get you off the hook when you give your deposition! :-)
  14. by   LerRN95
    I have to call him and let him know there is a patient waiting to see him. This one doc will interrogate me over the phone about the patient's history, symptoms, onset, etc, which is okay to a point, but some stuff he is having me ask the patient while I am on the phone with him....instead of HIM coming down and actually LOOKING at the patient. Is this common or am I running into an annoying doc?
    I also work in a rural hospital 4-7 bed (7 at night) We have one regular doctor that does this and he was the ED Physician's Director until recently. He would order labs, xray's IVF over the phone for my staff to "babysit" so he could get sleep. Then at shift change in the morning he would get up and see the patient. I finally told my staff, that if it was "truly unneccessary" to tell the Doc that you're not getting paid to babysit and to get out of his room. He does a lot better now.

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