Quote from moonrose2u
to protect yourself, your reputation, and your license. always start with the chain of command. even i fyou know in advance what the response will be from your manager, start w:uhoh21: ith that person. as you go up the chain of command, that is if you need to progress upward in order to see that the appropriate people are notified of the behavior, document everything! always, as in any situation with a patient, document eveything. i was told, eon's ago by a superior, when there is a questionable situation, write it down, seal it in an envelope and mail it to yourself. when it arrives do not open it. file it away. if there is ever anything that goes through a legality, you have the proof that you recorded it at the time and it could save some salacious action.
in addition, if you don't go up the chain of command you may be reprimanded for not doing so, or told to go back down the chain. by the time you have notified your manager he/she will have gotten wind of it already and will have her defenses or responses ready and waiting for you.
and check your employee handbook. in it , it will state the procedure for reporting inappropriate behavior. you will be referred back to that procedure by superiors.
i agree, excellent advice! it is usually best to go up your chain of command. not a bad idea to keep some sort of diary with the date/time you talked to your manager, etc. and a couple of quick notes about the conversation. 2 reasons to go up the chain - it protects you from any future issues related to not going up the chain, and it also helps prepare your manager/director for what may already be coming their way from a different direction. no one likes to be undermined, or be unprepared for a conflict that is coming their way. i have never met a manager who didn't appreciate staff giving them some sort of 'heads-up' about a situation before
hearing about it from upper management. in this case, going to them will help prepare your case against this abusive situation. there may have already been multiple complaints about this very physician, and you wouldn't know, but management may be waiting for 'just one more complaint' to do something.
also, make sure you continue to follow your policy regarding when to call the md. if anything happens to a patient and you did not follow policy, you will have a much harder time of things. when you can stand on existing policy, your case is much more solid. the op who advised waiting til later in the morning might be setting themself up for trouble down the road by waiting, if that is their usual practice.
good luck! it rots to be treated like that when you are just trying to do what is right!