Published Dec 13, 2014
siobanyan
4 Posts
Cliff's Notes Version: If you break up with the nurse at your Dr.'s office are they allowed to stop scheduling you?!
Obviously, probably not. But what do you do, exactly?
Long Version: I would like to gather opinions on what rights a person might have if a nurse working at a particular practice acts as the gatekeeper for all ongoing patient appointments, and after a mutually agreed upon & mutually (but acrimoniously) terminated personal relationship, the nurse refuses to schedule you. Is this against the rules?
I don't even mean is what's going on here against "the law" -- just the rules. I don't want to sue anybody. I just want to know what I could do here. I would like to tell the doctor, but appointments at both offices are vetted through the same person. In this state, only my doctor can terminate care, but this can be done by mail and I think it will be if I 'miss' a certain # of appointments.
Esme12, ASN, BSN, RN
20,908 Posts
First...you probably should have not engages in that relationship at all.
Second...they should still schedule you.
Third if they are not...call the MD or thier boss.
Four..I am not sue there is anything for you to sue over.
I"m sorry you are going through this but it might not even be that they are doing anything purposeful.
Altra, BSN, RN
6,255 Posts
I'm hoping that your personal relationship preceded the professional one.
But putting that aside, and without going into detail about the level of animosity involved in the breakup ... maybe you could be proactive and say on the phone, as a patient, "I understand that this is very awkward for both of us. I need to continue care with Dr. X at (time interval) for treatment of (your condition). Is there someone else who could take this call for you?" Hopefully that will establish new professional/personal boundaries for both of you.
If it does not, you are going to have to call the practice manager/administrator directly, or seek out some other solution, including considering transferring your care to another provider. Keep conversations civil, and from the perspective of your patient relationship with your physician.
A very messy situation.
psu_213, BSN, RN
3,878 Posts
To address something that already came up--I don't really think the relationship was inappropriate on the OP's part. The nurse was the one who had the duty to not engage in a relationship with a patient from the practice for which she works.
My 2 cents…if it is possible, try and find another physician/practice. This is the easiest solution; however, it may not be possible or practical for any number of reasons. If you have a good working relationship with this physician, and he/she knows your hx. and treats you well, it is unfair for you to have to find another doctor because this nurse is being a stinker. If you choose to stay with that physician, I agree with Altra--go to the nurse first and see if there is some other solution so the two of you don't have to have any more interactions. If the nurse refuses this and continues her unprofessional behavior (i.e., not scheduling you), speak directly to the the physician or office manager. If neither of those people help you and the situation remains unresolved, then, no matter how great you find the physician's care, I really don't think you want to be a patient of that practice. Again, just my opinion which you can take with a grain of salt.
JBudd, MSN
3,836 Posts
Since it seems you have no other numbers to call, (no numbers other than the appt. line?), it sounds like you will have to go to the office in person. Since there are 2 offices, go to the one she is not at, and discuss it with the office manager there.
Thank you to all who responded. This was an ex-coworker who only scheduled me upon having planned to move out-of-state due to ethical concerns. The move didn't work out, and a what was initially billed as a 3-or-fewer month stay on my couch (just a friend) led to a stay in my bed. This person has access to my chart notes online (I know because I've been shown) and, as I say, acts as a gatekeeper to all appointments. Were I to contact the Dr.'s second office, for example, on one of this person's day's off, he would nevertheless be able to cancel, view and / or modify new appointments even from his home. I've thought of leaving a note on the Dr.'s windshield or something, but I'm sure psychiatric providers deal with all sorts of stalkers & psychos, and that's no doubt how I'd come off. I really think I'm just going to try and find another provider, even if it's just a GP at first to continue on with my meds, and never, ever, ever, ever sleep with anyone who works in a provider's office again.
Glycerine82, LPN
1 Article; 2,188 Posts
If you bring it to someones attention that you had a relationship with said person, they should no longer be allowed to have any access to your record or be able to schedule/un-schedule you. Especially if you do call on their day off and let someone know that you're concerned any appointments you make could be altered later. Access to charts is traceable and a huge no-no for any reasons other than patient care.
LadyFree28, BSN, LPN, RN
8,429 Posts
Try to speak to the office manger about the issue and the p-doc about the situation; if you are seeing the p-doc for a continual basis, try to continue seeing this doc; try to walk in and personally address the issue, possibly see if the doc can personally schedule you appointment and keep the appointment separate from the regular schedule if possible.
If impossible, try to transition to seeing someone else during this ordeal, to ensure continuity of care.
Best wishes.
bagladyrn, RN
2,286 Posts
Send the physician a letter outlining your concerns by certified mail requiring the signature of the addressee. That way you are sure that it is received by the provider.
This behavior from the office staff is totally unacceptable and the provider should be made aware.
marvelmom
82 Posts
I had the accessing my chart problem once. The mother in law, who can not stand me, became my doctor's nurse. She wasn't the scheduler but did have access to my medical record and would lie to my doctor about things that were not true (the worst being alleged drug use by me when I asked for some help relieving pain from a slipped disc) and I didn't find out about this until another nurse asked me if I had an addiction problem when she read it in my chart. She knew the nurse that entered it was my mother in law and that we did not get along. The office personnel were able to lock her out of my chart, my hubs chart, and our kids' chart. We then switched providers in the same office (small town) so she was no longer our nurse. Haven't had issues since.
CopperEmerald
55 Posts
I had the accessing my chart problem once. The mother in law, who can not stand me, became my doctor's nurse. She wasn't the scheduler but did have access to my medical record and would lie to my doctor about things that were not true
Would this not be a HIPAA issue, as well? If the nurse doesn't have a reason to access your medical record (treating you directly) then they shouldn't be in it, period. I would look into that and approach it from that direction.
TriciaJ, RN
4,328 Posts
This is a bit off-topic, but out of curiosity: Are these "nurses" even nurses? There have been other threads about medical office personnel being referred to as "nurses" when they aren't. Did someone hire an actual nurse to do scheduling? Not that it makes their behaviour any less egregious, but this may be another case of nurses getting a bum rap.