If there is already a thread on this, please tell me. I didn't see one.
I'm a new RN at a large LTC and am learning the ins and outs of communicating with doctors on second shift. We have one doctor who is excellent and we have a phone tree in place to communicate with him every evening when needed; he gets forwarded from unit to unit addressing his residents' issues. However, a few of our residents have other doctors that don't seem to care about their needs at all. They rarely actually visit the facility, we just have phone numbers to reach them when acute situations arise. About a month ago, we tried getting a hold of one of these doctors to report signs of infection and didn't get a call back for 3 days. *****
Yesterday we tried calling for a different issue, different patient, and doc didn't pick up the phone, hadn't called back by end of shift. What kind of BS is that? Who are these doctors answerable to? At what point is this lack of response considered negligence? Granted, our protocol requires us to notify them for every incident and skin tear and maybe that gets annoying to the doctors, but sometimes we are calling for orders. Any advice?
I already asked the head nurse if we can suggest that a certain family get their loved one a new doctor, and she said no way will the family hear of that; so-and-so has had Dr. What's-His-Name for a million years, they are never going to change doctors.