Things you'd LOVE to tell the doc and get away with it....

Nurses General Nursing

Published

Since the patient version is so popular, and I had a bad weekend (and no hope for a better one this weekend....)

You've been giving this schizophrenic Alzheimer's pt 10 mg Ambien, plus 50mg Benedryl, plus 100mg Seroquel every night at their NH for years. Could you please, PLEASE explain why you stopped giving it to them when you put them in the hospital? Do I look like a lion tamer?

Yes, I am going to report you when you take the packing out of an abdominal wound with your bare hands, despite me waving gloves in front of your face. That's what the risk management software's for. BTW, did you not see the big isolation gear on the door? Pt. has hx. of MRSA in the wound, and you just stirred in it barehanded....

When I call you at 3 am and tell you your pt's BP is 212 over 179, resp are 32, and O2 sats are 78, could you please say something other than "So what do you want me to do?" Because, one night, I'm going to tell you what to do, and it's going to be something that only a hermaphrodite can physically do.

We all know this pt's a junkie; could you please, PLEASE, not admit everyone who comes to the ER with a pulse tonight? I've got two evolving CVA's and an acute MI, along with my OOB q5minutes Alzheimer's pt, my drama queen post lap chole, and one in restraints that the NH sent simple to get a break from him trying to bite them. I don't need a "demerol, phenergan and diet soda" q4h, too.

Planton, your responses here all nurses are appreciated however you must realize that this thread was not intended to start a war between the docs and nurses nor it main purpose is to mock the doctors,perhaps the true reason for this thread is to make docs like yourself and others realize that you need to stop making excuses for the unproffesional behaviors of some of yours fellow colleague

But also I must note that any nurses whom who is hostile against doctors without any valid reason is no better than the doc in question!!!!!!

If you don't want me bugging you all the time, how about writing it clear enough to be understandable.

Specializes in ICU, Telemetry.

Doc, the order says "call MD for SBP > 160," so stop screaming at me because I called you at 0300 for a BP med; I called you at 2100 and told you this pt's BP climbs every night, and we've gotten orders for 5mg labetalol IV push each time, and would you like to write me a PRN order for labetalol 5mg IV push for SBP>160 so I didn't have to wake you later. You didn't want to write a PRN, so guess what, you got woke up. Put on your big boy panties and deal with it. FYI, the pt had an aneurysm in the brain, and we didn't want that BP up at all....

Specializes in Postpartum.

Why yes doctor, I actually am an idiot and I love calling you and bugging you because your scribble that looks like a 3 year old tried to write I love you cannot be deciphered. I volunteered for the job of calling you because the way you yell makes me so happy to be alive. Yes I will certainly tell all the other idiots that work here never to call you again although I may add that the reason is because you are an as***** and not because you need to rest for your day of golfing tomorrow. Now, would you like to explain to simple old me how you skipped grades 1-4 where they taught you to write, or do you just want to tell me what you wrote?

Specializes in ER, ICU, Education.

To the one resident who keeps bugging me- stop trying to look down my shirt. You act like you dropped something down there and are plotting out a search and rescue mission. I am married, and there is a reason I wear an undershirt. Go buy yourself a magazine instead. Also- don't let that J-wire flop about so much. You've contaminated so many central lines that I want to buy stock in the company.

To my favorite cardiologist and pulmonologist- thank you so much for all you have taught me. Your patience with me the first two years I worked and asked a thousand questions, your willingness to always explain. Thanks for inviting me to be part of your research study- I learned to enjoy research when I never thought I could. Now that I am an experienced nurse, I appreciate that you always recognize we are on the same team.

To the majority of the residents- you are great and will be good docs. I have really enjoyed getting to know most of you and your spouses on a social basis as well as professionally. You've restored my faith in a new generation of docs. Thanks for respecting the expertise of the nurses in the unit and asking instead of telling. To CM- I still remember the first time you had to pronounce a pt and talk to the family and I went with you. Your hands were shaking so much, but you did just fine!

To a few of the med students- look up your own meds and treatments and stop asking the nurses. It is not in my scope of practice to plan and order medical treatment. Yes, I do know what should be done, but you won't learn if you keep asking us. And no, you can't write an order without your attending- hospital policy. And CVVHD is not "some kind of Roman numeral thing"- look it up :)

Specializes in Cardiac, Step-Down, Psych, Recruiting.

The cardiac surgeons on the unit I supervise have made it very clear that they "are the captain of the ship" (yes, this is their own words) and they want to be notified of any changes in their patient.

One of the nurses on my unit asked me whether she should call the surgeon about a change and to clarify an order. I advised her that even though we both knew what he would order, she should call him anyway.

A few minutes later, the surgeon was calling me complaining about why the nurse was calling him about such a minor thing.

I so badly wanted to give him that standard haughty surgeon answer... you know the one... wait... you've heard it before...

"WHY ARE YOU BOTHERING ME WITH THIS, DOCTOR? DON'T YOU THINK I HAVE BETTER THINGS TO DO?"

.... but I chickened out and missed my window. We all got a good laugh from the thought, though.

This made me laugh. We have all been in this situation with these thoughts at one time or another. :nurse:

Thank you for being such a caring, collaborative, respectful physician. It is a pleasure to work with you to achieve the most favorable outcomes for our patients and their families. I wish every healthcare environment were as good as this one....

Specializes in geriatrics, medsurg, group homes.

OH MY GOSH!!!!!!!!!!! Thank you so much, there for a while I thought I was the only one that felt that way.:nurse: I would like to tell some of the hospitalist that work our hospital if they are not going to help the patient then why are they on call. We consistenly hear, Thats not my regular patient and I don't know him, you will have to call his regular doctor. Well its the weekend dumb a____ and you are the one on call!!!!!!!!!!!!!!!!! :nono:

Specializes in ICU.

Yes I am calling you at oh-dark-thirty about your pt w/ uncontrolled pain. Yes I know she is a chronic pain pt, but she isn't taking as much here as she has prescribed at home. No, you didn't consult the back surgeon to "deal with this." You're her admitting doc, I don't have anyone else to call, so sorry, you are just going to have to deal with me at this hour.

Now for a thank-you, instead of a vent, to the doctor who was on the case for my first terminal vent wean in ICU: Thank you for honoring your patient's wishes when she told you in the office that she wouldn't want to be kept on life support. Thank you for ordering enough morphine and ativan for me to keep her comfortable. Thank you for being there for the family. Thank you for doing the extubation yourself. I wish all of our doctors had the same understanding of palliative care. I hope someday, when it is my turn, that I have a doctor like you.

Maybe I'm the only one, or inexperienced, or taking this thread too seriously, but...

I don't understand why some of these things aren't said. Some of the comments I've read are completely legitimate and important things that should be - and could be - said in a professional and diplomatic manner.

Doctors are people too, and if they're doing something wrong and/or being a bully, you have every right to tell them so, do you not? And if they've done something "right" and you feel they deserve a 'thank you', tell them that too. They'd probably appreciate a thank you, especially if they're a resident and feeling bullied, too.

How about: "when you ask me for a pen to use, even though there is one in the pen jar right in front of your face, don't just stick your hand out, stare at the order sheet and say 'pen!'. I'm NOT giving you my pen...... if you were to say 'do you have a pen i could borrow please', i would give you one. I don't let my kids or my husband talk to me like that, I'm sure as H*ll not going to let you........

by the way, Planon (spelling??).... don't be a kill joy, this is a FUN thread....... Keep em coming girls.....

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