disgusted with MD, what do I do?

[stayingoutoftrouble]

I won't go into the details because I would be writing forever. Basically, the MD lied to the patient and he lied to me. If I ever lied to a MD I would be in deep doo doo, but its okay if he lies to me? He can just get away with it... I just wanted to scream. Do I tell my manager, I don't know what you do in situations like this?

[caliotter3]

Depending upon what the situation is, you should inform your manager just so she/he knows what is going on. If lying is a habit for this MD, it should be known among the staff so that members of the staff know to look out for his behavior and guard against getting caught up in major discrepancies. Lack of integrity tends to have dire consequences when a situation starts heading for the courtroom. You can rest assured, that this person will do anything to keep themselves out of suspicion and will resort to pointing the finger at the nearest staff member. Liers tend to act this way.

Likewise, make certain that you aren't dealing with simple miscommunication. Sometimes things are innocently miscommunicated and problems develop.

[ceecel.dee, MSN, RN]

Notify your nurse manager, your DON, the hospital administrator and the chief of medical staff. Write it in a formal letter format including the c.c. to everyone receiving the letter (the same letter should be sent to all). Write only objective data including specific times, dates, quotes, chart entries.

This happened in a hospital worked at as well. The doc tried to deflect onto the nurse. What saved her is the fact that she kept the chief (also a close collegue) and her DON informed of everything from the very beginning (the confusion and disbelief stage), so they knew of the issue before the doc even became defensive.

Protect yourself!

[bigsyis]

I had to change jobs because of a MD who lied about me. He was/is known as a great "manipulator" and flirt who has been around for many years. I didn't buy into the suck-up routine and got burned for it.:angryfire

By all means, talk w/your Manager. Not only are the interpersonal issues here, pt care could be compromised too, not to mention the legal consequences. For any conversation that you have with him that isn't charted, I would keep notes, w/dates and times. You just never know when they might come in handy!

Best of luck, and hang on to your integrity.

[TheCommuter, BSN, RN]

I work at a large skilled nursing facility that, obviously, has a medical director. This medical director also serves as the attending physician for about 150 of the 200 patients at this particular facility. In the past, he has lied and stated that the nurse(s) didn't notify him of critical labs or changes in condition, yet the medical records indicated otherwise. The chart would contain a faxed copy of the lab reports with a confirmation number that the fax went through successfully. Pt charts also contained documentation within the nurses notes that this specific doc had been telephoned with the results.

However, this doc does not like to receive phone calls, so he has the tendency to tell the nurses, "Don't call me." He'll also be in such a hurry to get off the phone, that he will often fail to give orders after being notified of a critical lab or change in condition. He will say something such as, "Just continue to monitor..."

[TrudyRN]

I work at a large skilled nursing facility that, obviously, has a medical director. This medical director also serves as the attending physician for about 150 of the 200 patients at this particular facility. In the past, he has lied and stated that the nurse(s) didn't notify him of critical labs or changes in condition, yet the medical records indicated otherwise. The chart would contain a faxed copy of the lab reports with a confirmation number that the fax went through successfully. Pt charts also contained documentation within the nurses notes that this specific doc had been telephoned with the results.

However, this doc does not like to receive phone calls, so he has the tendency to tell the nurses, "Don't call me." He'll also be in such a hurry to get off the phone, that he will often fail to give orders after being notified of a critical lab or change in condition. He will say something such as, "Just continue to monitor..."

Just call him whenever you need to, no matter what he says. Make sure, before you let him hang up, that you get the orders you need. Have another nurse listen in and co-sign the note in the chart wherein you state that you notified him of___at_____time, etc. Let him know the other nurse is listening in. :angryfire:devil: