So, I have been an RN for little more than 9 months. I remember the talks in nursing school from our professors regarding expectations of doctors yelling at us, cussing us out once we became an RN..I always thought 'I dont care,it won't bother me' I am typically not one to allow others attitudes affect me this way-and know its many times not personal.
So, during my orientation period/training other RN who trained me NEVER got chewed out by Doc or was NEVER rude to her..and while she was there I never had any issues with rude docs...but..soon I was on my own..only RN for unit..I learned quickly and have grown in critical thinking skills and grown in ability to anticipate what will be needed for the patients care..I do get frustrated when I see other nurses doing stupid things like missed orders, not following mds orders, ordering duplicate excess meds..soo
What I am tring to say is that although I am NOT perfect I feel my competency is not the issue for Docs lashing out/rudeness to me.. and I am very selective in what I am paging the Doc about I have seen other RNS page for EVERYTHING -that is NOT me-I try to respect docs esp. since i work nights.and know they are prob. sleep/ If not crucially imp. will leave note for doc on chart and tell patient.
Well we have protocol on who to call and for what and maybe I need clarification on this? We have the on call Docs who are on call other times you only call the attending for things and we have one doc who takes calls on his patients all days of the week no matter what, and weekend on call Docs,so yeah it can be confusing. so this one doc has been getting super snappy with me and this past weekend was prob. the 6-7th time he refused to listen what i was calling about and interrupted me and very rudely raised his voice in rude tone said "why are you calling me-you need to call this doc" I have called this doc for important issues like prolonged dudrug induced seizures, violent patients attacking staff and psychosis becomeing danger to themselves others altered consciousness in patients decline in condition abnormal critical vitals and many times doesnt give me chance to even say what im calling for how would this not worry him-what if one of his pts. were dying woudldnt he care sso this past wkend when i called for something he cut me off short and went off ..after call i started crying and needed to leave the unit..i felt hurt that i am trying to do my job but he doesnt care..i told my manager in morning (i never told her about doc before) she said she would talk to him-but "in a way so he doesnt know i told so he wont take out his "wrath" on me" next night another doc ive never had issue about i paged cuz on call doc.didnt return page and after consulting with 3 other rns i trust on other units (I was scared to page cuz of this other doc always goin off on me) they recommend/said they would page attending so i page attending-he returned call fast in like 5min. i stated im calling on his patient (name),,he stopped and cut me off right there (just like other doc has been doing to me) in rude tone said WHY ARE YOU PAGING ME AT 3 AM I DONT PAGE YOU AT 3AM " I was soo upset that he insinuated i was doing something wrong..i was like well "Dr. so and so last night informed me ...page attending..he was like no dr. on call covers for wkend..i stated well no order written in chart for transfer of care ..was told to call you..he didnt even know what i was calling on..repaged other on call and did return page and deal with patient issue(which could have been serious-decline alter patient condition)
ok sorry for rambling my issue now is i dont know how to get over this and not allow this to affect me personally i have been upset the past two days crying excessively, and feeling extremely sad and anxious scared for when i have to page the docs in future..im sooo distraught because i care so much for my patients but these docs that cut me off make it hard for me to do my job and provide good care-arent these docs even worried that maybe i am calling for something serious (thats typically only time i do call)
i plan to get written protocol from my mgr. for who to call when and if dr. doesnt call back who to call next......so I know EXACTLY ..i am upset with myself for not being direct with docs and passive and i think this is why i am crying so much and feeling so down..anyone got any other advice on how to move forward?? how to let these past incidents go?? I think its too late to directly address these past issues and that is what is upsetting me soo much.
*Also just to clarify the doc who has gone off on me 6-7 times was either the doctor on call for the night or the patients attending doctor