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HELP Resident calling baby "stupid" What to do!!!??



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No. 20
Old Oct 30, 2009, 01:17 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Originally Posted by SnoopysAunt View Post
I would agree with some of the more recent posters. It might not be appropriate to say in front of parents, but maybe this is her coping mechanism. Confront her first. Without doing so you are just going to create drama that is not necessary.
I think that there are better coping mechanisms than to swear at a baby
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No. 21
from mcleanl
Old Oct 30, 2009, 01:19 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Originally Posted by lunglover View Post
Before you run off to this woman's superior, why don't you take a step back and try to give her the benefit of the doubt first instead of jumping to conclusions (and I don't care if someone else told you that she does this sort of thing "all the time" - people have their own definition of what that means).

Have you tried talking with her about it face to face? Maybe she doesn't realize that she is offensive and acting unprofessionally. It's possible that she's just doing this to blow off steam and doesn't truly mean what she's saying.

If no one has ever brought it to her attention that they find what she's saying wrong, then their collective silence has validated her words, and she might think that she's speaking for EVERYONE'S thoughts when she says mean things.

I know that we all get stressed out, we all get impatient and frustrated. I'm quite sure that at some point in time, we ALL have thoughts along these same lines, maybe not towards an innocent child, but perhaps towards a combative drunk, a lazy coworker, or even just a plain old disgusting patient (you know the kind). The difference with the resident is that she is taking her thoughts one step further and saying them out loud. Maybe what she really means is that the treatments are f-ing stupid, the parents are frustrating, the diagnosis is heartbreaking, she is tired and hungry, she doesn't want to be saddled with this patient, she feels overwhelmed and stressed out. It could be anything, and it probably has nothing to do with the kid.

Before you go starting a bunch of needless drama, act like a grownup and politely confront the resident yourself. Talk WITH her. Ask her why she says things so harshly. Let her know that you don't approve of it. You might be surprised by what you find out. If not, or if the situation doesn't improve, THEN you can think about going over her head. But first, give her a chance to correct her own mistakes without getting a million other people involved in something that could be nipped in the bud right away.
This is fantastic advice and the type of common sense that every professional should be using.
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No. 22
Old Oct 30, 2009, 01:23 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Every time I read things like this I get shocked first by the alleged behavior and then the defenses that follow. Doctors and nurses are professionals and this is in no way professional behavior. Period.

"Stupid baby" and "f'ng" baby may mean, "I'm so frustrated I'm not able to find the answer to this baby's problem." But, even if that's the case, this resident and anyone else who believes it's appropriate to verbalize their feelings in such an inappropriate manner should be called on it - to their face. If that doesn't remedy the situation, then the chain of command should be utilized.

Saying this kind of behavior is alright as long as the baby doesn't understand, or as long as the parents aren't around, negates the effect this language has on the self and those hearing it and is a sure set-up for the day they do understand or the parents are around. Get comfortable with this kind of language and one day someone will slip and someone else will be devastated.
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No. 23
Old Oct 30, 2009, 01:26 PM
Updated Oct 30, 2009 at 01:28 PM by rhymeswithlibrarian

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Re: "It makes me sad that some of you take care of our most vulnerable patients"

In that case, let me urge you never to walk through a NICU in the middle of night when all the parents are gone, or you'll hear plenty of horrifying discussions of which babies are annoying, or ugly, or are probably going to die, or have funny-looking penises.

And while babies may be vulnerable to infection or hypothermia or dehydration, they're not vulnerable to being called stupid, because it doesn't mean anything to them.
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No. 24
from trinionli
Old Oct 30, 2009, 01:27 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Thinking something and saying it are two different things. If you need to "cope", do it in your head. It's not appropriate whether the pt is 6 mos or 65 yrs old to say such things. The resident needs to be made aware, whether it's by you or her manager, that she's out of place. It's so easy for people to say " you confront her before you speak to her superior". Many times that does not go over well and it ends up backfiring on you. Superiors are there for a reason. Let them handle it.
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No. 25
Old Oct 30, 2009, 01:30 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
As a former NICU momma I'd be ticked beyond belief if a nurse, doctor, whoever was cussing at my baby. Whether she could understand it or not, that's verbal abuse. One could easily argue that I could cuss in a nursing home at that poor demented fellow and he doesn't understand, so certainly it's okay right? Heck I could even do it in front of the state and not worry about getting charged with abuse, because he just doesn't understand? Right? WRONG! I'd lose my certificate and be charged to the full extent. I mean honestly, those words carry such a weight in our language. So I don't think it's okay to talk to a baby that way.
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No. 26
from pennyaline
Old Oct 30, 2009, 02:16 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Originally Posted by topher-67 View Post
Document, chart, and report it to the attending and or your manager. If they just shrug it off, then go up the chain of command. I have no tolerance for people who cannot act in a mature/professional manner. Worst of all having this kind of attitude around a sick infant!
First, DO NOT chart the incident. What would you expect to achieve by including the resident's verbalization about an infant patient in the patient's chart notes? Chart wars accomplish nothing.

"Document" it by writing a report/complaint that will remain apart from the patient record, and submit it to your manager or DON as an expression of your concern about the resident's language regarding the patient ONLY. If you speak with the resident's attending about it, let him/her know that you've reported this to nursing management as well (likewise, tell nursing management that you've spoken to the attending). In your report, stick to reporting what happened and just to what happened. This is not the time to let all and sundry know how you feel personally about the resident. Just the facts, ma'am.
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No. 27
from honeymist
Old Oct 30, 2009, 03:17 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Maybe the baby cannot understand, but the rest of the healthcare workers in the NICU can, and that's heartbreaking to hear someone refer to a helpless infant like that (at least it's heartbreaking for most compassionate people). Bad for morale, bad for work environment, just bad altogether, regardless of whether or not she was "blowing off steam".
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No. 28
from Cindy-san
Old Oct 30, 2009, 03:23 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Is this a specialty this resident wants? Or is it a required rotation, like the ER?
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No. 29
from Otessa
Old Oct 30, 2009, 03:36 PM

Default Re: HELP Resident calling baby "stupid" What to do!!!??
Originally Posted by rhymeswithlibrarian View Post
Re: "It makes me sad that some of you take care of our most vulnerable patients"

In that case, let me urge you never to walk through a NICU in the middle of night when all the parents are gone, or you'll hear plenty of horrifying discussions of which babies are annoying, or ugly, or are probably going to die, or have funny-looking penises.

And while babies may be vulnerable to infection or hypothermia or dehydration, they're not vulnerable to being called stupid, because it doesn't mean anything to them.
I won't tolerate behaviour of my co-workers defaming others(patients, visitors, co-workers, etc.) no matter if they are young or old-just seems crude and uncalled for. To think it is one thing but to say it out loud....no. We all have frustrating moments-there are more appropriate means to express those frustrations.

otessa
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