What doctors do that bugs you... - page 3

1. in our nursery, the charge nurse assists the pedi while rounding. there's this one pedi who will ask questions about a baby (was mom's gbs neg., etc.) as she is looking through his/her chart. ... Read More

  1. by   danissa
    Quote from Marie_LPN
    Docs that breathe and speak.

    (No it wasn't a good day at C-section Land today lol)
  2. by   LDRNMOMMY
    stinking double post grrrrr
    Last edit by LDRNMOMMY on Oct 22, '06
  3. by   LDRNMOMMY
    Quote from dansmom6

    One more thing...we have an induction policy (for elective inductions) so we can try to avoid using all our labor rooms. If there aren't any spots available, one of our wonderful physicians has learned to say her patients are complaining of decreased fetal movement, and the "elective" becomes indicated, and we end up running like mad all day!

    UGH
    Our docs are notorious for looking at our board, if it is empty it is amazing how quickly patients get sent over from the office. I love the patient who is 39-40 weeks, who had one isolated elevated BP with no other symptoms who all of a sudden has PIH and must be induced today!
  4. by   33-weeker
    Quote from ldrnmommy
    our docs are notorious for looking at our board, if it is empty it is amazing how quickly patients get sent over from the office. i love the patient who is 39-40 weeks, who had one isolated elevated bp with no other symptoms who all of a sudden has pih and must be induced today!
    this does place us between a rock and a hard place.

    i guess all we nurses can do is to mutter the vs out loud as you take them, or make a joke about drs. offices making her bp go up, and say her pressure is fine now, and then just chart your assessment findings as they are. at least your charting won't perpetuate the lie.

    i find that the powers that be will hardly do anything to offend a doc. we need them because we need their patients. (at least in the smaller hospitals)
  5. by   RN and Mommy
    Quote from LizzyL&DRN
    We had a doc that "popped off" 7 times. Baby was severely injured due to his negligence. I heard the baby was having uncontrollable seizures and i'm not sure what else. But it was really bad. I heard the case was going to court but not sure of the outcome.
    It makes you wonder why sometimes they're so quick to call a section(even if mom doesn't need one), then the same doc will do a delivery like this and cause unnecessary injury to a baby?????

    I saw one like this in school. You should've seen that poor baby's head!
  6. by   SmilingBluEyes
    I have worked w/a physician for 7 years now that drives me nuts. She is just like Jekyl and Hyde. One minute, sweetness and light---the next, watch out, she is going for the throat and you are her prime target. And she treats nightshift like idiots/morons/jerks. She yells at us, berates us, and is quite profane at times.

    I , personally, finally shut her down about 3 years ago, by telling her I did not need her profanity and verbal abuse and all I want from her is to know what she needs so we can "get on with it". She stopped yelling midsentence, and gave me what she needed and we hung up.

    Another night nurse I used to work with shut her down even better by saying : "OK, OK, DR____ You're right; I'm wrong, big woop. Can we go on from here now?!" Worked like a charm. I had to stifle a laugh when I heard her say that.....

    Since then, this dr. never gives me a hard time, nor did she that nurse. But she still does say some horrible and mean things to other staff. She is so adept at "flying under the radar" with her zingers------says just enough not to get herself in trouble w/admin. and sadly, is so good at what she does, that she nearly is always right in her assessments or pointing out our mistakes.

    It comes down to this: she clearly hates and is burnt-out doing OB, hates being woken up at night by staff/hospital calls, and is a generally miserable person at least 1/2 the time (the other half, Dr Jekyl kicks in and you can't get her out, she is so chatty and cheery). It's weird and scary for most of us to observe. I bet outside the hospital she is a great gal......she seems so.

    BUT I HAAAAAAAAAAAAAAAAAAAATE working with HERRRRRRRRRRRR!!!! She puts the "aggressive" in passive-aggressive.

    What really toasts my tushie is this: If this were a NURSE doing and saying these things, she would have LONG AGO been terminated. This is what makes me most angry at times....

    Ok vent over...
    blech. Now I feel better.
    Last edit by SmilingBluEyes on Oct 23, '06
  7. by   33-weeker
    Quote from smilingblueyes
    i have worked w/a physician for 7 years now that drives me nuts. she is just like jekyl and hyde. one minute, sweetness and light---the next, watch out, she is going for the throat and you are her prime target.

    ...it comes down to this: she clearly hates and is burnt-out doing ob, hates being woken up at night by staff/hospital calls, and is a generally miserable person at least 1/2 the time (the other half, dr jekyl kicks in and you can't get her out, she is so chatty and cheery). it's weird and scary for most of us to observe. i bet outside the hospital she is a great gal......she seems so.


    ok vent over...
    blech. now i feel better.
    perhaps she's bipolar, or perhaps she's just miserable, burned-out and taking it out on those around her. i've worked with doctors like her before. you hate to have to call them or round with them because - as forest says about his box of chocolates - you never know what you're going to get.
  8. by   SmilingBluEyes
    I have considered for years that it is quite possible she is bipolar. I have learned you have to take the proverbial bull by the horns and be very direct with her, as well as non-emotional, and set some boundaries. It's the only way to deal with people like this. But they wear on you, you know? And if she is bipolar, she should be on meds, not abusing everyone around her.

    But like I said, half of what bugs me about this, is all of us staff have the same complaints w/this one dr. We have vocalized them on many occasions with our manager. To no avail, of course.

    If this were a nurse causing such misery in others, she would be SO GONE yesterday. It's so unfair.
    Last edit by SmilingBluEyes on Oct 23, '06
  9. by   HappyNurse2005
    How about walking into the room, knowing fully they are going to do something like SVE or AROM, but don't shut the door behind them as they walk in?

    the lady could have her bottom half out for display so you can AROM her, but the door's open-we might not hear someone come in until its too late!
  10. by   33-weeker
    docs who stitch tears or do circs without numbing first.

    obs who insist breastfeeding mothers go home after 24 hours when their babies are 48 hr. stays.
  11. by   LDRNMOMMY
    Doc's that just cut you off midsentence when you are trying to talk to them. It is so rude!

    Residents who use the reason I was making rounds to not return a page. We don't page you for fun.
    Last edit by LDRNMOMMY on Oct 28, '06
  12. by   nursejenrnc
    After reading just one page of all of these nightmare docs, I'm wondering... isn't it the role of the nurse to act as patient advocate? Why were these terrible practices allowed to occur without question? Why is it that we can complain to each other at the desk afterward or go to our director/manager to deal with it? These crabby "God complex" doctors need to be dealt with directly and immediatly by the nurse present at the time! We, as nurses, are just as responsible for outcomes as the doctors are, we need to speak up and defend our patients from what could be considered battery. Failure to act or failure to initiate chain of command are also reasons for lawsuits...
    In my unit, we have a code word to get the doctor out into the hallway, immediatly, to let him know we disagree with his decisions... it is "Doctor, I need you to come look at the red monitor!" This is his cue that something isn't right, sometimes it's all it takes for him to realize he's over the edge! Doctors are just people, like the rest of us, and DO make mistakes, some more often than others. If we present ourselves to them as educated, intelligent professionals, deserving of respect, they WILL listen if we provide evidence based arguements. If they don't, you need to institue chain of command to try to prevent these terrible outcomes for these poor women who don't know what's appropriate and what's not. They look to us to take GOOD care of them and assist is decision making that gets them to the best possible outcome.
    IF we treat these doctors like the end all and be all of OB care, they will act that way. DON'T give them that amount of power! We are not doormats, we are not slaves, we are nurses... hold your head high and do what's right, do what you wanted to do the day you decided to become a nurse!!umpiron: Then leave at the end of your shift knowing you really made a difference!

    (Wow, kind of got on my soapbox there...)
    Last edit by nursejenrnc on Oct 28, '06
  13. by   paccookie
    Quote from ItsyBitsySpider
    I've been wondering how midwives are compared with MD's. Many nurses on my unit are pregnant and go to an OB group that has a midwife on staff. None of them want to see her or have her deliver their babies. I don't think it's anything personal, but they all feel more comfortable with the MD's. I think it would be great. Would you, or have you, had a midwife previously? Just curious.
    I used a midwife with both of my pregnancies and I would prefer to always use a midwife for both maternity and well-woman care. If I couldn't see a midwife (they are so rare in my area!), I would prefer a female doctor who had a philosophy similar to my own. If my choices were a female doctor who had a rather negative attitude towards natural birth or a male doctor who was willing to listen to me, I'd go with the male doctor. Really it boils down to the doc's attitude and how quick he/she wants to do a c-section. The OB at the practice I went to with my son asked me "when are you going to let me interfere?" at 36 weeks! I went to the 38 week appt and never went back. Scary. My son was delivered by the midwife on call and she was great. I gave birth in a semi-squatting position, leaning over the bed. I don't think many OBs would go for that! LOL

    CG

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