Published
I am sorry if you are unhappy with your tour of duty with the CTS surgeons here on our little PCU.
I'm sorry if you hate taking call. You are a resident. This is a teaching hospital. It is your job.
I'm sorry that you think that my patient's dropping blood pressures and non-existant Urinary Output were a crappy reason to wake you up at 4 in the morning.
I'm sorry you don't feel like you need to write orders for my patient.
I'm sorry you feel the need to be a rude a*****e when you are on the phone with me.
I'm sorry you feel so incompetent at your job that you apparently don't know which orders to write.
I'm sorry you have endured a month and a half in an assignment you obviously loathe.
I"m sorry you feel the need to be rude to all the nurses on this unit (but especially us night-shifters since we interfere with your sleep schedule).
But
I have a sinking feeling that the nights when you are on call will be riddled with calls every hour from all the nurses on this floor asking for orders for our patients. I have a feeling nurses will "forget" to inform each other that they are getting ready to call you and as soon as one hangs up another one will realize suddenly that only your expertise can save her patient from the brink.
*sigh*
And it would have been so much easier just to be polite and do your job.
I don't pay attention to rude doctors. Now,*mind*you,*I**have*my*"ducks*in*a*row*before*I*call"*as*I*am*sure*
we*all*do.*"*:)***If they get mad, they get mad. *They will eventually get the clue that we are their eyes and ears so that they can get thier sleep. *
We are the patient's advocate first. *If that means they get calls in the middle of the night, so be it. *If they want a 8-5 job, they picked the wrong profession.
And yes, ranting is just that, blowing off steam. *Been there done that. :)
I have met a few like that...just wait until a nurse pulls his a** out of the fire sometime, or stops him from making some huge mistake. Then maybe he'll realize how important we are. I wish that they could take a step back and think about this - what would I do if there were no nurses?
He won't realize it and he won't be thankful. He will be like the surgeon who took credit for getting a CXR on my beautiful, dying, precious Mom after I, yes, I informed him of her cough and requested a CXR, which showed pathology.
kick it up a notch....I wouldn't lower myself to annoy a dr. because I could in the middle of the noc....
I once had to call a dr. in the middle of the noc for a lasix order on a full blown CHF'er....he whined, "give the pt. 20 mg IV Lasix now, and don't call me again!"
I wrote it just like he said it....
In the am, he came storming in, angry that he had been woke up....started to snarl and growl at me.....and I handed him a cup of coffee and said, "your patient thanks you for your attention to his needs last night, he put out 1000 mls. of urine, and his breathing is easy and non labored....NSR....and BP is stable....."
He was taken aback....then he saw the order that I wrote, and he started in again....
I said, "I wrote it just like you said it, Doctor!"
Well, we really should not carry on a war of words in the chart, though. Plaintiffs' attorneys eat that stuff up, or so I was always taught.
I just call whenever I need them, although I do try hard not to call late.
CRNI-ICU20
482 Posts
kick it up a notch....
I wouldn't lower myself to annoy a dr. because I could in the middle of the noc....
I once had to call a dr. in the middle of the noc for a lasix order on a full blown CHF'er....he whined, "give the pt. 20 mg IV Lasix now, and don't call me again!"
I wrote it just like he said it....
In the am, he came storming in, angry that he had been woke up....started to snarl and growl at me.....and I handed him a cup of coffee and said, "your patient thanks you for your attention to his needs last night, he put out 1000 mls. of urine, and his breathing is easy and non labored....NSR....and BP is stable....."
He was taken aback....then he saw the order that I wrote, and he started in again....
I said, "I wrote it just like you said it, Doctor!"
He couldn't argue with that....
From then on...he was careful what he said to me....
Sometimes it takes a few tries to teach a stubborn personality how to behave....some folks are naturally born with people skills, and some folks just suck at it.....
He did drink his coffe by the way....and in the end, he thanked me....
I like to keep it one on one....
I am not any less than a person than him.....he isn't smarter than me...he just went to school longer...it doesn't give him a free pass to abuse or growl at me for a perfectly reasonable request...when a doctor bites me, I tell him "no" just like I would tell a dog that bites....I have learned that a soft answer can turn away wrath....and a stron boundary most often is respected....crni