What does it take to earn respect? - page 2

I have been a nurse for 30 years and have done anything and everything to advocate for my patients. Why can a doctor.. scream at me ...when I ask for their guidance in a patient care issue?... Read More

  1. Visit  catiern profile page
    0
    Sorry to hear about this. Curious about what "patient care issue" you wanted guidance on? The reason I ask is not to excuse any inappropriate behavior on the part of the doc, or to somehow shift any of the "blame" to you, but to clarify whether this doc is just an equal opportunity rude person or if this is really a matter of disrespect to you as a nurse, etc.
  2. Visit  imintrouble profile page
    2
    Quote from Been there,done that
    I have been a nurse for 30 years and have done anything and everything to advocate for my patients.

    Why can a doctor.. scream at me ...when I ask for their guidance in a patient care issue?
    I'm sorry you've had a really bad day/night. Nobody should have the opportunity to make nurses feel small. There should be zero tolerance.
    Most of the time, when it happens, it's verbal abuse. An assault. Plain and
    simple.
    The easiest thing to do is hang up or walk away. Eliminate yourself as a target.
    Then contact HR. Make that slimy you know what squirm. Even if the only result is it makes you feel better.
    For you to have posted here, with 30 years experience, it must have been bad.
    Don't let it stop you from doing what's right.
  3. Visit  RNperdiem profile page
    2
    "Screaming" no, I have never seen anything as dramatic as that.
    "Grumbling", sure sometimes people grumble because doing the right thing takes more work, I grumble sometimes myself.
    It doesn't bother me at all. I have been a mom long enough that I am quite used to kids getting mad when you make them do what they need to do. Sometimes adults regress a little too.
    Latterlife Midwife and Altra like this.
  4. Visit  Sun0408 profile page
    4
    I have one doc just like that; he chewed me out for something that did not involve me at all. Once he was finished, I spoke up and didn't stop til he apologized .. I googled his name, I wont tell you what I found but you should try it... Someone like that is fighting their own demons.. It is not about you at all. Do not tolerate it, stand your ground and be heard. If its the right thing to do, go over his head.

    With that being said, I would report his behavior. Nothing will change until we stand up for ourselves !!!
  5. Visit  LynnLRN profile page
    2
    Some people just aren't professional. A professional would never scream. People need self control.
    desireepeach and Wild Irish LPN like this.
  6. Visit  mickey56 profile page
    3
    I would tell him this not a acceptable behavior. He can go home and scream to his wife and family, but this is the workplace and he is very unprofessional. You have to talk in a calm voice and usually it works.
    One time, I had a cath lab physician cursing and "**** and ****" because we did not the supplies that he needed. I told him he was not in cath lab and we did carry those suppliies, if he continued to **** and he need to go home and **** what ever. Also I reminded him the patient could hear everthing he said. Finally he realized that he looked so stupid and stopped. The next time he saw me, he was nicest as he can be.
    Last edit by rn/writer on Apr 4, '12 : Reason: Edited out profanity
  7. Visit  Merlyn profile page
    2
    Why do Doctors scream at you? Because in their superior minds you are just a nurse. Someone to do their bidding.
    The general public has this idea too. If someone gets well, "Oh, that Doctor did a fantastic job." But if someone get's worst or dies," All those Nurses screwed up." Did you know for 30 years you have been screwing up?
  8. Visit  subee profile page
    6
    Why can he do it? Because you stayed there to be a receptacle for violence of the tongue.
    Walk away. What's the doc going to say..?"I was screaming at her and she walked away."
    Imagine. Just leave, smile in your heart because this jerk is someone else spouse, not yours!
    Epic_RN, tyloo, Latterlife Midwife, and 3 others like this.
  9. Visit  RNfaster profile page
    3
    Quote from Been there,done that
    I have been a nurse for 30 years and have done anything and everything to advocate for my patients.

    Why can a doctor.. scream at me ...when I ask for their guidance in a patient care issue?
    That stinks. It does nothing for patient safety, either. Your institution should have a policy in place to nip that stuff in the bud. If it doesn't (and too many places don't) it's a shame.

    If you must continue to work there, I think folks on the board had some good suggestions... Walk away... Make an incident report... I had one physician rant at me and hang up when I was calling about a patient issue. I called him again and he asked me why I was calling him again. I asked him if he wanted to do something about X or have me request for a consult. He assented to the consult. (The patient then got what was needed.) The MD was notorious for the bad behavior. Some people didn't bother to write him up as it made no difference. The institution tolerated his antics. I knew this and didn't bother, either. I did tell a manager. I also left that institution as soon as I could.

    Check out "Safe Patients, Smart Hospitals..." by Peter Provonost, MD. Good lines of communication are vital to patient safety. Rudeness and temper tantrums undermine it - and should not be tolerated.

    I think many healthcare institutions are behind in terms of respectful communication. It's shocking and shameful. Thankfully, I'm working at a place now that does not tolerate bad behavior.
  10. Visit  Been there,done that profile page
    5
    This incident occurred during a phone consultation. I wish I could have walked away or hung up.

    I had to swallow that **** sandwich and continue to communicate in order to obtain the order that I knew the patient needed.

    Advocating for patients should not require being demeaned.(aka treated like dirt)
    Last edit by rn/writer on Apr 4, '12 : Reason: Changed profantiy to ***.
  11. Visit  Been there,done that profile page
    2
    I am in a position that authorizes admissions, sometimes the patient/ member needs to be transferred from the ER to their network facility.
    In this case I felt the member was not stable for transfer.
    K+ 6.4 and EKG showed widen QRS and PR interval. I did not want the patient transported . I had one of those gut feelings we all experience.. . I did not want them in an ambulance going into v-tach or Torsades!
    The medical directer I consulted simply did not understand my concerns.
    FranEMTnurse and VykingRN like this.
  12. Visit  Sun0408 profile page
    3
    Oh I feel ya on that. Just the other night I called cardio because my pt has a HR in the 30's, arrhythmia's all over the place and he was not concerned because the pt still had a BP. WHAT, so we are just gonna wait til this person codes before doing something.. Hairy night but thankfully the pt recovered the next day, and at least his HR and BP are now normal.
    VykingRN, imintrouble, and Merlyn like this.
  13. Visit  catiern profile page
    1
    Quote from Been there,done that
    I am in a position that authorizes admissions, sometimes the patient/ member needs to be transferred from the ER to their network facility.
    In this case I felt the member was not stable for transfer.
    K+ 6.4 and EKG showed widen QRS and PR interval. I did not want the patient transported . I had one of those gut feelings we all experience.. . I did not want them in an ambulance going into v-tach or Torsades!
    The medical directer I consulted simply did not understand my concerns.
    Now I understand. Now I am outraged for you! What a foolish, foolish, foolish doctor! He didn't even have the benefit of eye-balling the patient, and as we know, after being a nurse for about a thousand years, these "gut feelings" are often based on a patient's presentation that we may not even be aware of on a conscious level, but never the less, we feel something is not quite right. Most doctors seem to understand and appreciate the fact that the nurses are the eyes and ears and actually with the patient for more than 5 minutes. In this case, for the doc to not only disregard your intuition/assessment but to "scream" at you?? Totally insane. The only thing I can say is, was there another doc you could have called? Whether the answer is yes or no, this is a suggestion I have for you that actually worked.

    When the doc starts screaming, unless it's a STAT situation, calmly state: "You seem to be upset right now. I think we cannot have a meaningful conversation now. I will call you back in XXX minutes so you've had a chance to calm down and we can have a meaningful discussion. Thank you." then hang up on him.

    Do not take this ridiculous c**p. Good luck to you and give yourself a hug.
    Latterlife Midwife likes this.

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