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- by Charlotte205 Mar 13, '09Hey y'all. I work in a teaching hospital and we have many medical students who practice in our facility. Most of the time, I notice that the most rude doctors in our hospital are the interns (mostly female interns to be exact) while the residents and attendings are usually nice and respectful. One time there was an order to transfer a pt to ICU, so we prepared the patient in the gurney and he was ready to go, but had a diarrhea episode in the gurney. so we had to clean him up first before we sent him. When the intern came in and saw us cleaning the pt, she screamed and said that we were just wasting time. Then her attending came in and she told on us. Her attending told her (in front us) that it was nice of us to do that so the pt looked presentable and comfortable upon going to ICU.
I have more stories about these interns. But my question is how do you respond to people who act this way? Somebody needs to put this people in place.Last edit by Charlotte205 on Mar 13, '09
- Mar 13, '09 by My_brain_hurtsI also work at a teaching hospital, and for the most part our residents and interns are very nice. Everybody has a bad day, and of course there are some that every body just gets along with better than others, but we have really good relationships with everybody. Once in a while we will have an intern or resident who is just really difficult to deal with, or maybe is rude in the way the talk to us. That doesn't last very long. Either a nurse will kindly point out why they called the doctor and that it is his/her responsibility to respond (I work in ICU so when we call we expect a prompt response). Usually it turns out that the intern/resident thought we were calling for something petty and then it turns out they were REALLY glad we called when we did because pt was not looking good at all. Very very rarely do we have on-going difficutly with our docs. And when we do, our charge nurse gets involved and lets the attending know. Usually though it just takes a little time with them on our unit and then they get to know us and we them and it all works out okay.
Sometimes you do have to transfer pt as is, especially if they are really critical. We get lot's of bloody, vomit-covered pt's transfered to use from ER. That's just the way it is sometimes. But it is greatly appreciate when we get a clean one and we definitely try and have pts clean when we transfer out to the floor. However, sometimes pts decide to poo en route which means there ain't much you can do about it. Ah, nursing. . . what a job!
- Mar 13, '09 by LilyBlueI love the residents/med students - most are willing to do the dirty work and some actually follow me around like a puppy dog . This intern sounds half a bubble off. I'd deal with her the same way i deal with anyone rude - professionally and matter-of-factly, going about my business and leaving her to hang herself. They always do in the end.
- Mar 14, '09 by emily5547I laugh internally. The interns are near the bottom of their pecking order, but they've worked hard to get there... it takes time, I think, for them to soothe their tired egos enough to understand the value and role of all members of the health care team.
What could possibly more amusing than witnessing a blatant ego-crisis? It's funny!
- Mar 14, '09 by Pfiesty2 Comments:
First, smart interns learn quickly that nurses will help them succeed, or can make their learning experiences really, really bad - their choice. Help them learn that important lesson. Nurses are in a position to save their bottoms or expose their ignorance. Getting along with colleagues is a primary skill.
Interdisciplinary respect is essential to patient safety. All members of the team must feel safe to discuss patient needs. If there exists no atmosphere where dialogue is welcomed and respected, patient care standards decrease. Therefore, their attitudes can be a REGULATORY and ACCREDITATION issue. Discuss the bad attitude with nursing management, hospital management and Risk Management.
Did you know that Medicare, Medicaid and most payor payments require accreditation status? If a facility loses accreditation, ALL payments stop as of that moment. I know one nurse who's complaints resulted in a facility losing accreditation status. Payments stopped and the facility started addressing their deficits STAT!
"You have to learn the rules of the game. And then you have to play better than everyone else." - Albert EinsteinLast edit by Pfiesty on Mar 14, '09 : Reason: forgot points
- Mar 14, '09 by DalzacI have more stories about these interns. But my question is how do you respond to people who act this way? Somebody needs to put this people in place
Usually I love them like they were my own kids. But when their ego rears is ugly head and they become abusive. I go up one side and down the other and talk to them like they were misbehaving little kids. I don't allow them to ever talk to me like that. Their attending and their residents know it too. One Intern in ER was a really bad jerk one night to me and I mean rotten. I have too say, now , it was one of the funniest things I have ever seen. He had already yelled at me once and I told him then to watch his mouth. Then I was standing in the hallway It was busy, lots of goings on. He called me a stupid cow because I didn't run when he called. Everyone heard him and it became dead quiet The attending Doc said "UH OH" and backed away from the intern. The nurse that was helping him started laughing and backed away from him
I am short and round btw, I pulled a stool up and stood on it and stuck my finger in his face. I did not touch him but by the end of his manners lessons he was bright red. No one came to his aid. From then on I made him call me Ms. so-n-so.
Later I heard he went to his boss cuz he wanted me fired. I had worked at that facility for 25 yrs. I knew his boss when he was in highschool. He was told I would never be fired that I would likely die working in that hospital and if any of his family needed nursing care he wanted me to take care of them. In fact I did take care of his mother when she died.
Later on in the year the intern was fired, for many reasons concerning nurses and then a couple of patients. This guy was a really bad apple. Do you know how hard it is to get fired from an internship?
Moral of the story is that these guys go thru several years of internship and residiency to learn medicine but also to weed out the reallys bad eggs. if they are just nasty characters or if it is just a bad day, it is going to show eventually. Don't let anyone treat you in a way you don't want. Be it verbal,mental or even physical.
- Mar 14, '09 by JBuddOh Dalzac, I love it. How did you get him to stand still long enough to get the stool?