What would you have said to this??

Nurses General Nursing

Published

This afternoon I called to inform a doc that pt whose urine has been amber now has gross hematuria. Doc asks if pt has foley, I say yes and he says "well, d/c it. Maybe it will stop." I start to reply with, "Ok, and if it doesn't stop...." Doc then takes over and says, "If it doesn't stop, I'll care...Hmmm...Maybe when hell freezes over."

I can't wait until I have more experience!!! :chair:

Specializes in LTC, home health, critical care, pulmonary nursing.
"If it doesn't stop, I'll care...Hmmm...Maybe when hell freezes over."

And people wonder why I'd die of sepsis before I'd ever go to the doctor.

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call him back in 30 min and tell him the Browns won the super bowl - Kidding wow that was cold.

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Get a little devil doll or something...freeze it into a block of ice...put it on his car with a note..."Hell froze over! Do you care yet????...Love, many a nurse and patient!

LOL!!!!!!!!!!!!!!!! No really you shouldn't...but let me tell you a story!

One day I was doing a very complex dressing change on a patient who had venus grafts taken out of both thighs. It was supose to be a short stay, but wound up being months because the wounds kept getting infected! I worked my darndest on her wounds and actually would come in on my days off to dress her because she only trusted me.

Found out why...well thanks to her! The MD's would peal up all that work I did..and just slap it back on! This was a STERILE dressing change for Gods sakes! The grafts failed and she had to have more taken from her breasts!

Well, one day I caught the MD about to put the dressings right back on and stopped him and said...I will do it, it is a sterile dressing change by your order! The patient about chewed him out...but I gave her the look like "hold on..let me!".

He walked me out of the room and chewed me out! Saying "you nurses think you are hot s***, a monkey can do your job if not better!".

OH REALLY NOW!

For weeks this guy had nurses act like monkeys around him, we filled his locker with banannas, he got many a monkey stuffed animal in various places...and a gift basket of monkey chow with a note saying it was his paycheck! He couldn't go anywhere without a monkey reference, let alone get much help from the nursing staff in the ENTIRE hospital!!! LOL! (he got really mad when we smeared his car in bananas! LOL!

He changed his attitude..well especially once other doctors got into it because it was so fun! He was paged Dr. Monkey...I mean Dr. _____. Now he is especially respectful of nurses..and we stopped the prank!

The trick was that it was so widely done that I could not be at blame! Yeah, he still blamed me and I said "I can't help what the patient may have said to people or staff, or the grapevine of staff...you were in the hall when you said it!...I don't have time to play games with you, I work for a living!".

LOL!!!!!!!!!!!!! I should have won an oscar for that performance!

Anywhooooooo....one of the greatest pranks in my lifetime! :)

That was BRILLIANT!!!!

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Okay doc...just to clarify the order so we don't disturb you unnecessarily... Is that when Hell freezes over solid, when there's just patches of ice, or if it's just sleeting? Can you leave a number so Satan can page you directly if that occurs?

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I did this with one particularly nasty doctor. When I called him to obtain the reason for an X-Ray he said "because I said so". I put it in direct quotes on the x-ray request. Talk about someone getting in major hot water!! It wasn't me by the way....LOL

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Specializes in Brain injury,vent,peds ,geriatrics,home.

I think I would have made light of it and say something like OK DR. now seriously,could I please have a more specific order on what to do if the hematuria continues.??(Im usually really good at diffusing a difficult situation.)

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Do not chart in the pt's chart that the MD stated he did not care. Do chart that he ordered Foley DC'd after reporting the hematurea to him.

Do doucument on an incident report or what ever form your facility uses to document misbehavior by physicians. Definately write this up but never on a ptaient's chart.

This is an internal matter involving staff behavior (yes technically MD is not staff but in this case it is treated as such) and does not belong on the pt's chart. There are so many ways this could back fire on you, the facility, etc if you put it in the pt's chart. It simply does not belong there. This is as wrong as a doctor writing an order for the nurse to "write an incident report."

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Specializes in cardiac.

I would have documented in the nurse's notes exactly what he said. That way,your butt is covered on that matter. THen, I would have informed the charge or supervisor of the situation and let them handle it. They have ways of getting things done.

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Okay doc...just to clarify the order so we don't disturb you unnecessarily... Is that when Hell freezes over solid, when there's just patches of ice, or if it's just sleeting? Can you leave a number so Satan can page you directly if that occurs?

I LOVE THIS SENSE OF HUMOR!!! :roll :roll :roll Especially when you feel like you are doing this :smiley_ab for a patient to advocate for them

I say cover your orifice - put it in the nursing notes in quotes, make an incident report, and follow the chain of command to follow through and advocate for the patient.

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Specializes in ER/Nuero/PHN/LTC/Skilled/Alzheimer's.

According to my supervisor, (at least where I work) chart exactly what was said in the nurses' notes, write what the nurse did to follow up (ie: D/c'd Foley per doctor's order, above incident reported to charge nurse, or physician incident report created d/t above statements, etc) then fill out an incident report or physician incident report, whatever and send it to your uppers. Oh, and let the shift leader or charge nurse know.

I say this because I had an incident this weekend happen where I had a pt throwing things at the staff and her family and screaming at the top of her lungs that we would give her whatever pain meds she wanted or she would leave (Geez, go right the f**k ahead, I'll go get the w/c.). The doc on call for her surgeon said that he was not to be bothered, he was on call for emergencies only and he was not giving out any orders for this pt. My manager was with me at the time, saw the pt's behavior, heard me reiterate what the doc was saying, and walked me through what to do since I had never had that happen before. Oh, and then we called security to come and sit on her for a while until I could get another doctor (she had five) to write me a sedation and restraint order. I don't know if anything will come of it but at least it is documented. My manager said that that is part of the charting since there was a "change" in the pt's condition and we have to show the we did something about it. In this case the follow up/response/plan was that a patient had to have security handle her instead of the staff because the doctor would not give any orders.

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Specializes in Med/Surge, ER.

I would have said, "Thank you", and gone straight to my nursing notes, and charted it word for word, and then I would have notified my charge nurse and nursing supervisor.

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we actually had a doc write an order in the patients chart to make sure there were blank progress notes so he can do his charting! How absurd!!!!! But while we do have to cover our a**, we are to use our nursing judgement, I personnally would've asked how he wanted the order written

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