Had my first doctor scream at me today - page 3

by TigerGalLE | 11,667 Views | 92 Comments

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 doctors have them then social... Read More


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    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'm not a pharmacist - I'm responsible for knowing the drug category, intended use, side effects and things it could potentially interact with. Thankfully, the family was OK with it and I explained to them the need to tell the next facility she's in that she's now allergic to Zofran.

    Go figure. He's out Chief of Staff too - NOT cool. :angryfire
  2. 0
    First of all I would get hold of that jerk of a unit secretary and demand to know why he didn't tell you that the doctor was on his way in and not to send the patient anywhere. It sounds to me like he set you up and I would give him a little of what I just received or write him up. From now on do not trust him and watch your back, be sure to tell your manager.

    Don't feel quite so bad I was screamed at so bad the other day that the surgeon was back in the OR suite on the phone yelling at me so loudly they could here him outside the other end of the surgery dept through the double doors in the hallway. I just laughed it off...he was the one looking the jack ass .
    Last edit by burn out on Apr 4, '07
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    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?
    Last edit by BurnerMom on Apr 4, '07 : Reason: .
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    I would have asked the doctor why they hell he was so stupid as to show up and review the patient while the patient was in x-ray?

    Doctor: "Well I phoned the unit and told so and so that I needed patient in his room, how was I supposed to know that x-ray would show up at that same time"

    Me: "Well, how was I supposed to know that you were coming to see the patient at this time if no one told me? Are you telling me that I should always stop patients from going off of the floor for tests just in case a doctor might be coming into to see them and no one has passed on the message? Run that one by my manager if that's how you feel LOL.

    I then would have told him that if we wants to see the patient at a certain time that it is HIS responsibility to chase up the nurse and tell her that the patient needs to be in his/her room at such and such time. Passing info through a third party and hoping that it gets conveyed to the nurse is sloppy and lazy.


    If it was that important he should have asked to speak to the patient's nurse directly to avoid miscommunication.

    I would have had a field day with this guy. I can't handle people who yell at other people in front of an audience. Especially if it is unjustified. I have people like that for my dinner.

    If I need to have words with someone because I feel that they made a mistake I do it in private, I do it with kindess, and I don't advertise their mistake to the rest of our colleagues. This is my golden rule and people who don't adhere to it **** me off.

    Once a doctor on my floor verbally assaulted a new nurse in front of other staff. She had made a mistake but there was no need for him to humiliate her in front of other nurses and doctors. When I got done with him he wrote her a letter of apology.

    MTA if I ever get fired from a nursing job it will be for letting one of these jackasses have it.
    Last edit by Noahm on Apr 4, '07
  5. 0
    Quote from burn out
    First of all I would get hold of that jerk of a unit secretary and demand to know why he didn't tell you that the doctor was on his way in and not to send the patient anywhere. It sounds to me like he set you up and I would give him a little of what I just received or write him up. From now on do not trust him and watch your back, be sure to tell your manager.

    Don't feel quite so bad I was screamed at so bad the other day that the surgeon was back in the OR suite on the phone yelling at me so loudly they could here him outside the other end of the surgery dept through the double doors in the hallway. I just laughed it off...he was the one looking the jack ass .
    Burn Out, I disagree that the unit secretary should be blamed. Sure both the OP and the nurse might have put two and two together (and probed for details further) after communicating about the patient's presence and seeing the patient go to x-ray. But the doctor is really at fault for his inappropriate tantrum. --And, how hard was it for the doctor to go down to x-ray? -I think the unit secretary can be faulted for just passing on the info sans details, but I don't think it smacks of malice. And I don't think anyone has the right to throw a tantrum in a workplace. ...except maybe a two year old in a grocery store...and even then, that two year old should be taken home and put to bed.
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    By the way, the other docs looking at you and shaking their heads very possibly were responding to your being yelled at, not at your having made a "mistake." The doctor was doing a good job of making himself look like and idiot.
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    Sorry 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.
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    We 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.

    ~Crystal
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    It 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 _______."
  10. 0
    Well 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.:angryfire
    Last edit by rgroyer1RNBSN on Apr 4, '07


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