Had my first doctor scream at me today - page 3
I am a new grad. This is my last week on orientation.. Well today was horrible! Nothing went right! I was crazy busy.. I couldn't find any of my charts because they tend to "float around." Meaning... Read More
Apr 4, '07Sorry this happened to you. If it makes you feel better, I am sure that all of us have had this happen to us. Doesn't make it any better. My first doc got mad because I requested an in-house x-ray for a lady who's leg was swollen big et he was yelling that if she had a fracture, didn't I think she should go out to the ER? My supervisor told me to request an in-house to save a trip out on night shift for this lady et the waiting in the ER. I was just doing what I was told. I finally gave the call to the supervisor because he would not let up on me. I said, "I'm going to put you on with my supervisor who will deal with you." By the time the supervisor got off the phone, I had the order for the in-house x-ray.
Apr 4, '07We have one group of docs (actually, MDs and NPs) that are always on call for one of our regular docs. So, we get the priviledge of calling them pretty frequently. Anyway, I had to page this one NP (that wretched....) because my patient with a cast to his RLE suddenly start to stink like old dirty foot, and suddenly in the heel of the cast, there was a massive wet spot that soaked through the plaster. She gave me a T.O. to send pt to the hospital. Well, I ended up talking to the pt who was his own RP, and he declined to go to the hospital. He apparently had an appt with the doc who put the cast on in the AM and wanted to see that doc. Attempted to explain to the pt that time was of the essence, he probably has an infection to his foot, and they needed to get that cast of. Stated he appreciated the care he was getting at our rehab facility and thought we could handle it here. I talked to the wife who gave me the same response, that we could handle it until AM. I involved the shift supervisor with no change. They weren't going anywhere. So, I call back the NP to inform her that pt declined going to the hospital, and if there was further action we should take here. She answered the phone and stated, "I don't know. I don't care. Do whatever you want to that pateint. But for chr*st's sake never, ever call me again." I said, "But, I need to know what you want me to do with this pt." She proceeded to scream at me that I was an idiot, and obviously couldn't handle the patient load i had been given, and when she was a floor nurse, she never had to page the oncall for such foolish things.
Ok, so long story short. After a while, the wife decided that maybe the hospital was the best place for her hubby. I called back witchy NP, who answered the phone by saying, "I thought I told you never to call me again." Explained the situation, she said, Fine, send him out. And two days later pt foot was amputated for uncontrollable infection growth.
I felt like such a jerk for paging her, but the more older I get, the more ballsy I get. And I just remember, this is what s/he gets paid for. I don't care what they say, they get paid great money to sit by the phone, and wait for me to call.
Stand up for yourself.... and demand the same respect that you give.
Apr 4, '07It really sucks that you had to go through that.
After the second time I got chewed, I decided that I just wasn't going to tolerate it again and came up with several replies that I practiced and was ready to use on the next doctor who started to get nasty.
This is my first and most professional:
"Dr. X, a knowledge deficit is best corrected by teaching, not by yelling and belittling. If you would like to teach me calmly, I am most interested in learning. However, it is not an option for you to continue to yell and belittle me. When you are ready to talk to me calmly and with respect, please feel free to come get me. I will be _______."
Apr 4, '07Well dont take that sh&t I never have and never will. I have been a nurse for awhile now. My first surgeon that yelled at me I dont remember what it was for but he threw a chart across the desk at me and didnt think I was going to do anything. Well I just picked up the d@mn chart and threw it right back at him and told him I was the last nurse hed ever throw a chart at. He then proceeded to yell at me, well I knew just the medicine for him, at that time I worked at a small town hospital, and the don and I had been friends for about 3 years beforehand because this is when I was an LPN anyway the don had been the RN a couple years before I worked with all the time at a nursing facility. Anyway I was friends with her and I knew that she was one of the good ol RN's who still wheres the cap and such so I told him if he wanted to chew someone out go down to the Don's office and chew her out because when I had worked at the nursing facility with her I had seen her snap her fingers at a doc and practically chew his head off so this moron proceeds to go down the hall to chew her out, well she just about took him apart neddless to say he apologized and became friendly very quickley.:angryfireLast edit by rgroyer1RNBSN on Apr 4, '07
Apr 4, '07I once had a doc pitch a little fit about not having a certain supply in the ER. Consulting docs are always coming into our ER and just "grabbing" any ER nurse that happens to be running around tending to her/his own business. They tend to think that we should stop all of our silly ER stuff and fetch stuff for them....
He threw himself a little tantrum.
Ok, I admit, I am a smartass. It works for me.
I said... "Aww, you're really upset aren't you? Bless your heart. Why don't you just hold tight for a second and I'll page the supervisor to go to surgery to get what you need. OK?" (I was speaking in a tone that you would a 5 year old)
He sputtered and stammered a minute then he sat down and waited.
Turn the tables on them.
Condescension can go both ways.
I admit, not the most professional way to deal with it but I am sure they have had nurses try to deal with them professionally and it obviously didn't work.
This way, I walk off with a big ole grin on my face.:spin:Last edit by Roy Fokker on Apr 4, '07 : Reason: Fixed text formatting...
Apr 4, '07wow.... sorry about the crazy capitals in the last post. i have no idea where they came from!
Apr 4, '07Quote from LeahJetThere! All fixedwow.... sorry about the crazy capitals in the last post. i have no idea where they came from!
Apr 4, '07Leah, you're lucky that approach didn't backfire. I wouldn't recommend it.
That kind of stuff I can blow off rather easily, if they are complaining about something I let the rant go on and then address their concerns without acknowledging their behavior, usually I can get them to quit whining and complaining and get to the bottom of what they are saying, which is somehow I've messed up or the people around me have messed up. Most rants don't just spontaneously occur for the sake of having a God complex, it's because they are angry....expressing it inappropriately for sure.
Fortunately, as I said above, I've never heard a doctor scream.
Apr 4, '07The other day one of my instructors recommended the following CEU: Talking With The Docs: Effective participant-Physician Communication
It's not free, but for first year nurses who need CEU's for their license it might be worth getting.
Apr 4, '07Quote from BurnerMomThats a good answer to that siutation.I gave a little post-op girl Zofran last week for nausea. She'd never had it before, and shortly after getting it, developed hives. As I was turning to call the doc, he walked in and started screaming at me (in front of the girl's parents) about what I gave. I calmly told him, and asked for an order for Benedryl. He started screaming and asked me what, exactly, was IN Zofran. I told him (as politely as possible) that I knew the drug category and it's intended use, but wasn't clear on the chemical makeup...so he started screaming, "Well, what are yous tanding there for? Go get the Benedryl and why in the hell are you giving patients meds when you don't know what they are?" (Still all in front of the family!!!) So...I went in the med room, gathered my senses about me and brushed it off.
I would have asked the Dr. "Why are you asking me what's in it? Don't you know?" And wasn't he the one that prescribed it?
Apr 4, '07Why shouldn't the doctor be upset? I mean, you actually dared to come to work without bringing your magic wand, pixie dust and your ESP ability that should have mysteriously appeared as soon as you passed the NCLEX!
I'm kidding sweetie!...you showed more class than I probably would have. I have a tendency to not keep my mouth shut.
Job well done...DESPITE what the %#$@& said!
Apr 4, '07Quote from clee1Really simple.... don't put up with this type of unprofessional behavior.
I would have, very calmly and coolly, in front of the same group of people:
a) said "Doctor, moderate your tone. This is a hospital, not a football stadium."
b) said "I have no control over the xray department and cannot stop them from taking a patient down for a test that you (presumably) ordered."
c) state "I did not talk to you 30 minutes ago, and am not responsible for what you were told. Furthermore, I am not responsible for your commute times."
d) and finally I'd say: "Doctor, I work for this facility; not you. Scheduling your time is your problem; not mine. Don't you dare ever speak to me in such a manner ever again. If you'd like to continue this conversation, we will do it in the DON's or Administrator's office.
I'd then turn my back to him and walk away.
People only have the power over you that you choose to give them.
Clee's response would be appropriate, right?
I don't understand the reasoning that doctors have that it is permissible to address to collegues unprofessionally. Wouldn't it be against policy for employees to interact with each other this way? Also, if a nurse phones a doctor to inquire about a patient, and the doctor starts yelling because he was called and flies off the handle, why not hang up on him (after giving a warning to calm down). They aren't discussing the patient anyway.
This is a question I have had for awhile, and with the OP's experience and posting this, it seems like a good time to ask! lol