"Doctor" Nurse

[mscsrjhm]

Need ideas...

Working behind a nurse who thinks he is a Doctor. LTC facility. He likes to tell the families "I am going to put Mr. Smith on a new medication", "I don't think ... medication is working for him...I'm going to change the med to something more effective".

Families actually come to me saying that (name changed) "John" put mother on a new med, "John" is going to start mother on a more effective pill, etc...

Problem is... "John" is a new nurse, and not a very "good" Doctor.

He tends to like to play with the medicines. If it is working, he will change it.

Worse, he likes to decrease the hospice patients pain meds. DECREASE!!!

Administration calls him "Doctor John".

Another problem is... he is a full time employee.. not agency. So, they tend to let things go.

Have caught him in numerous lies.

Passes on lots of chores...

Likes to refer to the Docs by their first name (not to their face, of course).

Very egotistical person.

Any ideas, other than scheduling a new facility?

[eltrip]

Document, document, document...and keep him away from your patients.

[ResearchRN]

"He tends to like to play with the medicines. If it is working, he will change it.

Worse, he likes to decrease the hospice patients pain meds. DECREASE!!! "

If he is really adjusting medications (presumably without MD orders) then he is practicing medicine without a license. Report him to the board of nursing and the board of medicine. He'll learn real fast that he's not a doctor.

[mscsrjhm]

[QUOTE=ResearchRN]"He tends to like to play with the medicines. If it is working, he will change it.

Worse, he likes to decrease the hospice patients pain meds. DECREASE!!! "

If he is really adjusting medications (presumably without MD orders) then he is practicing medicine without a license. Report him to the board of nursing and the board of medicine. He'll learn real fast that he's not a doctor.

The problem is, as with many LTCs, he simply calls the Doc and suggests, sometimes implying the advice came from the DON or family.

Rarely do LTC staff actually talk to the Doc, usually they leave a message through the clinic nurse.

I believe that he has written orders without ok from Doc, but no definite proof.

[hllybenn]

Does your SBON have a "tip line" or complaint line?

[chris_at_lucas_RN, RN]

emphasis within the quotes is mine.....

...thinks he is a Doctor. LTC facility. He likes to tell the families...

Document everything, including the names of the patients, the family members who made the statements. He is practicing outside the scope of his license. He is dangerous. Report him.

Problem is... "John" is a new nurse, and not a very "good" Doctor. He tends to like to play with the medicines. If it is working, he will change it. Worse, he likes to decrease the hospice patients pain meds. DECREASE!!!

He is doing harm to patients. Document, with names, dates and details. Report him. He needs to go. To jail, actually. I'm not sure that what you are describing isn't assault (he is hurting patients)....

Administration calls him "Doctor John". Another problem is... he is a full time employee.. not agency. So, they tend to let things go. Have caught him in numerous lies.

You should not leave. You may be the only protection these patients have from this sicko.

Ever wonder how people like that serial killer NJ nurse get started? This is it. Power and control issues. Exaggerated sense of self worth. People letting him get away with stuff like this.

Protect your patients. Protect your facility. Frankly, though, if they know what he is doing and it's apparently OK with them--they need reporting too, and they need shutting down. Then you can go someplace else.

Sending good thoughts your way for strength to do the right thing.

[mscsrjhm]

emphasis within the quotes is mine.....

Document everything, including the names of the patients, the family members who made the statements. He is practicing outside the scope of his license. He is dangerous. Report him.

He is doing harm to patients. Document, with names, dates and details. Report him. He needs to go. To jail, actually. I'm not sure that what you are describing isn't assault (he is hurting patients)....

You should not leave. You may be the only protection these patients have from this sicko.

Ever wonder how people like that serial killer NJ nurse get started? This is it. Power and control issues. Exaggerated sense of self worth. People letting him get away with stuff like this.

Protect your patients. Protect your facility. Frankly, though, if they know what he is doing and it's apparently OK with them--they need reporting too, and they need shutting down. Then you can go someplace else.

Sending good thoughts your way for strength to do the right thing.

THANKS. I needed that.

I am keeping copies of everything.

Apparently, he will get orders for meds, and adjust their dosage. This is just the talk, but there are additions to MAR, not on phone orders. When I ask about it... he says he just didn't add it, then he corrects the PHONE ORDER, not the MAR.

Just odd things

I have copies of odd orders...

I LOVE AGENCY!!!!!!!!!!!!!!

[CHATSDALE]

we had a new rn doing rn coverage on weekend...he would listen in on telephone calls residents would make...looked over at resident, laughed and said he must have cerebral palsy look how he moves hands and legs....resident does have cp but his mind is sharp as a tack and it is wrong to talk about him like he can't understand anything...weekday tx nurse left him two catherters to change..he c\o about it on and on finally changed them...took him two hours..thank goodness he is gone..

[mscsrjhm]

Just found out that this nurse actually wrote discharge orders...without talking to the DOC!!! Staff found out, he got chewed out, and... nothing.

He sure does like to play with the medicine. Constantly changing little things.

Lying alot. Tells the Doc that the family wants "xyz", then tells the family that the Doc wanted it. Sick.

Love agency. get away from the politics.

[chris_at_lucas_RN, RN]

Just found out that this nurse actually wrote discharge orders...without talking to the DOC!!! Staff found out, he got chewed out, and... nothing.

He sure does like to play with the medicine. Constantly changing little things.

Lying alot. Tells the Doc that the family wants "xyz", then tells the family that the Doc wanted it. Sick.

Love agency. get away from the politics.

This is why there are Adult Protective Services. The agency that regulates LTC's in your state or county needs to be notified. And the BON.

Sick is exactly right.

[hitechlvn]

This person is not practicing Nursing. They are practicing medicine without a license. It sounds as though he doesn't want to even be thought of as a Nurse (a title of which I am proud of BTW) I say "GET HIM"! :)

[missmercy]

Get this sick, twisted, abusive, pile of stuff reported!!! I'm not impressed in the least with an administration that would ignore complaints related to an issue like this -- sounds to me like if there were not nurses like you around to give quality, compassionate and LEGAL care -- the place would be cited and closed!!

As stated earlier, document, document, document!! Watch your back -- when the heat gets turned up, the jerk could attempt to lay blame anywhere other than where it truly belongs! Are others seeing the same stuff? Are they willing to document too!? If so.... get as much documentation as you can get!!