The Doctor oncall told me not to call him - page 6

I want to know if anyone can help me handle this situation. I work in a small 3 bed ICU where I am the ONLY nurse. I recently had two critically ill patients. One had been on the floor (I had worked... Read More

  1. by   dingofred
    I had a dr. take the telephone out of a patients room one time
    because she kept calling asking for the pain pills that he managed
    to get her very used to. Got in great trouble the next day after
    I plugged the phone back in. I say call them when you need too, no matter who you are...
  2. by   Jamesdotter
    What always exasperated me was the MD who ordered all kinds of tests & drugs, but neglected to order diet, activity, & analgesia--especially when I was the night nurse. Of course I called hiim. Every time. At about 1 am.
  3. by   RNforLongTime
    Dear catRN,

    Glad you got out of that hospital, their loss, your gain. I think you'll be much happier working at thi larger facility. Good luck!

    Kelly
  4. by   mother/babyRN
    Does not matter that he told you not to call. You ALWAYS call when you feel an issue needs to be raised. It is uncomfortable sometimes, but if you call in that situation and he gives you a hard time, tell him you know he can appreciate that both of you have patient interests and health at stake and he should know that while you understand his reluctance to be bothered at night, you do intend to keep him aprised of situations that require his invlovement. You can, as I have done, always counter with the reply that you can document that he asked not to be disturbed. Pretty sure that wouldn't look good in a court of law....(Ok, I know you wouldn't actually document that unless it became an issue, but it might bring him to Earth pretty quickly). Another thing I have done in similar situations is have another nurse or personell listen in and when he acts up, keep a record of it and who you utilized as a witness to the conversation. At night we often contact the docs through the operator because they document the exact times in a log, that they were contacted...
    Never easy...
  5. by   Linderella
    always call the doctor Its his or hers job they are responsiple for there pts and docoment to cover you butt if any legal action comes about
  6. by   healingtouchRN
    Document, Document, document, & also call the admin on call! See how the doc likes that!
  7. by   ainz
    I agree with Dr. Kate and sunnygirl. Call, call, call, and call again. As a matter of fact, after the 3rd or 4th call the MD should have come out and physically seen the patient. This issue should be taken up with the medical staff and administration. However, when you make waves like this and zero in on a particular doctor, just be prepared for the backlash. Especially if you are in a small, rural area where the doctors still have supreme power. You could lose your job. But that is another issue with me, why are you working in ICU alone? Why is your hospital asking/expecting you to work in ICU alone? That shows questionable judgment on the part of the leadership of your hospital. Probably due to financial pressure (either squeezing out more profit or trying to stay afloat), either way, you are being put in a position that is unsafe for you and your patient. I would seek other employment.
  8. by   HousyHousy
    Here, the resident's take call at night/weekends, and you better believe that any time a resident repeatedly won't call back, throw's a temper tantrum, or says 'don't call me', the attending gets called next. And the first person to get screamed at is the resident..... not the nurse!
  9. by   sandyth
    I have had the on-call MD forbid me to call him again (and this was in the daytime!) The pts BS had plunged to 18 and our facility standing orders were gluctose po; unfortunatelt she couldnt swallow. I called the on-call MD about some IV D50. He gave me the order and told me not to call him back until the pt expired. Needless to say, I called at 12am to update him on her BS level (just to be spiteful) and again at 430am when she passed away. If you dont want the calls then dont accept on-call.
  10. by   WinkRN
    It never ceases to amaze me how being a good nurse is often in direct opposition to being a "good employee."

    Youda - I just have to say that this is so well put. I feel this way many times at my place of employment and wonder how much longer I can continue as such. We only want what is best for our patients/families - and administration only wants to keep the MD's happy and the $$$ rolling in...
  11. by   Louie18
    If he/she is going to crash in house I would do my best to oblige.

    If it is one of these little 30-50 bedders in the country, I'd call him/her every 90 minutes.

    I'm Louie
  12. by   asil
    I feel for you. I would look into another job. However I would definately call him as much as needed and address your concerns with the medical director/chief of staff. Do not forget you have a license which you need to protect.
  13. by   pinkfloydfreak
    Its absolutely unacceptable to be left alone in an ICU with 2 or 3 patients. If one patients goes bad who'll watch the other/s? It's simply unsafe. If nobody else understands this then its time to go packing. There'sa lot of places out there with higher standards.

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