Kind of a rant, sorry! - page 2

I work on a short stay unit so the bulk of our patients are coming to recover from minor surgical, GI and interventional radiology procedures and then we send them on their merry way once they are... Read More

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    oops, typo...190s-200s.
    chevyv likes this.

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    Yeah I have had to deal with this type of behavior in the past. I call them 'WNL' doctors. It doesn't mean 'within normal limits.' It means 'we never look.' If they don't hear or see it, then it doesn't exist. I don't let that behavior slide. They can chew me out all they want. I don't care. I'm going to advocate for the pt and cover my butt, sorry!!
    KelRN215, GrnTea, not.done.yet, and 1 other like this.
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    This is why I love working in the ED
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    Way to be assertive!! Nice job!! Not only were you an advocate for your patient, you handled a difficult situation w/ professionalism and tact. You deserved that beer and I hope you enjoyed it!
    MECO28 likes this.
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    Thumbs up! That's really what nurses should be!!!
    NurseOnAMotorcycle and MECO28 like this.
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    The OP is a role model for timid new grads. YES! Do your JOB and don't worry about ATTITUDES or STATIC on the personal front. Especially with residents. Sometimes I calmly say "okay, I'll clarify that with your attending," and that's enough to straighten them up.
    MECO28 and GrnTea like this.
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    Way to go! We as nurses need to learn when its important to stand our ground to do what is best for our patients. Some of us think it is our place to be intimidated by the doctors.
    You totally did the right thing. Call again and again until you get some kind of plan of action. Either prescription/monitoring/intervention or at the very least, consult for a different specialty. Then document everything the MD says. Because lets face it, if the patient crashed, who would be at fault? The nurse, because she was there and didn't do anything about it (even if the MD didn't say WHAT to do..) I've been known to document exact words used by MDs when I 'bothered' them, and charting how they hung up on me. They are the ones who's butt is on the line then.

    Side question though: If the MD who is in charge of the patient refuses to give you intervention, would you just be able to call the resident? I ask because the last hospital I worked, night shift, if we could not get in touch with the MD in charge of that patient we could just call the resident on call to come evaluate. I find doctors typically respond more quickly when a fellow MD is telling them the patient is not doing well. Sad that we nurses do not get that kind of respect most of the time, but I guess its the nature of the beast...
    MECO28 likes this.
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    I think it sucks when pts realize they are being "turfed" back to general medicine. I think they feel that the original dr doesnt care about them any more. So much for high customer service scores- way to make pt feel like crap docs, and now we nurse have to try to do damage control. ughhhh.

    I actually got to experience this myself today. Went to dentist. I recently had a procedure done by endo,and dentist was supposed to follow up. I stated something about pain,and he said" no way- you can go back to <dr name> .It was like he was saying woooah- Im not touching you:-(.I m sure it's the right thing for him to do, but he could have done it in a different way ...
    MECO28 likes this.
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    Thanks for all the replies! I have only been a nurse for a year and a half so I still have many times where I am unsure of myself (and unsure that I picked the right profession to go into). I'm not really afraid of doctors (my significant other is one-no; we don't work together, nothing scandalous)- but I do hate confrontation and getting yelled at makes me want to cry. Still, I took on a job as a patient advocate and that is what I try to be.

    Unfortunately, many of our specialists don't use residents so we are forced to call the grumpy attendings. I love the ones who do use residents because it's really nice to have them as a resource. It would be nice to have residents or hospitalists whom we could call if the attending doesn't wanna deal but ultimately they have to be the one to request a consult.
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    I don't work in acute care, I work SNF. Our biggest pains in our butts are orthopedists. God forbid you call them with high fevers or other s/s of infection. "Call the PCP, don't bother me with this," they say. Well, guess what the PCP says? "Why are you calling me with clear s/s of infection r/t surgery? This is the surgeon's problem. Call them!"

    Or they call us after a f/u appt reaming us out for not removing the staples on time. Except their discharge orders stated the surgeon would do it at their f/u...

    Can't get anywhere with these people.
    KelRN215, silverbat, and MECO28 like this.

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