Verbal Abuse from surgeons in the OR - page 5

Just curious... How commonly do you OR nurses out there experience verbal abuse and/or disruptive behavior from surgeons? How do you or your facility deal with this issue? In the facility... Read More

  1. by   AngAng
    Boy oh Boy, am I glad I ran into you! This is a very difficult situation in the
    OR. I wish I knew how to change this situation. After 14 years of Nursing,the
    last 2 in the OR I am about to throw in the towel. Between Surgeons and Anesthesiologist I am not sure who is the worst. I deal with badgering behavior from the Surgeons and I am truly a servant to the anesthesiologist whom are
    just a beligerent. I dont know what to do.
  2. by   jwk
    In our hospital in Atlanta, verbal abuse is just that - abuse. Serious problems are referred to the medical staff office. We have had surgeons given formal reprimands, they have been required to make apologies, and some have been required to undergo anger management classes or sensitivity training.

    A hospital cannot afford to tolerate abusive behavior. They're foolish if they do. It leaves them wide-open to a variety of sexual harassment, hostile work environment, and other claims, all of which have the force of federal law behind them.

    Make sure there are written incident reports filed with management and/or your medical staff offices or chief of staff. Repeated incidents on file should spur them to action. If not, they're being very stupid and short-sighted.
  3. by   AngAng
    Last week for the first time in my entire Nursing career I wrote up 2 Surgeons.
    I wrote them up in relation to their appauling,unprofessional behavior towards
    me. I especially wrote them up for a breach of patient confidentiality. I felt
    good about it because I am normally a very quiet person who wouldnt say boo
    to anyone. I have finally reached my breaking point. Well...........Who do you
    think sided on the behalf of the Surgeons? Ofcourse, my Nurse Manager. She
    was looking for any loop hole she could to justify their behavior towards me.
    Unfortunately she couldnt find any.

    As a Nurse or maybe I should say as a "human being", it angers and upsets me
    to be treated like a handmaiden. I normally allow things in one ear and out the
    other. But, since joining the OR 2 years ago I cant. The reality of "our" treat
    ment is disgusting. The disrespect in untolerable. The lack of management
    support is unforgiveable.

    Today was a prime example. We just brought a patient into the room. The
    patient went under general anesthesia. I was moving about the room trying
    to set up suction,bovie,etc. All of a sudden the Anesthesiologist verbalizes
    OK, I need my magical clipboard. I looked at him and continued on with my
    work. Again the Anesthesiologist repeated his request and this time informed
    me that his magic clipboard was in the magic drawer of his anesthesia cart.
    As an idiot, I went over to him and the cart (which was exactly 4 inches from
    his right hand) and asked him sarcastically what drawer is your magical clip
    board in? Ofcourse,fumbling around looking for the ridiculous magical drawer
    he puts his finger on the drawer handle. I open the drawer and find myself
    placing the clipboard in the bast--- hand.

    I informed my manager that I was not impressed with this nonsense. This is
    a waste of my time and is truly belittling. I was told to get over it.
    I just want to say :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire Am I over reacting?
  4. by   AngAng
    Kudos to you!!!!!!!!!!!!! Very well said.:hatparty:
  5. by   JaneRNBSN
    Sounds to me like you are mad at yourself for getting his clipboard for him. I know I would be kicking myself all the way home!
  6. by   Ferret
    Any moron who is too stupid to get his own clipboard from his own trolley and uses the word "magic" deserves for you to develop a "magic" form of "deafness".

    Ignore the moron, he can get his own clipboard. And write up the report. There is no excuse for such games.

    If your Nurse Manager does not support you, think of it this way. There is a worldwide shortage of nurses. There is a worldwide shortage of surgical staff. They need you more than you need them, and if they don't give you the respect you deserve, consider finding a theatre suite that does.

    Ferret
  7. by   grimmy
    Quote from ferret
    any moron who is too stupid to get his own clipboard from his own trolley and uses the word "magic" deserves for you to develop a "magic" form of "deafness".

    ignore the moron, he can get his own clipboard. and write up the report. there is no excuse for such games.

    if your nurse manager does not support you, think of it this way. there is a worldwide shortage of nurses. there is a worldwide shortage of surgical staff. they need you more than you need them, and if they don't give you the respect you deserve, consider finding a theatre suite that does.

    ferret

    [font="book antiqua"]i probably would have said, "is your arm broken?" maybe its the newyorker in me, but then again, i am not a servant. the more i read these posts, the more i realize how lucky i am. i would probably never last in any other environment other than where i am. i'm on a 1st name basis with most of our anesthesia providers, and 98% of our surgeons. most of them realize that when i do them a favor, it is just that: a favor! we're well-aware of our individual tasks, and don't attempt to take anyone else's task over. we're ready to jump in and help, but i don't feel like anyone takes advantage of my good nature.
  8. by   passionate
    Use anything at your disposal. If your institution does not have a policy directly addressing this then find out from HR what is appropriate. Their are laws, local, state and federal that all employers answer to. These surgeons do not have the last word. I have had professional experience dealing with this topic and as hard as it was I know that I was supported by the other nurses, anesthesia, etc. that experienced it as well. You don't have to accept this behavior. Move forward for the sake of all of the people who in the future take care of our patients. We only have rights because someone before us fought very hard, long and sometimes without realizing those rights themselves so that we would have it better. I never cast a vote without thinking of all of the women who worked so hard, many dying before casting their vote, or thinking of those who still have no rights in the running of their government Often we take the rights we have for granted but someone before us worked very hard and felt the way you do so that we could carry on the torch of justice.
  9. by   passionate
    Use anything at your disposal. If your institution does not have a policy directly addressing this then find out from HR what is appropriate. Their are laws, local, state and federal that all employers answer to. These surgeons do not have the last word. I have had professional experience dealing with this topic and as hard as it was I know that I was supported by the other nurses, anesthesia, etc. that experienced it as well. You don't have to accept this behavior. Move forward for the sake of all of the people who in the future take care of our patients. We only have rights because someone before us fought very hard, long and sometimes without realizing those rights themselves so that we would have it better. I never cast a vote without thinking of all of the women who worked so hard, many dying before casting their vote, or thinking of those who still have no rights in the running of their government Often we take the rights we have for granted but someone before us worked very hard and felt the way you do so that we could carry on the torch of justice. We have a choice to do something--find the courage.
  10. by   elcue
    Quote from flynrn
    When they get "on their high horse" just smile, keep quiet, and picture them in boxer shorts. It will help you laugh
    This does NOTHING to stop, or even ADDRESS inapprioriate behavior. It is this attitude that has perpetuated these poor behaviors.
  11. by   TravORNurse
    There is usually a board of Dr.s that deal with bad/poor behavior from surgeons. If you can find out who deals with that kind of behavior from Dr.'s at your facility maybe you can put something through to them or talk with your supervisor about using this avenue to deal with difficult Surgeons. I have experienced facilities where the Surgeons that were difficult were few and others where most were difficult. Most the time if the staff supporting the hospital in the operating room will stand unified against being treated poorly it shows the surgeon that work can be smooth or not so smooth depending on how they interact with the staff. Do you feel supported by the techs, scrub nurses, other circulators in your hospital?
  12. by   bakpakr
    Quote from AngAng
    Last week for the first time in my entire Nursing career I wrote up 2 Surgeons.
    I wrote them up in relation to their appauling,unprofessional behavior towards
    me. I especially wrote them up for a breach of patient confidentiality. I felt
    good about it because I am normally a very quiet person who wouldnt say boo
    to anyone. I have finally reached my breaking point. Well...........Who do you
    think sided on the behalf of the Surgeons? Ofcourse, my Nurse Manager. She
    was looking for any loop hole she could to justify their behavior towards me.
    Unfortunately she couldnt find any.

    As a Nurse or maybe I should say as a "human being", it angers and upsets me
    to be treated like a handmaiden. I normally allow things in one ear and out the
    other. But, since joining the OR 2 years ago I cant. The reality of "our" treat
    ment is disgusting. The disrespect in untolerable. The lack of management
    support is unforgiveable.

    Today was a prime example. We just brought a patient into the room. The
    patient went under general anesthesia. I was moving about the room trying
    to set up suction,bovie,etc. All of a sudden the Anesthesiologist verbalizes
    OK, I need my magical clipboard. I looked at him and continued on with my
    work. Again the Anesthesiologist repeated his request and this time informed
    me that his magic clipboard was in the magic drawer of his anesthesia cart.
    As an idiot, I went over to him and the cart (which was exactly 4 inches from
    his right hand) and asked him sarcastically what drawer is your magical clip
    board in? Ofcourse,fumbling around looking for the ridiculous magical drawer
    he puts his finger on the drawer handle. I open the drawer and find myself
    placing the clipboard in the bast--- hand.

    I informed my manager that I was not impressed with this nonsense. This is
    a waste of my time and is truly belittling. I was told to get over it.
    I just want to say :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire :angryfire Am I over reacting?
    My favorite reply to a situation such as this is " You have two arms and two legs, they work, use them"

    Abuse such as being mentioned here is not confined to the medical profession. I see it everyday in my job. But I hope to be a nurse one day.
  13. by   TravORNurse
    Quote from bakpakr
    My favorite reply to a situation such as this is " You have two arms and two legs, they work, use them"

    Abuse such as being mentioned here is not confined to the medical profession. I see it everyday in my job. But I hope to be a nurse one day.
    When that happens to me I ask them if their fingers are broken. Sometimes they push to see how far they can push you or how far you will go to please them. If you have anesthesia techs in your hospital you could call them and ask them to come help the anesthesiologist. It will make him look like an ass and you have done what you can to help him while using the resources that are available to him and to you. Not only that, but it brings in another person to offer perspective on his rediculous request. If he keeps it up he becomes the "boy who cried wolf."

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