doc with a bad attitude

bigredrn57 · Jun 18, 2008

On my last assignment I had a patient who was having a bad GI bleed. Her BP was dropping HR and respirations increasing. I called the doc to inform him of the pt's deteriorating condition. If I could get a CBC and order to transfuse if needed. He said, ''I ought to pinch your head off!" I said what? He said, "I ought to come down there and pinch your head off!" I replied, " You're welcome to try." He then said, "I know who you are!" I replied, "Good I'll be here! Any further orders?" He hung up. The patient hung on through the night. I did what I could. In the AM a DR came in and ordered and immediate transfusion of 4 units PRBC. I had informed the ADON and charge nurse of what transpired. They said, "He's like that, you're lucky, a couple of years ago he threw a chair at a nurse. I told them I would consider that assault with a deadly weapon and would act accordingly. Afterward I was hauled into the office and told I had called this **** unnecessarily throughout the night. I brought out my nurses notes in the chart. They had shown I had called *** at 2000 with a positive guiac and again at 0100 about deteriorating pt condition with VS. I never saw that *** in the AM again. I can't stand bullies. Apparently he had been doing this crap for years without consequence. If you give them an ich, they will take a mile. Needless to say, I did not renew that contract.

MassED, BSN, RN · Jun 18, 2008

just need to vent. i have a pt with a hr of 44, the day before it was 42. well i called the doc both days. the second day he ordered to obtain a dig level. level came back wnl. asked doc if he wanted to make a referal for a cardiologist. this doc is known for being a a hole. this is what he replied. first of all the dig level is good, second ill make the decissions about rerrerals, and third, stop calling me about this pt! well boy that made me smoking mad. how dare he talk to me like that! i did not tell he to make a referral, i only suggested, well this doc thinks he is god and knows it all. the more i thaught about it the more mad i got. nobody stands up to this doc,but i could not stand it anymore. i had to call him back and tell him something about the way he spoke to me. i told him i did not apreciate the way you talked to me and my only concern is the patient. i only care about the patients safety. he replied, yes i understand that, the pt has bouts of bradycardia every now and then, has been for years. i know the pt very. well. that was the end of the conversation. he never aknowledged the way he spoke to me preveously. he never apologized. so let me see, the pt has had bouts of bradycardia and the doc never did anything about it?! that is so unsafe. well the next day we made a extra snv. guess what. the pt decided to change docs:wink2: i was off that day, but i was informed of this, and i was so glad. now maybe the pt will get the proper care he deserves from a doc who cares. as for me im proud of myself for standing up to the a hole doc:yeah: and really glad the pt will be taking care of.

good for you! You have to stand up to these sometimes chauvenistic docs who feel nurses are beneath them. They under estimate our knowledge base and our impact on our patients. They forget who actually accomplishes the work in this healthcare world. And a good doc knows when to listen to a good nurse, especially when they "suggest" something - they are usually right!

MassED, BSN, RN · Jun 18, 2008

On my last assignment I had a patient who was having a bad GI bleed. Her BP was dropping HR and respirations increasing. I called the doc to inform him of the pt's deteriorating condition. If I could get a CBC and order to transfuse if needed. He said, ''I ought to pinch your head off!" I said what? He said, "I ought to come down there and pinch your head off!" I replied, " You're welcome to try." He then said, "I know who you are!" I replied, "Good I'll be here! Any further orders?" He hung up. The patient hung on through the night. I did what I could. In the AM a DR came in and ordered and immediate transfusion of 4 units PRBC. I had informed the ADON and charge nurse of what transpired. They said, "He's like that, you're lucky, a couple of years ago he threw a chair at a nurse. I told them I would consider that assault with a deadly weapon and would act accordingly. Afterward I was hauled into the office and told I had called this **** unnecessarily throughout the night. I brought out my nurses notes in the chart. They had shown I had called *** at 2000 with a positive guiac and again at 0100 about deteriorating pt condition with VS. I never saw that *** in the AM again. I can't stand bullies. Apparently he had been doing this crap for years without consequence. If you give them an ich, they will take a mile. Needless to say, I did not renew that contract.

I would have called the chief and reported that and asked for an order because you expected this person is GOING to need blood. That would've shaken that jerk - from the top down.

MassED, BSN, RN · Jun 18, 2008

On my last assignment I had a patient who was having a bad GI bleed. Her BP was dropping HR and respirations increasing. I called the doc to inform him of the pt's deteriorating condition. If I could get a CBC and order to transfuse if needed. He said, ''I ought to pinch your head off!" I said what? He said, "I ought to come down there and pinch your head off!" I replied, " You're welcome to try." He then said, "I know who you are!" I replied, "Good I'll be here! Any further orders?" He hung up. The patient hung on through the night. I did what I could. In the AM a DR came in and ordered and immediate transfusion of 4 units PRBC. I had informed the ADON and charge nurse of what transpired. They said, "He's like that, you're lucky, a couple of years ago he threw a chair at a nurse. I told them I would consider that assault with a deadly weapon and would act accordingly. Afterward I was hauled into the office and told I had called this **** unnecessarily throughout the night. I brought out my nurses notes in the chart. They had shown I had called *** at 2000 with a positive guiac and again at 0100 about deteriorating pt condition with VS. I never saw that *** in the AM again. I can't stand bullies. Apparently he had been doing this crap for years without consequence. If you give them an ich, they will take a mile. Needless to say, I did not renew that contract.

you were "hauled" into the office???!!!! For what, exactly? "Bothering" the doctor during his beauty sleep? I'd have said "damn right I called and if it was your mom bleeding out, wouldn't you want YOUR nurse to call the doc to get an appropriate order???!!!" Then throw a chair. =)