If you think you need to call the MD, CALL THE MD!!!! - Page 6Register Today!
- Jun 14, '12 by anotheroneThis post reminds me that i suspect that at orientation the residents may have some training on calls/returning pages. I seem to recall A LOT of them will return a call and say " thanks for the page!" everytime. lol After a couple of times i thought to myself....." could scripting have affected even conversations between staff" or do they really mean it or what is going on. .............
- Jun 15, '12 by nursel56Quote from anotheroneWhat????-----gasp, recoil ------------ I think I just felt the fabric of the universe shifting. I wouldn't mention that to anyone for fear of a karmic hex on the whole thing, and to make sure they haven't been turned into pod people by alien invaders.This post reminds me that i suspect that at orientation the residents may have some training on calls/returning pages. I seem to recall A LOT of them will return a call and say " thanks for the page!" everytime. lol After a couple of times i thought to myself....." could scripting have affected even conversations between staff" or do they really mean it or what is going on. .............
- Jun 15, '12 by turnforthenurseRNI would rather call than wait and possibly regret it later if it will affect patient care.
If it is something that should be addressed at some point but not immediately, I will wait until another coworker has to call or I will just page the doc with a text informing them of something - they can call me back if they want. I work nights and we're pretty good about pooling together everyone who needs to call the doc, that way the doc doesn't get 6 separate pages that he/she needs to address.
- Sep 6, '12 by jasmine2008good /interesting post...
- Sep 6, '12 by SaoirseRNIf I think something warrants a phone call, I will do it, no matter what time of day it is. Serious concerns, significant changes in a patient's condition, etc.
I never say "I'm sorry to call/bother you" etc, either, because I'm not. The doc needs to know and that is why I'm calling. It is my job to watch for these things and make the appropriate doctors aware. As long as I am well prepared with all info I need and quick access to what I may not know off the top of my head, then I am doing my job by notifying the doctor or making a request for orders. If they are rude or refuse my requests, I chart it. Most of the time though, the docs are pretty good.
And really, they can yell if they want. Doesn't change the fact that it's my job to call and theirs to take said phone calls.
Sometimes, for non-urgent things that come up during the day after the GPs have made rounds, I may call their office and say, "I'd like to talk to Dr. X about patient Y. It's not urgent, so I don't need him interrupted, but would appreciate a call back when he is free." An example of this would be if someone requests a sleeping pill "for tonight" because they slept poorly but forgot to ask the doctor when he was in. I'd like to have that order available for nights, so I will call for it, but I don't need it *right now*. Very rarely do I not receive a call back.
We have a system of "attention doctor please" chart inserts on which we can write notes for things we'd like the doctor to address that don't warrant a phone call. This is great on nights and doesn't require the next shift to remember to tell the doctor. Rehab, dietary, discharge liaison, and social work teams can use them, too. The docs can't miss the bright pink pages sticking out of the charts and it allows them to take care of whatever while they are in the hospital on rounds.
- Sep 6, '12 by Sun0408I still have problems with this one;the grey area lol.. I have no problem calling for a change in pt condition, meds, tests or for interventions. The situations I have a problem with are the pts that you have that gut feeling something is gonna go down BUT everything; vitals, neuro etc is the pts baseline.
- Sep 6, '12 by Aurora77Learning to call the doc takes time, just like the rest of nursing. For me at least, it took a few times of the doc asking me a question I couldn't answer before I learned how to do it reasonably well. I'm always polite, no matter what. I also DO apologize for waking them . I am sorry, it's not like I get a kick out of it. I think it's just polite and allows whoever I'm calling to have a few seconds to wake up. If I'm ever unsure whether I should call or not, I bounce things off some of my coworkers.
- Sep 7, '12 by al586The best advice I ever received in regards to calling a doctor came from my excellent supervisor on our evening shift:
"Keep calling until you get what you need. You are not calling them because you enjoy talking to them. You're calling them because you need to help your patient."
This is the best advice I have ever received about calling a crabby doc.
- Sep 7, '12 by hiddencatRNQuote from RNperdiemThis is why I love working in the ER.Reason#105 why I like my job: There is a doctor who is in charge of the ICU at all times who is usually physically present in the unit or a quick text page away when needed. Some of the other units staff NPs who can handle most patient issues.
I remember what it was like to call dotors at home, try to reach someone who has an office practice or (the worst) try to talk to a doctor who is in surgery(message yelled back and forth using the circulating nurse).
I guess what I am saying is that some people have it easier when contacting doctors and others don't have it as good.