I just have to vent to people who can understand this...I know nothing will fix it, but boy did I get ticked. I just started at a new clinic two weeks ago and really like it alot, and am just getting to know everyone and the Doc's/PA's. I worked my first day in triage yesterday and got a call from the receptionist that there was a woman at the desk, 37 weeks preg with contractions, and bawling like a baby, who had never been seen at our facility. My first thought was to send her to ER ( we are connected to the hospital), but the lead triage RN said we need to assess her first. Fine, so I do. She'd been having contractions since yesterday after lifting a heavy object with her hubby, and hadn't felt fetal movement in over 12 hours. She said she had just come from her regualr OB 20 minutes away where she had presented with the same probs and he was on his way out to vacation, didn't check her cervix, or fetal tones and told her to go to ER if she didn't feel better over the weekend ( her side of the story). She's crying b/c baby isn't moving, contract are worse, but far apart, etc. The head RN goes to fetch Ob on call at our clinic. I'm sitting int he room holding pt's hand, trying to keep her calm and the OB comes storming in the room with a piss-poor look on his face. He doesn't introduce himself (I myself had not met him and didn't know who he was just then), doesn't shake her hand, no measure of compassion and starts reaming her about trying to switch Dr's in the middle of her pregnancy and why didn't she go to the other ER, blah,blah,blah. He said to her, "Your a liability to me and I'm not willing to risk seeing you today. If you want to swith doctors you'd better wait until the baby is born. There is nothing I can do for you!" And he turns to leave. I have not had the chance to say anything, nor has she, and I am so shocked by him that I couldn't speak at first! Than I looked at my pt. and told her I would call the ER at her regular hospital and tell them she is coming over for increased cx and abence of fetal movement for 12 hours. The MD turned around and yelled. "She hasn't felt the baby move in 12 hours? Go get me a damn doppler!" All of a sudden his liability tunred seriouse and he proceeded to find heart tones that were weak and in the 120's. Anyway, he still turned her away and had her go to her regualr hospital for eval. Luckily her hubby was with to drive. As she is leaving ( I didn't want her to go), he asks her how long her last labor was with baby #2. She said 4 hours and he smiles and says, "Well you'd better hurry. You don't want to have the baby in the car." I still can't believe he is such an ass and I've wondered all night how she did. We ended up calling the other hospital and telling them she was on her way. Anyway, this is tool long, but thanks for listeneing. I know I will be dealing with this MD alot more..oh, and he's the medical director for the clinic. Guess I'd better watch my step! Thanks for listening!
Sep 30, '01
EMaas, I agree EMTALA may very well have been violated.
Here is a case not exactly like yours but similar enough, where the doctor "associated with" the hospital was fined for EMTALA violation in an OB case. Read past all the names etc. down to about 1/2 way.
Let me ask you this, do you have malpractice insurance? Not to frighten you, BUT I'd wager that this "Prince of a Doctor" would say you NEVER informed him it was an emergency. I can see it now.
Frankly, I wouldn't want to work there for someone who would treat another human like that. You say the clinic is connected to the hospital? What are the chances you could get a transfer?
This is a nasty situation all around.
Last edit by P_RN on Sep 30, '01