Manager interrupting

Nurses General Nursing

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I am curious to see what other nurses think about a situation that occurred last week.

I was reviewing the preop checklist at the desk with the GI lab nurse. My manager called my name, so I responded "one second, I'm signing off on this patient." Her immediate response was, "No, a physician needs to speak with you." The physician comes to my other side and starts talking about a patient and discharge planning as I was trying to write down the patient's vitals and sign the checklist. After I did that, I looked at her puzzled, and asked which patient she was referring to. She said the patient's name... same last name, but different patient. So I sent her off in the direction of the correct nurse.

I am a MSN-prepared nursing professor, and this is my casual job at the hospital. I am appalled at the manager's behavior. I find it unacceptable to interrupt another collaboration between healthcare providers for non-emergent issues, especially when it involves sending a patient for a procedure. The mindset that a physician's words are more important is not sitting right with me.

What are your thoughts?

Actually, it could not. The patient was ready to go down for her procedure, and I was handing her off to the next provider. This is one of the most critical points in the patient's throughput in care. I am sorry that you see this as a task. Communication is the #1 way to prevent errors and mistakes in health care. Giving report and notifying the next provider of the patient's status is more of a priority than discussing discharge planning, in my honest opinion.

The bottom line is.. All nurses would like to complete a task, before moving on to another. That is not the way nursing flows. OP wanted to "finish signing off on a patient". That task could have easily waited, while she addressed the physicians questions.

(my bold)

You say that as if it's some law of nature. My opinion is that we have the power to, at least in part, influence how people (and that includes physicians) interact with us. I choose to remove the elements of stress from my worklife that are within my control to remove. I'm happier for it and my patients benefit from it.

I swear, sometimes I feel that nurses are their own worst enemies.

Sound like the usual behavior in-regards to how physicians get given priority in most cases. It is always drop everything and help the MD now even if you are assisting another MD at that exact moment.

Hey, sometimes you win, sometimes you lose, and sometimes you pick your battles. I have had experiences with a manager on a psychiatric unit that would come in and micro-manage within 5 minutes of entering the doors and have no report, no rapport with the patients, and basically been a milieu-killing machine. Multiple times the manager has stood in the middle of code situations like a lost puppy, has tried to do interventions which were not warranted and which led patients ending up on the floor...take a deeeeeeeeep breath and just remember that manger probably has no memory of it even occurring.

Had this happened last week. My pt was being transferred to the unit, I was putting together my paperwork to call the report to the unit. I see a shadow looming over me, it was a manager from another floor who was tasked with walking around the hospital asking nurses about a hospital policy, so she was taking a survey. I told her I couldn't at this very minute, and she insisted that it would only take 10 seconds. I told her I had a patient who was in crisis and she still wanted to get her job done first. Some people are just downright rude, selfish and only care about themselves. Nothing to do with the situation at hand, or any prioritization.

It is not acceptable but happens all the time You get interrupted while med pass or during pt. Care and the list goes on. What I do is I politely tell them I am doing so and so can hold off on that otherwise I will make a mistake , I have even told physicians but politely and respectfully. Some physicians are very understanding and some who are not you will know who they are and you shouldn't care either. Its about pt. safety nothing first.

Specializes in Tele, ICU, Staff Development.
I am curious to see what other nurses think about a situation that occurred last week.

I was reviewing the preop checklist at the desk with the GI lab nurse. My manager called my name, so I responded "one second, I'm signing off on this patient." Her immediate response was, "No, a physician needs to speak with you." The physician comes to my other side and starts talking about a patient and discharge planning as I was trying to write down the patient's vitals and sign the checklist. After I did that, I looked at her puzzled, and asked which patient she was referring to. She said the patient's name... same last name, but different patient. So I sent her off in the direction of the correct nurse.

I am a MSN-prepared nursing professor, and this is my casual job at the hospital. I am appalled at the manager's behavior. I find it unacceptable to interrupt another collaboration between healthcare providers for non-emergent issues, especially when it involves sending a patient for a procedure. The mindset that a physician's words are more important is not sitting right with me.

What are your thoughts?

My thoughts are that this is considered normal because so many of us are accustomed to a lack of respect and to not questioning that a doctor's time is more important than our own.

It's no wonder that even med passes are considered interruptible.

You say that as if it's some law of nature. My opinion is that we have the power to, at least in part, influence how people (and that includes physicians) interact with us. I choose to remove the elements of stress from my worklife that are within my control to remove. I'm happier for it and my patients benefit from it.

I swear, sometimes I feel that nurses are their own worst enemies.

I agree with you 100%.

Specializes in LTC, med/surg, hospice.

I wouldn't appreciate that I wouldn't make a big deal of one occurrence.

If you don't let someone know the very first time something happens it would continue to happen. The approach is what matters.

Specializes in PICU.

OP It is possible that the doctor approached the manager and said they were unable to locate a nurse or needed something specific. Not excusable, but I have seen something like that happen.

(my bold)

You say that as if it's some law of nature. My opinion is that we have the power to, at least in part, influence how people (and that includes physicians) interact with us. I choose to remove the elements of stress from my worklife that are within my control to remove. I'm happier for it and my patients benefit from it.

I swear, sometimes I feel that nurses are their own worst enemies.

unfortunately, you know it's the culture of nursing.

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