What doctors do that bugs you... - page 5

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   33-weeker
    Quote from Paravell
    Great post, y'all!!

    I just wanted to throw in a little noted concerning "non-medical" inductions. ..., 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.


    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
    No, I don't hold mothers responsible for scheduled, social births nearly as much as their doctors, who should know better. it's natural for mommies who are uncomfortable and ready to meet their baby to want to deliver too soon. (as a mom of a 9# daughter and 6# & 7# twin boys, I know the meaning of uncomfortably pregnant!) They need someone to remind them of the dangers and encourage them to keep going. It's the doctors who should be held accountable.
  2. by   doublej
    Doctors who expect THEIR lab reports to be on the charts when they make rounds even though lab techs have 150 labs to do all over the hospital and haven't even returned to the lab at the point that he is demanding.

    Doctors who go in little geriatric patient rooms and babble professional lingo to them, walk out and charge for the visit when the poor patients doesn't even know what he said because of his elite terminology!

    Doctors who keep my pen.

    Doctors who never can call me by name even though I worked there longer than he has been a dr. It is wonderful to hear one of them address me with my birthname!

    Doctors who forget to flag charts with new orders and put them back in the chart rack, then blow a fuse when an order is not found till later.

    Doctors who defame a nurse in the presence of her coworkers.

    Doctors who expect us to lie to a patient. We had a drug-dependent patient (who was also a nurse) who wanted Demerol. He ordered Compazine and told us to tell the patient that it was "Opazine"- an unheard of drug. The HN asked him if he would be in the court room when the patient sued the nurses and he just smiled. He was a psychiatrist. Maybe that's why he just grinned.
  3. by   ragingmomster
    Doctors who keep my pen.

    I have found the cure for this one...all my pens have caps (no clickie kinds).

    When someone borrows a pen, they don't get the cap and I keep the cap in my hand until they return the pen.

    As for the induction deal...we have two units, one is mother-baby which does not take any pt's with anything out of the "normal" range. We had a pt this week who arrived with a dx of IUGR and orders for induction. Boy was she mad when she was told no mother-baby unit for her. In comes the md with a new dx of "post dates", mom is 40 and 2.

    So was the IUGR just a sham?

    By the time the MD got her orders changed, the m-b beds were all full and the pt was mad at us.
  4. by   33-weeker
    Quote from ragingmomster
    As for the induction deal...we have two units, one is mother-baby which does not take any pt's with anything out of the "normal" range. We had a pt this week who arrived with a dx of IUGR and orders for induction. Boy was she mad when she was told no mother-baby unit for her. In comes the md with a new dx of "post dates", mom is 40 and 2.

    So was the IUGR just a sham?

    By the time the MD got her orders changed, the m-b beds were all full and the pt was mad at us.
    Could you elaborate on the two units thing? I'm curious.
  5. by   Goldenhare
    1) Had both my kids with midwives while living in the UK. Never saw an OB doctor my whole hospital stay. I LOVED my midwives!

    2) In the catagory of things docs do that make you crazy....We had a meeting recently and the floor manager told us nurses that the docs were getting mad because they were being asked to sign off on orders they did not give, and could we please make sure that the orders were entered under the proper doc's name??? And I said "Sure, if you can get them to sign their names legibly, 90% of the problem will evaporate". To which the manager said "Well, you can look them up by their "number"". "Well", I said, "not if they don't write the number down next to their undecipherable signature!" YIKES!!
  6. by   IslandtrainedRN
    This isn't really an OB thing, but it DOES drive me nuts.

    When I have a patient on the medical unit who is a mouth-breather and is "comfort cares only", one or two doctors write irritating orders, like an order for "good mouth care" or "mouth care QID". It drives me crazy because that is NURSING CARE!!! Do they think we don't know when our patients need mouth care??

    I was very tempted to write a note to the doc who ordered mouthcare QID and let him know that we're actually doing mouth care q1hr, but thanks for the suggestion. He may as well have written an order for nursing care PRN.
  7. by   Marie_LPN, RN
    When I have a patient on the medical unit who is a mouth-breather and is "comfort cares only", one or two doctors write irritating orders, like an order for "good mouth care" or "mouth care QID". It drives me crazy because that is NURSING CARE!!! Do they think we don't know when our patients need mouth care??
    Our docs started writing that as a part of their orders, since when we would get some of them for surgery, it was quite obvious it wasn't getting done sometimes. A few of out pts. had to have mouthcare before they could even start with induction, because of the solid gunk and slime in the mouth that an ET tube couldn't even pass though.
  8. by   smk1
    Doctors who snatch things, steal pens, try to give verbal orders to students when they know it is not allowed, docs who quiz you on weir lab values as if I have the whole chart memorized, ones who scare my patients with their abrupt, poor bedside manner, ones who don't introduce themselves or wear identifiable gear and then expect the students to divulge information to them without even asking who they are. (newsflash, we don't work there, and if you haven't seen me before, then cahnces are I don't know you either and can't tell you anyting unless I know who you are. HIPAA and all that...) and my personal favorite as a student, the ones who take off with the chart or assessment sheets and tell no one, so the student gets yelled at by the nurses and other docs because, we must be the idiots who took the sheets and put them with our stuff...
  9. by   flytern
    We have a doc in house between 8pm-6am (I work nites). The whole point of the in house guy is for discharging walkins, making precip deliveries, assist w/csections...
    Never happens, walkin's who could be discharge, sit around to the morning, heaven forbid should be MD wakeup and discharge them. Even though the MD is 5 minutes down the hall, they usually miss a precip delivery.
    Assisting w/secions, call them when the surgery is called, call them again when the primary MD is here, call them again when the patient is on the table.... because we have nothing better to do!

    We also have an MD (who is as old as God himself). who makes sure every patient knows that thanks to him, the patient and baby are alive and well. Every delivery is a touch and go situation. Every babe (3 lb to 10lb) is a shoulder dystocia. Every decel (during pushing) is a crisis, that he's adverted. It gets to the point we can't even look him in the eye during a delivery, because he says the same speech each time!

    However, he really is a good guy, gives his patient's good care, can't remember anybodys name.

  10. by   twotrees2
    Quote from MS._Jen_RN
    I don't work OB, but I hope I can play. . .
    I hate it when the MD downsizes a patient's trach and leaves the old one laying on top of the dresser with secretions drying to it (and not telling anyone of course). I found it several hours later. Gross.
    ~Jen
    (for those whose MDs leave sharps for you to clean up, there should be, and most likly is a way for you to report/write up that. If not only through OSHA- not safe.)
    i hate when docs come in to see a resident dont tell you they are there and later you find orders there not even knowing they had been there -
  11. by   twotrees2
    Quote from 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.
    let me gues , they tell you without the doc you have no residents - at least thats what we get when we voice concerns about docs behaviors - in other words rhey tell us to just put up with it
  12. by   twotrees2
    Quote from 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.
    or the on call doc yelling at you for calling them about something that isnt thier patient and it had been going on all day but days never took care of it - like its my fault noone on days took care of it.

    or docs who call back and get angry cause you have to put them on hold to go get chart so can give accurate info cause you are all the way down the hall in a patients room. or get mad you dont answer page right away cause your in middle of treatment - well - then answer MY page or call right away - i got work to do too - cant just sit around all day waiting for a call back nor can i carry a residents chart from room to room so its with me at all times - not to mention the nearest phone is all the way down the hall................

    docs who complain that test results stat arent in yet - excuse me but the lab and xray comes 2 hours to get here and by time they get back a stat turns into at least 5 hours - YOU call the lab, etc and complain...... we are not a hospital with our own lab etc

    docs with bad handwriting that we have to call or fax for clarifying what they wrote getting mad - if they wrote neater maybe we wouldnt have to call

    oh and docs getting mad at me cause on call doc orders something other than they would have - well then - dont have on call docs give us your home phone and we will be happy to call only you......
  13. by   SmilingBluEyes
    Quote from twotrees2
    let me gues , they tell you without the doc you have no residents - at least thats what we get when we voice concerns about docs behaviors - in other words rhey tell us to just put up with it
    oh yea exactly. We have been told to "do our best".

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