consultants

[ayla2004, ASN, RN]

most of the doctors i have worked with as a student and as a staff nurse are open and approachable to MDT and nurse input working together to elp the pt.

However the consultant on my current ward is unknown to this. Any efforts by junior mo, pharmacist nurses or other member of of the MDT result in people getting bollocked and belittled.

I had a pt who yesterday after handover i felt they were dying bad obs scoring a 5 on EWS and just there colour and lack of response to pain made me think this. Got the patient r/w by the SHO who said give 1v fluids and stop obs and i requested prn lcp drugs.

Consultant r/w pt now for tests and treatment for 48 hours with 2 hourly obs tds abx and notw a cath.

Came on today same bay pt looks terrible got pt reviewd by SHO who stated after reading notes regarding 48 treatment/then r/e for lcp states any other consulatns pt he would put them on the lcp just can't deal with the flak from consulanta and i don't blame him. he got a reg and she agreeed for the lcp as she the sho stated he won't bollock a reg. alos the nok rang while we we disscuing him and stated the the pt would perfer to be let go.

ye gods all to let a man die in ease

this consultant may make me change jobs due to his attitude.

[Silverdragon102, BSN]

Unfortunately there are some consultants like this and all you can do is continue to give your best to the patient and 'plug away' at it. Thankfully I think we are seeing less and less of this

[XB9S, BSN, MSN, EdD, RN, APN]

Ayla I know this patient still looked terrible but had (s)he improved with the treatment? If so did the treatment need to be changed or was waiting for the remaining time something that was reasonable to do.

I have to be honest I get on very well with all of the consultants I work with, some have funny little quirks but all tend to listen if your worried about a patient, also what I have found is that even with the most approachable consultant the junior medics are reluctant to suggest something different or change care that has been planned by the consultant, even if it's in response to a change in condition. It's the way they are taught, and one of the most frustrating archaic practices that drives me nuts.

Does this consultant listen to any particular nurses on the ward, you will sometimes find the more senior and long served nurses are able to approach and talk to some of the more difficult personalities, this may be an approach you could use, ask one of these nurses for help when having to deal with patients that your worried about.

[ayla2004, ASN, RN]

there was no improvement with 24hr of iv abx and fluids poor uo. would open eyes to vioce sometimes but more often to pain was irratiable to any intervetions obs, mothcare, being turned etc gcs 7 nil po meds given. It doesn't help that we have a part time consultant that wasn't there yesterday. I understand that we need to see if a pt can be treated and recovered rather than writing them off however there may gave been a underlying undiagnosed condition based on how he had been detrioting since admission.

2 of the ward sisters can handle this consultant he responds to a certain amount of flatery etc.

I try to be on my game as much as possible with the consultant he appericate being given the information he wants, however i find my underdtaning of the question and the answer i give is not what is wanted, misundetanding occur.

Need to get people looking information to be specfic as i'nm not a mind readar and without parameters it is open to intreputaion.

ah well the joys of nursing.