Getting yelled at by a doctor for the first time.... - page 7
So, I've been a nurse for about 6 months now and have been off orientation since the end of October, so I'm still pretty new and still learning new things. Today, I had a doctor yell at me for the... Read More
Jan 26Quote from Leader25Happy or not, they don't get to yell at anyone. I hope you filed a police report.You did nothing wrong,but you should have called him back and tell him either he does right by the patient or you will escalate the problem.Never apologize.Who knows what got his goat today I am sure it has nothing to do with you.Doctors are a very unhappy lot these days,but no excuse fo boorish behavior.I had object thrown at me ,kept my cool and reported his ass.
Jan 27When I was a new nurse - I may have cried. But I don't put up with that anymore. Luckily our docs are super nice and I have never seen them yell at anyone. But a doctor isn't better or more important than me, and their time is not more valuable. I would say, excuse me - the way you are speaking to me is unacceptable. They are your colleague and have no more right to speak to you this way that anyone else.
Jan 27Not to mention, keeping this patient another night could constitute WASTE - as in "Fraud, waste and abuse". Unfortunately, it is a nurse's job to advocate for not only the patient, but also the healthcare system and the profession as well.
Jan 27Some doctors are bullies. I would always remind myself I was not married to them and did not have to live with them. That and where I come from in life (as a street kid) I had encountered so much worse than someone yelling on the phone that angry doctors are childs' play in comparison.
There are real threats and perceived threats. Angry doctors fall into the category of perceived threats. The same doctors who yelled at me would wither in fear if they met up with some of the scum I encountered as a young hitch-hiker. I'd just ignore their rants and ask what they wanted to do about whatever situation after they settled down.
Jan 28I wouldn't let it bring you down. Doctors have such a ridiculous level of responsibility so naturally, their stress levels are pretty high. Don't take it personally. Try to learn their personalities, what makes them tic, so you can avoid the unpleasantries in the future. But seriously, he probably forgot about it the moment he hung up and so should you.
Jan 28As others have said, you didn't do anything wrong. Yes- you could have kept the doc in the loop a bit more by letting him know his colleague would take care of the script for discharge but since you thought they were working together, and were communicating about these things, this likely would not have occurred to you. This is part of being new and figuring out the inner-workings of your hospital.
I also have been yelled at a few times by MDs. One was over the phone and I will take some of the responsibility for it (a long story but essentially I was pestering the doc- in the name of pt advocacy- and didn't realize he was in the middle of a surgery). However, that was also a systems problem and there should have been someone covering his service while he was undertaking an 8+ hour surgery.
Another memorable incident was with an attending who felt I should not have called an RRT for a patient with new onset uncontrolled afib and desaturation (with cyanosis!). The MD was on the floor at the time (I had alerted him to my assessment findings prior to calling the RRT) and he tore a strip off of me in front of everyone (i.e. Do you know who I am, I can manage this episode, etc). I calmly explained to him that an RRT was a nursing resource (true) and that as a newer RN I wanted the support of experienced staff with critical care backgrounds who could help me care for the patient (true). I wasn't questioning any of his orders but he seemed to take my initiative as an indication of this. I later found out that a nurse had recently called a code on a patient he was attempting to manage on the floor (I was on a med-surg, not critical care floor at this time) and he seemed to be deeply insecure about this. His outrage at me didn't change the fact that I felt I made the right call for my patient at that time. And if I was in the same situation now, I would do it again.
Remind yourself that this episode had more to do with the MD than it did with you. Yelling at a coworker is not acceptable behaviour and should not be tolerated. Don't be afraid to stand up for yourself. As others have said, find a way to deal with this behaviour that works for you and your personality. Unfortunately, we work in stressful environments and chances are it will happen to you again at some point in your career. It's a human response to be upset that you were yelled at and I felt the same way in both episodes I mentioned. However, don't let this interaction shake your confidence in your capacity as a nurse.
Jan 29For those of you excusing or justifying physician yelling; it is not OK to yell. Never is it OK to yell. It is abusive and demeaning. It is creating a hostile work environment. It should be an HR issue. And if it continues and management ignores it; document the yelling, record it, and take it to a lawyer for harassment/hostile work environment.
Jan 29You are not a horrible nurse. Some doctors are big babies that have social deficits. You are an advocate for your patient. Not for the lazy doctor that forgot to write a script. I think what you did was perfect...contacted the MD who was in the hospital and able to write the script.
You'll get yelled at for many silly things. Don't take this to heart. I've gotten yelled at for calling critical cardiac enzyme results in the middle of the night, for arranging an emergency helicopter transfer, for requesting meds that the doctor told the patient he was going to order...the list goes on & on. At the hospital I'm at now...they do not tolerate doctors who act that way. Just remember...you did the right thing. Don't apologize for it. As you gain experience, you will grow a thicker skin & less tolerance towards people who act like jerks. Let go of the guilt!
Jan 30I once had a fellow yell at me in the patient's room, in front of another nurse and the patient's family. At the time I was too shocked to do anything for various reasons -in front of a patient and family? yelling? and it ended up being the doctor reading the patient's telemetry monitor totally wrong (didn't know what all the numbers were, I guess). She RAN from the unit as soon as I calmly explained to everyone what the numbers were and that the patient, WHO LOOKED TOTALLY FINE, was in fact totally fine. One of the other providers yelled at her for me since she literally bolted away. If it had been an intern or even R2, I wouldn't have been as upset, but a FELLOW? Hell no.
Jan 30The nerve of that doc to think that a patient should stay an extra day costing many thousands of dollars because he didn't feel like writing a script.
He was 100% wrong. Thank you for being reasonable and finding a solution.
Don't let his behavior stop you from doing the same for your next patient. This may be difficult, because you may feel a reluctance next time.
You must be very strong and have ethics of steel to be a great nurse.
Feb 3Pride is a terrible monster. Don't let the weak man who felt put down by your question, which was ultimately in the patients best interest make you feel anything.
Im sorry this happened but honestly... it will happen again.
Weak men yell. There is not other explanation. You've totally got this.