Quote from Matt8700
This particular provider is of the mindset that their orders stand and that they should not be questioned. I am not suggesting narcotics at all, but the other medications that you mention could be very helpful and satisfying to the patient. I guess my bigger question here is how do you approach a provider that is not interested in your concerns as the patients nurse. Many times the answer that we get is "they get what I ordered or they can leave." And of course sometimes, especially after an 8 hour wait, we have to provide a form of customer service as well. Even if it is just a lidocaine patch I think the patient would be happier than a Motrin. I think the issue is more with the provider not wanting the input of the nurse and being unwilling to help a patient in need. Doesn't have to be narcotics, but it should be something. And btw, these instances were patients in their 50s and 60s, not a 20 year old that had nothing better to do than generate an er visit. These were reputable people that sort of just got passed off and somewhat ignored.
It does sound like communication could be more smooth. I have come up against a couple of docs like this and it was easy enough to finesse by simply acknowledging that the situation wasn't ideal and taking a little care with my tone and mannerisms so that it doesn't come off as if I think something has been done wrong. There are nurses who approach providers on behalf of even patients who are clearly messing around, yet when they approach the provider it's with a tone that is something just short of snotty and demanding to say, "Umm, Bed 40 needs something else for pain, he got no relief at all." In cases like that, I would fully expect the provider to feel a little like, "Oh, really?
Well, no." KWIM? Yes, we are first and foremost patient advocates, but that includes advocating properly, and for the right things. You mention further down in the thread that you are a team member and want to be treated like one. I agree with you, I just sense that you should take care to portray that you acknowledge the provider is also your
team member - not just someone who needs to make your patient happy come what may.
Secondly - - with regard to the quote above. It seems like you're right on the verge of basically saying your patient deserves some door prizes. While I agree with you wholeheartedly about not turning a blind and uncaring eye to those suffering, you must understand that the things you want to hand out in order that your patient has something to show for the 8 hour wait are all
things that are prescribed under someone else's license, and someone else is ultimately accountable for them, not you. I get what you're saying but you can't forget that fact.
And of course sometimes, especially after an 8 hour wait, we have to provide a form of customer service as well. Even if it is just a lidocaine patch I think the patient would be happier than a Motrin.
it will help the patient, sure, okay. But no - in the sense you're talking here, this is what I mean when I say you are right on the verge of being flat out wrong. People don't get something more than what they need as a reward or a "service recovery" or anything else. The type of customer service
you perform is to sit down for a couple of minutes and talk to your patient, make good eye contact, hear their problems, and do some encouraging, teaching and explaining.