MD screaming at RN's in front of patients regularly - page 3

I currently work with an Psych MD that is also the Medical Director of a psych unit. I've never met such a rude doctor in my life! I'm a pretty new nurse and have only been working at the hospital for less than 6 months. She... Read More

  1. 5
    I totally agree! Most of them are nutcases themselves! I worked with an anesthesiologist like that once. He actually cussed me while putting in an epidural for a patient! I was new to this unit and I was always taught to be very professional and I quickly apologized to the patient (in front of him) for having to hear such unproffessional behavior. She gave me an understanding grin and I suppose I would have fallen dead on the floor if looks from him could have killed!

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  2. 3
    Quote from Guttercat
    I'm painting with a broad, anecdotal paintbrush here-- but in my experience many MD's/psychologists drawn to the psychiatric medical profession to begin with, are nutcases themselves.
    I wish I could like this twice!!

    But I agree with the consensus that it's a good idea to job hunt while you're still employed. Don't feel trapped..this isn't a healthy atmosphere .
    Last edit by KimberlyRN89 on Oct 1, '12
    imintrouble, lindarn, and AtivanIM like this.
  3. 4
    Holy crap. I think I have to break from these forums. They are depressing me.



    And no, not all physicians are @#$%s.


    Sounds like she needs some anxiolytics or something. I'd have to just look at her like she had 6 heads. She would not believe how persistent I can be, and I don't have to say a word.

    I agree with the others. Sounds like yet another dump; b/c the other nurse got crap for support from management.

    FIND ANOTHER POSITION. Seriously, and keep more than one--per diem, whatever. Too many places won't side with good nurses when they are right, unless they are somehow in the inner circle, politically speaking--and even then, people who were on the "inside," shoot, I've seen them get screwed if it worked in admins or someone else's favor.

    Key survival tip: Always have more than one position in nursing--always have a back-up. You won't regret it, and you can more easily maintain your standards and not be an object of oppression.
    imintrouble, KimberlyRN89, lindarn, and 1 other like this.
  4. 3
    Thank you all for your replies! I feel more motivated to look for new employment, regardless of my current work schedule of 50+ hours weekly that leave me physically and mentally drained. I finally feel like my concerns are validated and this Dr. should be reprimanded for their obscene behavior!!!
    Since you all have been so receptive, I would like to ask a few more questions so I can truly be "smart" about this...
    I had been told, when I asked a manager on what incidents were reportable, that to write them if in doubt and if the management feels that it is unimportant that it can "just be ripped up." With the management wanting to push this under the rug, do you think that my incident reports will go through the proper channels?
    I believe that it says on the IR, or at the very least I was told that an IR cannot be copied. Is this true? I do not want to violate any laws but I need a paper trail as was posted earlier.
    Would a time stamped word document to each incident be used as evidence to the Medical Board I plan on reporting her to? I am still very concerned with backlash, as I have seen it myself happen to competent nurses in the facility and was told by senior members of the facility that "it's best to stay under the radar around here."
    Since jobs are a rarity in our city right now, I feel like I have to stay at this facility until I have another job lined up or will be in financial ruins. How would you handle this situation if you knew that if you lost the job you could lose your home? Basically, what my safest and most effective plan should be. Regardless, if I did happen to lose my job, I would be hell-bent on this MD losing her licence. I really feel that she is so explosive with the staff on our youth unit, that it could trigger some of our kids, which at least half of our census is post-suicide attempt and can be as young as the age of 5.
    I really love what I am doing, I will work extra hours if I know that I could possibly save or change a life. This is especially true with our abused or CPS children that will admit after a couple of days in my care, that they have always felt like no one cares about them, a very disheartening theme with these kids. I always tell them that when they feel like no one cares they can bet that their nurse, AtivanIM will always care about their well-being and will never doubt their potential as individuals. The most rewarding part of my job is when a child writes me a thank you card or draws me a picture before they leave. I also get asked for a hug regularly before they leave. Although I've heard staff tell them this is a "boundry issue", I will give them a big hug anyway because who knows how long it will be until they get a genuine hug from someone who cares.
    Your advice and replies are not only appreciated but extremely refreshing as I had been doubting the severity of the situation because of the guilt of possibly losing my families financial security. Thank you all in advance if your willing to reply!
    imintrouble, libbyliberal, and lindarn like this.
  5. 0
    In addition, I would like to add a conversation I had with another RN yesterday to add to this MD's ridulousness...
    I was told to NEVER give a child an anti-anxiety medication or sleep aids that were prescribed by the on-call doctor, regardless of the child's mental state. That this MD does not believe in these types of medications and that I will "get my ass chewed." I actually truly appreciate any heads-up that anyone gives to avoid "getting my ass chewed."
    It really should not be reprimanded if the on-call MD, that are also usually child psychiatrists themselves, write an order and not give it. Isn't it a fundamental rule that you follow Dr.'s orders unless they are detrimental to the patient? That if you call them about a heart rate in the 140's immediately after admission because they have been through something so traumatic that they just shake in terror and an order of Vistaril 25mg PO Q6 should not be denied because of the tirade you will recieve when she comes to the unit the next day. BTW, the anti-anxiety medications are almost always, with only very few exceptions, uncontrolled substances and the most liberal the MD's on call will be for insomnia is Benadryl.
    Now that I think about it, shouldn't she be on-call 24-7 if we are expected to NOT follow a Dr.'s orders?
  6. 0
    I hope this post does not make you take a break from allnurses or keep depressing you. Thank you for your reply, although my post was not uplifting, it was out of desperation to be validated in my feelings by other nurses. If it makes a difference, your reply was greatly appreciated, and I thank you for it!
    Quote from samadams8
    Holy crap. I think I have to break from these forums. They are depressing me.



    And no, not all physicians are @#$%s.


    Sounds like she needs some anxiolytics or something. I'd have to just look at her like she had 6 heads. She would not believe how persistent I can be, and I don't have to say a word.

    I agree with the others. Sounds like yet another dump; b/c the other nurse got crap for support from management.

    FIND ANOTHER POSITION. Seriously, and keep more than one--per diem, whatever. Too many places won't side with good nurses when they are right, unless they are somehow in the inner circle, politically speaking--and even then, people who were on the "inside," shoot, I've seen them get screwed if it worked in admins or someone else's favor.

    Key survival tip: Always have more than one position in nursing--always have a back-up. You won't regret it, and you can more easily maintain your standards and not be an object of oppression.
  7. 2
    Quote from Guttercat
    I'm painting with a broad, anecdotal paintbrush here-- but in my experience many MD's/psychologists drawn to the psychiatric medical profession to begin with, are nutcases themselves.
    Also my experience with those in this field....not wrapped too tightly, and quite prone to "self-medicate" with RX's and booze. This is ASSAULT, at least where I live.
    imintrouble and lindarn like this.
  8. 3
    Quote from AtivanIM
    you think that my incident reports will go through the proper channels?
    I believe that it says on the IR, or at the very least I was told that an IR cannot be copied. Is this true? I do not want to violate any laws but I need a paper trail as was posted earlier.
    !
    Incident report formats vary by location, but most I have seen have a log number preprinted on them. I would NOT risk your license by photocopying, but have notes AT HOME that have the log # if there is one, date, time, and a synopsis of what you wrote, where and when you turned it in, etc.

    I had a new unit manager like this....she later lost her license~she was using and selling drugs, even running them from FL to NY. Within 90 days of her taking over the unit, 60% of the RN's resigned, including all of the BSN's. Still, admin left her alone until they had the paper trail they needed for the BON and police. You can NOT be the first person to comment on this doc's behavior...
  9. 5
    This is a reportable offense. JCAHO has a zero tolerance policy for distruptive behavior from physicians/management:

    JCAHO requires ' Zero Tolerance' for Disruptive Doctors and Administrators | Fox Rothschild LLP

    http://www.jointcommission.org/assets/1/18/SEA_40.PDF
    abbaking, seanynjboy, imintrouble, and 2 others like this.
  10. 2
    I suggest making copies of Incident Reports, because they can and do dissappear if the you know what hits the fan. I did not say to advertise that you are making copies of Incident Reports, just to have them handy if something comes up and the facility is ready to throw you under the bus.

    No one has to know that your are making copies of the reports. Just keep it to yourself if and when the need arises.

    Keeping your own notes is also a good idea.

    JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
    imintrouble and libbyliberal like this.


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