Incometent Doctor - page 2

What do you do when you work with an incompetent doctor? This doctor is truly an idiot and is inhumane. I know how very frowned upon it is for nurses to go after a doctor, but I am scared for MY... Read More

  1. by   jbp0529
    Quote from Happy-ER-RN
    If I write her up then the policy is that I will end up in a room face to face with this physician to discuss the write up, and we all know they will not fire a doctor over one nurses right up.
    OMG...that's insane. Gotta love "physician satisfaction" over nursing ethics, SBAR, Press Ganey, and all the other buzz words/policies out there. :angryfire Ugh
  2. by   ernurse4ill
    At the risk of sounding dumb, in 20 years I don't know what code white is?
  3. by   cccnurse
    I must rephrase what I meant I said. Or something like that. I didn't mean not to chart "Dr. Aware" after re-reading what I wrote that was what I said.

    I meant that you should not put in the pt's chart that you notified nursing supervision or Risk Management. I did this once and it had me sitting across the table with administration and almost had a reverse effect from what I was trying to gain.
  4. by   Spidey's mom
    Quote from spacenurse
    We write an incident report and a report to our nursing manager and medical director.
    I have written the Medical Board about a doctor. They sent me a letter stating it would be looked into.
    That doctor asked me in the elevator why I reported him. I told him the facts. He then asked, "Did I really do that?"

    He kept his license but the rude abusive behavior that also risked patient care stopped.
    I'm told the medical board works behind the scene.
    There should be protocols regarding this in every hospital.

    We make an incident report.

    As to charting, pain is part of your assessment and so is relief of stated pain. I think you should chart but don't put your interpretation in the charting. Say, "8 y.o. complaining of 10/10 femur pain. Physican aware. No orders received". I wouldn't say "Physician refused". That is a judgment.

    steph
  5. by   PANurseRN1
    You bet your bippy I would document that the pt was in pain and that the doctor did not order pain medication. Which, BTW, could be construed as pt abuse.

    Makes me glad we don't have any docs that are that unreasonable.
  6. by   rgroyer1RNBSN
    Yes I work with a doc like this in our er to just chart chart chart, and talk to your manager. The one I work with tryed to get me and another nurse to splint a guys fractured hip however your supposed to do this concidering in nursing school we never learned how to splint someones hip and I dont even think its possible god hes a moron.:angryfire
  7. by   TazziRN
    You can report her anonymously to the state medical board.
  8. by   morte
    Quote from rgroyer1RNBSN
    Yes I work with a doc like this in our er to just chart chart chart, and talk to your manager. The one I work with tryed to get me and another nurse to splint a guys fractured hip however your supposed to do this concidering in nursing school we never learned how to splint someones hip and I dont even think its possible god hes a moron.:angryfire
    yup, you can splint a fx hip, hare traction splint is one device, i was just looking and there are others....most of this done prehospital....
  9. by   RoxanRN
    Because of the placement required for a Hare Traction splint (under the ischial tuberosity; the patient should feel as though they are sitting on in), it is not used on hip fractures. A Sager Traction splint would be a better choice.
  10. by   JBudd
    Our hospital has an anonymous patient safety/ethical concerns hotline, goes to an outside group.

    I would have charted "pain 10/10 reported to MD at XX hours, no pain control orders given. Repeated report of pain at xx hours. No pain control orders given.", instead of "no orders received". The order you received was not to give anything!

    The next step in advocacy is to refuse to participate in the procedure. "I'm sorry Doctor, I cannot ethically carry out this procedure without providing pain control. I'll call the nursing supervisor for you."
  11. by   CuttingEdgeRN
    Quote from ernurse4ill
    At the risk of sounding dumb, in 20 years I don't know what code white is?
    Code White: You're in the hallway getting blasted by a doctor who is acting inappropriately. You pick up intercom and call "CODE WHITE hallway 1" Every available staff member should respond so that there are lots of witnesses to the childish doctors behavior! They will then realize how stupid they are acting and slink away.

close