What doctors do that bugs you... - page 4

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   cheshirecat
    Just qualified docs who palpate a 36 week pregnant woman and say cephalic presentation. When palped by midwife (many years qualified) who disagrees with his finding young doc makes fun of midwife in front of patient.

    Midwife only has one recourse - gets consultant in who agrees with her palp, mum is a breech.

    Don't worry girls and boys, midwife got young doc in the coffee room. He won't be speaking to her like that ever again.
  2. by   LizzyL&DRN
    Don't know if this happens at other places.....
    Docs that sleep in the chair in the corner of the room waiting while mom pushes. We had one doc that did this all the time. Frequently the nurse delivered the baby with him in the room or he did without gloves on. One time I had a multip cytotec induction go complete. Doc was 30 min out, had mom on her side coaching her not to push while waiting for doc. Doc comes in, sits his fat a$$ down in the corner of room and asks me to set her up. I said "no, not til you get your gloves on", cause I knew the baby was like +3-4 station. Doc did as he was told, scooted his chair over between patients legs so he could sit his lazy a$$ down during the delivery. Told mom to push and WOOPS.... DIARRHEA ALL OVER THE PLACE!!! Including his lap. I was trying so hard not to laugh out loud. It wasn't something that could have been helped but it was kind of sweet revenge cause none of us are fans of that doc.
  3. by   MemphisOBRNC
    We have a couple of docs. that practice 9-5 OB. When they come in and check a patient mid-day, they over state dilataion by 2-3 cm. When they come back after their office is closed and recheck, the patient is really just now what they said they were several hours ago. This way, they can say they haven't changed, thus the CS. The nurses have been rechecking the patient and charting the 'correct' cm after the doc. does his check. (Does this make sense?)
  4. by   mamabirdRN
    Hello all - we have a doctor here that walks into a room to see the patient (never without a nurse to follow behind him) and if the tv is on, he will stop what he is doing and watch the tv for a few minutes!! How embarassing for the nurses to just be expected to stand there! I have gotten to the point that I now turn the tv off as soon as I get into the room so as to avoid this!

    I work in a small southern minnesota hospital (42 beds) and the doctors here expect us to baby sit them all the time! I get so sick of it!
  5. by   tinyscrafts
    Quote from MemphisOBRNC
    We have a couple of docs. that practice 9-5 OB. When they come in and check a patient mid-day, they over state dilataion by 2-3 cm. When they come back after their office is closed and recheck, the patient is really just now what they said they were several hours ago. This way, they can say they haven't changed, thus the CS. The nurses have been rechecking the patient and charting the 'correct' cm after the doc. does his check. (Does this make sense?)
    OOOOHHHHHHHhhhhh, How does that turn out?? I admit i've been suspicious of one of my clients docs doing this...
  6. by   nursejohio
    Quote from 33-weeker
    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)
    i can understand that at little hospitals, but mine is huge and my unit manager still won't confront a doc who continues to leave sharps out on the delivery tables in rooms with the nurses who haven't yet learned to ask him about it
  7. by   flytern
    Not so much what they say, but what they do....

    1. Have a MD who insists anyone under 5ft 3 can't deliver vaginally. must be a c/s, without the benefit of a trial of labor (needless to say, his c/s rate is about 75%).

    2. If MD calls to send in induction, but there's no room at the end, magically this patient has all kinds of problems (PIH w/ a blood pressure of 100/60)
    or macrosomia (would 1 more day in utero be that much of a weight gain?).

    3. MD's who want us to crank the Pit up faster than q15minutes. After all, they are in house, doesn't that baby know it?

    Sometimes, I think they forget the basics of labor. Babies come when it's there time. We can try to prevent it or encourage it, but they come when they want to.

    Cardinal Rule: Never trust a pregnant woman.
  8. by   magz53
    The list would be long.........but just a few things. Scheduling inductions because the mom is tired, can't sleep, uncomfortable, etc. etc. even tho she is only 37 weeks. Caving in to C-section demands of patients ( primips ) One doc even wrote on a chart........"to preserve the integrity of the perineum, as seen on the Today show " !!!!!!!!!!!!!!!!!!!!!!!! One doc plunges her hand in the vagina with the same drippy, goopy glove for hours for EVERY CONTRACTION. She is unable to determine station......given her section rate for failure to descend, she can't determine the presentation of the baby given her section rate for breeches after the OB is called in to evaluate, she can't determine if the baby is OP, so we know she is not feeling for fontaneles or sutures etc. It is nauseating and frustrating and no one ever has done this so none of us nurses know what to do about it. I casually ask her if the patient is making progress pushing and I get an answer in the most annoying sing-songy voice " there's a baby in there " I really want to ask her just why she plunges her hand in there........she is not massaging the perineum, not facilitating delivery, and not gathering info. It makes me want to puke !!!!!!!!!!!!!! HELP !!!!!!!!!!!
  9. by   LDRNMOMMY
    Quote from flytern
    2. If MD calls to send in induction, but there's no room at the end, magically this patient has all kinds of problems (PIH w/ a blood pressure of 100/60)
    or macrosomia (would 1 more day in utero be that much of a weight gain?).

    3. MD's who want us to crank the Pit up faster than q15minutes. After all, they are in house, doesn't that baby know it?
    Ahh, the "sneak in" inductions. Our doc's play that way too. We had one doc go so far as to say that we have a conspiracy against him that his induction patients are the only ones called to stay home when we need to have our beds for laboring patients!
  10. by   babbsrn
    is it just me, or does it seem like everything is going great, and then (some) obs gets there and mess it all up?


    would just like to say kudos!! i am not a l&d nurse(yet), but have had 4 children and i was induced with all of them. just fyi- i did not particulary want to be induced this last time because i thought that w/out the pit labor might be tolerable...well there was not time for an epidural the little guy came so fast that my nurse delivered, and let me tell you all- it was the best delivery of all 4! there was no-push, don't push..she was my advocate and let my body do the work..thanks to all of you l&d nurses so dedicated. my nurse has now made me do what i originally wanted to do all along and pursue l&d myself.
  11. by   Warpster
    My favorite: the doc who has just promised a patient a sleeping pill or other comfort med and has forgotten about it between the room and the charting station. When the patient screams at us for not reading his mind and writing an order ourselves, we call him to verify the order. Then HE screams at us because he really doesn't want to be bothered unless the patient is coding.

    My second favorite is the doc who loads up on sleeping pills on his on call night. How do we know? The phone rings about twenty times and when he does answer, he gives lunatic orders that have absolutely nothing to do with what we have described to him and starts to snore on the phone.
  12. by   Paravell
    Great post, y'all!!

    I just wanted to throw in a little noted concerning "non-medical" inductions. At my 40 week appointment, my dr. said, ok, so when do you want to come in? I'm like, um, what? She gave me 2 dates that I could come in for an induction. At the time, i was so excited cuz I was ready to see my baby, but when I got home and actually thought about it, I started getting scared and wondering why she wanted to do the induction. After calling the office, and the hospital for like 2 days, she finally called me back. Basically she told me was that she didn't like mommas going over 40 weeks, and just kept pushing that I come in. Ok y'all, I'm a freakin nurse, and I even wanted to do the natural child birth thing, but in my crazy hormonal state, I ended up saying yes to getting induced!!!!
    So, i got the cervidil, then the next morning they start pumping the pit, broke my water...after about 12 hours I finally gave in to an epidural...and about 10 hours after that my little guy finally came out.

    Now, normally I would look back and say i really wish I would have had someone telling me to just trust my body and not be pressured by the doctor wanting a scheduled induction (haha for her though, cuz she still had to be woken up for a 2am delivery that she thought would be done in the afternoon!!!). But, I ended up back in the hospital 4 days post delivery vomiting uncontrolably and having severe pain that I had during my 3rd trimester...that's when they realized I had gall stones...got shipped to another hospital, waited for my pancreas to settle down, then went to sx. SOOOO it ended up being better that I had him when I did! Oh my goodness I am so sorry this post turned out so long and rambling!

    So while I still think non-medical inductions shouldn't be done, cut the momma a little slack...hormones make you do crazy things! I'm definitely looking for a midwife next time around
  13. by   ElvishDNP
    Not something that bugs me as much as I found humorous...

    We had a lady who had had GDM but hadn't had any PP blood sugars. So I caught the residents on rounds & asked her if she wanted one, and of course she wanted an AM stick. (I work nights, btw) I asked if she wanted it fasting or not...she asked, "Well, it's morning. She's been fasting all night, hasn't she?" Mmmmm, no. She just got back to eating real food after her C/s. People just assume that these mamas sleep all night. Wrong!

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