Awful Doctors - page 8
As a newly graduated nurse, I am still in the midst of trying to grow in self confidence and improve my critical thinking skills. I have only been working as a nurse for four months now and there is... Read More
1Apr 29, '13 by metal_m0nkQuote from RNperdiemI think at least part of the reason why what is widely considered as abuse is changing is because with the passage of time we are beginning to more fully understand the real physiological and psychological impact of our interactions with others.Words like "abuse"and "bullying" used to really mean something different. These were powerful words reserved for intolerable situations. Even a mildly raised voice is now considered "abuse"?
I must be getting older.
2Apr 29, '13 by PMFB-RNStill the OP has to take that lesson learned...pt could've coded, and she would be either answering the BON and/or looking for work. If there is a separate issue related to the MD's behavior
As for other co-worker's stating the MD does the same thing to other nurses, how long they have been on the unit?
1Apr 29, '13 by LadyFree28, BSN, RNQuote from PMFB-RN^Ahhh, the "experience" factor...how could I forget that? ....
*** Obviously I have no idea about this particular physician. My experience tells me it's highly likely. We all know certain physicians who seem to enjoy bullying nurses and who seem to think that since they are a physician they are in a position to tell nurses off.
Again since WE WERE NOT THERE, I refuse to partake in what the physician did...the more important PRIORITY is addressing the OP's failure to rescue; the MD can be sorted out later. A lot of posters decided to do so...that doesn't make any who chose to PRIORITIZE as nurses do in terms of responding to the issues. No one is disputing how some physicians treat nurses. Again, for me, the PRIORITY is making sure she is able to prevent this occurrence from happening again, and asking for help, especially when a potential critical event is faced.
The doctor followed up and the expectation was that the critical value was dealt with TIMELY, and in turn, the doctor still responded on the importance if that. AGAIN, not there for the TONE, but doesn't diminish that the doctor was correct.
We are collaborators with doctors...we must be able to communicate clearly and TIMELY in order to make sure we minimize additional complications, or we are all going to be up a certain creek that starts with an s and ends with a "t"...making this post about "us v. them" doesn't erase the OP's potential disaster. If anything can be made of it, the FIRST thing is honing those skills and utilizing their resources, and ADVOCATING for the pt by being assertive while talking to the doctor, regardless how the doctors feel about nurses...making sure we, as nurses are doing our part, using that doubt, fear etc. by getting help, etc...the suggestions made by other posters.
3Apr 29, '13 by LadyFree28, BSN, RNI'm sure no one is disputing that, tewdles. However, when posters are allegedly "missing the point" when the reality is that something WORSE could've happened...2.8 K is CRITICAL, that was where posters decided to go...doesn't make it right or wrong. Again, since most of us were not there, the FACT remains us that she had a potential issue that even if her feelings were hurt, the gravity if the situation that could've went DOWNHILL.
Pardon me if for me, addressing a critical issue and giving someone strategies to promote success is waaay more important than a MD who we have no idea whether the MD was "bullying" UNLESS I personally know the MD, and since I do not, like many have stated before, could the MD did it better, absolutely. Are we going to virtual hug the OP without giving her important pearls of wisdom for her success?
I can only speak for myself...a resounding NO.
2Apr 30, '13 by kanzi monkeyQuote from tewdlesDidn't say that it did. Also don't know that there was verbal abuse--I wasn't there.The fact that a physician may or may not know the correct chain of command does not give them license to verbally abuse a nurse.
In the interest of ensuring that the potassium was repleted, a conversation between the nurse and the OC was certainly warranted. If the MD was inappropriate in her exchange with the nurse, someone should look into that after the patient is cared for.
Obviously no one is advocating for perpetuation of MD-->RN abuse. Not handing out licenses, just pointing out that critical labs are the priority over interprofessional personality dynamics.
0Apr 30, '13 by tewdlesSo, some of you seem irritated with my response.
This thread is about awful doctors...thus my response.
Of course I wasn't there...I am responding to the description of a verbal altercation that was not cool as described.
I get the whole thing about the critical lab...there is generally some sort of a catalyst for those who have little self control and poor interpersonal skills.
We could have a thread about what nurses can do to try to prevent abusive docs from going off on them, but that is not the focus of this thread.
1Apr 30, '13 by LadyFree28, BSN, RNSorry tewdles, no irritation here. Feel free to disagree.
The OP stated in her original post that the doctor was "horrible." The OP gave ONLY scenario regarding the critical lab, and there were a few coworkers who hugged her and stated that the doctor had a habit doing that.
Total subjection, mostly because:
1) WE don't know what happened
2) Do not know the skill mix of the unit (dr may have 5 plus years v. Unit may have 0-2 years experience, including charge nurse, ESPECIALLY the ones who hugged her and stated that there was a similar reaction; however, I won't make that assumption)
3) and the title is subjective to the OP's feelings.
For the sake of not keeping or making this an epic thread on objective v subjectivity, AGAIN, there are people who CHOSE to make her critical value misstep a teachable moment and a priority. No one is excusing the doctor, either. I am very comfortable in my response, and still feel that her critical lab value and assisting her with that FIRST is more important, and I'm sticking to that. Again, feel free to disagree, no irritation here...we are all entitled to our opinions without alluding to missing points and especially without flame, even flaming emotions on a percentage of doctors who cannot manage their emotions and should and do get called on the carpet for their behavior.
0Jun 5, '13 by gcupidQuote from claireswishI'm so glad that "HE"knows my tomorrow and that there is more than one hospital that can appreciate my skill-set. What is unacceptable is the yelling in a professional environment. Ignorant? Im ignorant of your credentials but I can assure you I'm registered. The statement is meant to be taken figuratively. Did the patient die? (No).... Could the patient have died? (Yes) The patient did not die. The Lesson was learned by the op so its time to move on.Addressed to gcupi:
Your statement of "If it was that crucial the patient would be dead." is unacceptable and ignorant.
My little boy died due to a seemingly non-crucial mistake a nurse made. It worries me a nurse would make a statement like this. I would fire you had I heard you make this comment in my hospital. It is calloused.
We are sorry to hear of your loss....