Why do Doctors think they are................God!!

xtxrn, ASN, RN · Sep 1, 2011

There are probably the same percentage of yutz doctors as there are yutz people in the general population :) An idea- ask the doc about the fluid rate- (or whatever) -some will be glad to teach you their reasoning. :)

I had a doc order 100u of regular insulin IV for a blood sugar of 450 (thereabouts) with high ketones. I was in charge, so not my direct care patient, but understandably the nurse who had her didn't want to give it. So, I asked the doc (still there charting) if he meant 100 u - yes- IV?--- yes.... then drew it up, hauled it over to him with the vial of insulin I'd used, and asked him AGAIN - and he said yep- that's right. So I said "ok- c'mon".... had him come with me to give the stuff. On the way to the room, I asked him about the seemingly horrible chance of hypoglycemia, and he said it would take care of the ketones- that was his reasoning for the dose. I wasn't all that convinced, but it all went ok- and I learned something :)

Horseshoe, BSN, RN · Sep 1, 2011

Why do some doctors take their degree to their noggins! ....Us nurses are the ones who spend hours with the patient and have a sense of what the patient might need or want...We build that relationship! Then, here comes the doctor spending 2 mins with the patient then giving orders and don't care for our input! This frustrates me...
Why are some doctors knuckle heads who don't know what the heck they are doing! For example, my admit from the ER, chronic renal failure, came up with generalized pitting edema +2 running fluids at 125/hr...Asked doc to decrease fluid rate....He stated NO! What the hay day!
Why are we not heard!!!!!!!!!! Why is our opinion not valid!

I'm sure there are some incompetent doctors in the field, just as there incompetent nurses. All in all, though, I think the number of doctors who "don't know what the heck they are doing" are few and far between. I've worked with some jerks, but very few who were completely incompetent.

JosefVernon Hodgkins · Sep 1, 2011

Theologically, many people consider to be a part of God.

Scientifically, doctors have great intelligence.

The short visits mean the MD is working diligently (most of the time). Current US health care does not allow the time MD's need to take care of patients their best.

If doctors could, I believe they would want to spend more time with patients.

If you can, try to foster RN-MD relations because it's for your patient's benefit. The patient is the customer.

-Joe

JSBoston · Sep 1, 2011

As much as I hear from docs about being "above" us and whatnot... I see many who act as the nurses word is good enough to throw out a ton of orders (like house officers) without even seeing the pt. They seem far too trusting IMO without even having their eyes assessing the pt... although I'm sure they'd try to throw us under the bus if it ever was a mistake on their part

Lynx25, LPN · Sep 2, 2011

Why do some doctors take their degree to their noggins! ....Us nurses are the ones who spend hours with the patient and have a sense of what the patient might need or want...We build that relationship! Then, here comes the doctor spending 2 mins with the patient then giving orders and don't care for our input! This frustrates me...
Why are some doctors knuckle heads who don't know what the heck they are doing! For example, my admit from the ER, chronic renal failure, came up with generalized pitting edema +2 running fluids at 125/hr...Asked doc to decrease fluid rate....He stated NO! What the hay day!
Why are we not heard!!!!!!!!!! Why is our opinion not valid!

You are only a silly nurse! Pft! Your opinions are invalid!

We just took on a wonderful new doctor at our facility, who is MILES away from the former doc, who was ridiculous. He told us he didn't want a single phonecall from the facility, unless it was a emergency- and then when we called him for an emergency, he'd go: "Well what do you want ME to do about it! Send them to the hospital if you're worried!"

Lol, the other day the NP was griping that I called her about a PT/INR, and snapped that she was grocery shopping, and why didn't I just adjust the coumadin dosage and leave her alone?

It's something I just roll my eyes about and continue on. Don't let them get you down.

xtxrn, ASN, RN · Sep 2, 2011

theologically, many people consider to be a part of god.
scientifically, doctors have great intelligence.
the short visits mean the md is working diligently (most of the time). current us health care does not allow the time md's need to take care of patients their best.
if doctors could, i believe they would want to spend more time with patients.
if you can, try to foster rn-md relations because it's for your patient's benefit. the patient is the customer.
-joe

huh???

xtxrn, ASN, RN · Sep 2, 2011

You are only a silly nurse! Pft! Your opinions are invalid!
We just took on a wonderful new doctor at our facility, who is MILES away from the former doc, who was ridiculous. He told us he didn't want a single phonecall from the facility, unless it was a emergency- and then when we called him for an emergency, he'd go: "Well what do you want ME to do about it! Send them to the hospital if you're worried!"
Lol, the other day the NP was griping that I called her about a PT/INR, and snapped that she was grocery shopping, and why didn't I just adjust the coumadin dosage and leave her alone?
It's something I just roll my eyes about and continue on. Don't let them get you down.

:eek:

Lynx25, LPN · Sep 2, 2011

That's about the face I made X-D

Mulan · Sep 2, 2011

You are only a silly nurse! Pft! Your opinions are invalid!
We just took on a wonderful new doctor at our facility, who is MILES away from the former doc, who was ridiculous. He told us he didn't want a single phonecall from the facility, unless it was a emergency- and then when we called him for an emergency, he'd go: "Well what do you want ME to do about it! Send them to the hospital if you're worried!"
Lol, the other day the NP was griping that I called her about a PT/INR, and snapped that she was grocery shopping, and why didn't I just adjust the coumadin dosage and leave her alone?
It's something I just roll my eyes about and continue on. Don't let them get you down.

Oh, so now nurses can write their own orders for coumadin? lol

PchezRN · Sep 2, 2011

I have a doc at my facility who will ALWAYS goes with the opposite of whatever you recommend. Like he doesn't want to go with you judgement because your just "the nurse". Drives me bonkers! :bugeyes: Example: Pt is in pain and requesting something for a HA...can I have an order for Tylenol 325mg 1-2 tabs Q4? Answer: NO! Give him Ibuprofen 400mg Q4! Really? And there are far too many examples of this to go on about! Just the most recent one I could think of. Sometimes I wonder if I could use reverse psychology on him to get what my pts want/need lol!

Krista09, BSN · Sep 2, 2011

A co-worker of mine got yelled at for calling the on-call dr because of a high blood pressure. The Pt's blood pressure was 200's/100's; the Dr's response: why in god's name would anyone check a blood pressure in the middle of the night, now I'll have to do something about it.

absolutely ridiculous, we work on a busy general medicine floor, many of our patients are in bad shape. So: YES dr we will continue to check vitals in the middle of the night.