MD was angry I questioned him. - page 4

Almost time for shift change, I admitted a very young male who was very confused but pleasant. Hooked him on tele and noticed his heart rate was very irregular it would be as low as 50s to SR to as... Read More

  1. by   atriRN
    Wow- HIGH FIVE for advocating for your patient, even in such an intimidating situation with the MD!!! I can still remember at 2 years being somewhat terrified at times to do what you did, but uncomfortable is part of the territory.
    I'm presuming that the MD was irritated 1. because he would have to possibly do more work and 2. that he was "certain" he knew what was going on with the patient and that he was being questioned about something he was "sure" was nothing. It sounds like you did everything correct from making the calls to the MDs the day before and documenting (ALWAYS document everything) and communicating all the information in report. Only other thing I would have done is fill my charge nurse/director in about the situation (which you may have done). If nothing else, this is an example of how being a good advocate for your patient and trusting your gut can truly make a difference. Your patients are fortunate to have you caring for them!
  2. by   Kooky Korky
    Quote from ella2990
    This was not the first time this specific DR. had ignored me. He notoriously known for not really caring about his pts. When we do 10am rounds all he would say is "I'm discharging this pt." "He can stay 1 more night".. like no discussions as to what is needed to be done so the pt can be discharged or any progress for this pt, or no explanation at all why he thinks the pt needs to stay 1 more night as a matter of fact NO DISCUSSIONS AT ALL. He'll just say who will be discharge today and who needs to stay another night or two. Why he's still working at our hospital, I don't know. One time we had to call a code sepsis on one of his pts, he didn't even show up! We had to call another MD to give us orders. I really did want to call the MD supervisor when this happened but our unit secretary said that before I call the MD supervisor, I need to notify that Dr. that I'm going to report him. I don't know why we have to do that, but because I wanted to avoid additional tension/drama, I just let it go.
    This incompetent, non-collegial dinosaur needs to go. Get your Sup involved, she has to get the Chief of the service, Admin, logs must be kept with all of these examples, and he must be shown the error of his ways.

    He might suicide, for which I'd be sorry, but maybe he can be helped with counseling upon threats/requirements from his boss. He does have a boss, he is only human. He's got to be reigned in before someone really gets hurt - including him.

    Middle age nuttiness? Family or financial trouble? Sorry but too bad. He needs to address his personal issues and straighten up and fly right. He does not get to bring his personal problems to work.
  3. by   Kooky Korky
    Quote from ella2990
    Intervention wise, she did another EKG when tele reported that pt's heart rate dropped down to the 30s but it was normal. She didn't call a rapid on him since he was asymptomatic, it was a brief drop and didn't stay that low.
    No trying to reach the doc or hospitalist?
  4. by   bikerbabe13
    Thank you for writing this, and as many have commented did the right thing and advocated for your patient. So many times, it is very nerve racking to have to approach a doctor and report your concerns (especially when it questions their orders). I do find my inner strength to do so because I tell myself, even if I question them and they get angry, I would be doing the right thing and all that I can to care for my patient. I appreciate other nurses feel the same way.
  5. by   pitt81
    Great job!! Nurses like you save lives. Nurses are the front line in medicine and all nurses know that we are literally the difference between good or bad outcomes. Kudos for not being intimidated by the MD.
  6. by   ladyandthetiger
    That's one of the best things about being an ICU nurse. Dr's, for the most part, have learned that ICU nurses will get in their face, if needed, and usually we have the full support of our Intensivist. And Intesivists out rank pretty much everyone.
    Years ago I gave the Director of Surgery an earful for trying to go into my reverse barrier nursed, immune compromised patient's room without washing his hands or putting on mask, gown and gloves. He had a group of Med students with him and all he said (to the students) as he washed and gowned up was "never cross ICU nurses, they bite!"
  7. by   Jessy_RN
    Why he was upset is irrelevant. You did the right thing and possibly saved a life! This physician sounds like he was passing the buck and dumping the problem the next person and could care less what happened to his patient.
  8. by   Dafabb
    Because I have dealt with Dr.s who are the rear end of a Jackass I will say this and you then do not need to be so concerned with what you did. It sounds like you did all the appropriate steps,got him looked at by Cardio and hopefully helped corrected his numbers. Do not be overly concerned about the reaction of that Dr. You don't need to wonder why he was "angry" with you as it is his demeanor and you will not change it. You were right in your medical assumptions and that is all that matters. Pat yourself on the back and smile!
  9. by   Been there,done that
    The primary care physician was angry.. because he does not want do his job. He turfs everything to the hospitalist... who (depending on the hospitalist) will do as little as possible.
    They do not give a rat's patooti about the patient's outcome.. they both get PAID anyway.
    PCP was ticked because you were making him accountable.

    Keep up the good work.
  10. by   ambr46
    Great job being an advocate for your patient!
  11. by   Brittanyoc1630
    BECAUSE HE IS AN A--HOLE. Some people just are, don't put too much thought into it just know you did the right thing. Kudos to you!

MD was angry I questioned him.