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Discussion

Do you have trust in your doctors?

I can honestly say the drs at my job I have no faith or trust in. Pulmonologist rounding ( 2 seconds)with no stethoscope, then magically have a full progress note. Or they do their assessments at the door. Or they put in their notes "spoke to RN" and I'm like when??

Gosh totally needed that. Vent over.

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    Yep. I love the doctors I work with. Personal friends with several.

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    It depends. Some residents are good while others are bad. When it comes to the general medicine attendings I would say I trust half. For cardiology and other specialties I trust the attendings for the most part.

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    I feel very fortunate, reading horror stories here I seem to have "lucked out" with the Docs I work with, they are a good bunch. I trust them, and they trust me, which works out rather well.

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    I mean I’ve seen idiots in every field and stellar people in every field.

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    I'm so jealous. Whenever I look at the list my patient is assigned to, my first response is "Dr _______ hardly calls back. Good luck girl call someone else." Or we have this nephrologist that seems to talk about his sex life in the majority of his conversations, minimum patient time.

    My old job the drs was amaaaaaaaaazing.

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    Usually the inappropriate conversations I hear are from CNAs and LPNs but I’m entertained every single time.

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    • Author
    3 hours ago, ArmyRntoMD said:

    Usually the inappropriate conversations I hear are from CNAs and LPNs but I’m entertained every single time.

    Alrighty.........

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    I have spent the last 2 years reporting the head of department to risk, clinical ethics, director of medical services etc. They finishes next week. It is possible to get bad people out ut it requires a lot if work and a ton of resilience.

    Every single doctor in that department had concerns about the heads behaviour but did SFA about it, yet most have spoken to me and thanked me for doing what I did. I hate the medical fraternity penguin huddling at times!

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    When I first started at Wrongway Regional Medical Center (WRMC) back in '03 the psych division utilized the patients' PCP for any areas of medical concern. They were difficult to reach and to get to intervene. Then, sometime later, WRMC hired a couple of medical Docs as hospitalists, and the situation improved somewhat.

    Some years ago, a chief MD was contracted to oversee a group of NPs for the entire hospital for routine medical assessments and to be on call 24/7. THAT improved things significantly! We now have immediate access to medical professionals that are, generally speaking, great with which to work. One of the NPs, Bob, who regularly works MN weekends, is extraordinary. Bob will work with us, take suggestions, and explain the rationale for his decisions. The others are very good, also.

    Just last night, I was working on the men's psych unit when a patient, with no prior complaints of discomfort, began to experience a little GI distress. I gave him some Mylanta, then some Vistaril, when the patient began experiencing some nausea. The patient then had an emesis, so I did a complete assessment on him checking VS, bowels sounds, rebound tenderness. He had had a splenectomy/cholecystectomy circa '02 but wasn't sure if an incidental appy was done at the time. I contacted Janie, the NP on call, and got an order for Zofran, an abdominal series, CBC, CMP, amylase, and lipase.

    VS were good, his abdomen was somewhat distended but the abdominal series was unremarkable. The enzymes were okay, but the WBC was a whopping 30.1! His WBC, three days prior, had been 10.7!

    Eventually, the patient was transferred to ER where plans were to transport him to a St. Louis facility with a diagnosis of "acute abdomen".

    To make a short answer long, I trust the NPs I work with who answer to the Doctor.

    And I apologize for the long post, but I really wanted to sing the praises of the NPs. As has been said, and I quote, "Once I start, I get too lazy to stop".

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    I don't know, but I have seen physicians do their work.

    15 hours ago, ArmyRntoMD said:

    Usually the inappropriate conversations I hear are from CNAs and LPNs but I’m entertained every single time.

    They aren't busy enough. I'm alone on my breaks these days due to inappropriateness of others. I'm saving them from their own troubles. ?

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    I feel exceedingly fortunate that the physicians I work with - both psychiatry and medical - are individuals I trust and who I feel trust me. It is a very team focused organization and we often bounce ideas off one another and help one another out, there isn't a medical vs nursing divide at all.

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    Lol, it depends entirely on the shift and who happens to be working.

    IMHO, all providers fall into one of four categories: nice and competent, nice but incompetent, competent but rude, and rude and incompetent.

    The providers who are both pleasant to work with and clinically skilled are the rock stars. Conversely, you know you're in for a bad shift when your provider doesn't know what they're doing but still manages to be rude and condescending about it.

    Fortunately, most of the groups of providers I've worked with have fallen into the former category (clinically competent, pleasant enough). However, pretty much every group has their duds (either rude, incompetent, or both).

    I suppose that providers could make the same argument about nurses...

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