Is it ever ok to stand up to a doctor? - page 4
by Giveyourall 5,504 Views | 34 Comments
A team of doctors walked into my patient's room and closed the door. Me being the good nurse that I am I asked what they were doing. Of course they were 2 interns and 2 residents teaching each other how to put in a central line.... Read More
- 2Sep 9, '12 by Esme12 Senior ModeratorQuote from Give Your AllWelcome to AN! The largest online nursing community!The only 'council' we have is our Managers and Supervisors but they are more worried about having a big platter for breakfast for the doctors. I think because most of the doctors have Harvard under their belt we are only allowed to say yes. I think I need to discover another floor maybe Medical offers more than a Surgical unit.
It depends on where you work. Before I moved to New England.....I would have taken them to a back room and notified their attending. The first time I would have shown them where the supplied were. The second time I'd call the attending. When they are travelling in packs, they can look after themselves. If they left the room a disaster they attending himself would call them back to the room to clean it as it was....it was apart of policy that they dispose of their own mess to decrease exposure risk to the nurses.
NOW....I moved to New England and the attitude was different. The good ole boy club is alive and well. The nurse is to be seen and not really heard. I remember at one facility It was expected to follow the attending on rounds with the pack of residents, interns and fellows firs thing in the morning.....bring the chart and have everything ready for the "Team" labs, x-rays, vitals, I/O totals. "The Attending" at one pint said ....."any ideas?" I committed the unforgivable act of speaking. "The Attending" ever so slowly turned his head as there was an audible gasp in the room as he spoke....."You must be new....." as he looked at me like I was a bug on the windshield. I looked at him and said.....obviously it wasn't "my accent that has you dismayed" but after working all night long if my only purpose on the "team" and hour past quitting time is to carry the chart....I need to find another job.
I went to the manager and resigned. Funny this was a surgical critical care unit.
What I have learned here in New England.....I would have approached them by leading them to the supplies closet so they can help themselves. I would have taken the resident aside and told him that they trashed the room that I spend a ton of time keeping my patients and rooms clean and I have a ton of stuff to do other than cleaning you after them. However, if it is the culture there than this is the norm....you might need to find another position or ignore it for fighting the system...rarely works.
I wish you the best.
- 2Sep 9, '12 by Been there,done thatAlthough it takes time from your already overloaded schedule, your patient is having a bedside procedure being performed.
Your patient needs a nurse during this time. You need to assist, stay at the bedside , observe and comfort the patient.
Run for supplies, use this as a teachable moment for the physicians.
Of course, you don't WANT to clean up the mess. However, stating at the desk"you are not their maid" is inflammatory and counter productive to any future teamwork.
If you were to have stayed at the bedside during the procedure( I surely would appreciate my nurse during something as invasive as a central line placement)... a simple.. good job docs.. I must dash to take care of the rest of my peeps, don't forget to clean up..
would have worked wonders.
Live.. and .. learn.
- 0Sep 9, '12 by CreamsodaYeah I think a simple " uh residents, next time when your finished can you please clear you sharps and leave the room/patient as you found it?". Also help set them up for sucess, help them gather the supplies, as theyre setting up, place the trash can next to them ect. Theyre learning and the last thing they need is that nasty RN going off on them on her high horse because thats what it sounds like to me. You want to have a good relationship with them now and in the future. Or even a joking " when did the hurricane hit Mr X's room" might drop the hint.
- 3Sep 10, '12 by cbsncmomQuote from KelRN215My parents were unavailable to me when I was 16. I had to drop out of school to take care of my little sisters. I went and got my GED, and made sure my sisters finished high school AND went to college. I am just now starting college at 41 years old, and pursuing my dream of being a nurse. I did the best I could with the cards I was dealt. Just because someone has a GED does not mean they are uneducated.You're not allowed to draw blood cultures where you work? Are you kidding? I drew blood cultures every day of my life when I worked in the hospital.
Actually, I believe it... facilities have stupid rules about certain things. At my old hospital, there were certain meds that had to be reconstituted by "pharmacy". You can bet your life that it was some tech with a GED who was actually doing the reconstituting but it was somehow too complicated for nursing to do.