Dr. complaint

[Kavikziggy77]

Hello,

I was wondering what happens after a doctor makes a complaint against you? Could I lose my job/and/or license? Sooo worried right now. I am a single mom and I desperately need my job.

Thanks😕

[Kooky Korky, BSN, RN]

Lose vowels...

I'm loosing it

No. You are losing it. You are not making it looser (less tight). Bowels can be loose. I guess they could also be lost (colectomy).

[dec2007]

Hi,

thanks for the responses; I appreciate it. To shed light on the incident in question, here are the details.

I work in a long term care facility. I had a woman who has advanced Alzheimers that I sent to the ER for a query bowel obstruction. It is the ER doctor who filed a complaint; in fact he was FURIOUS that I sent her! My reasoning for sending her was:

- No one had witnessed her having a bowel movement in 11 days.

- Her abd was distended, and she was guarding it. She hit me when I tried to touch it.

- I couldn't hear bowel sounds in the LUQ.

- She has been given suppositories 2 days in a row with no result except a hard marble sized poop. When I came on my night shift the following night no one had yet to give her an enema. We normally give supps/enemas around 6:00 in the morning but she had woke up around 2am screaming. After almost 2 hrs of screaming I figured she was probably uncomfortable d/t constipation and decided to give her the enema at 4am thinking it would give relief. I did not get much of a result so I was concerned.

- I tried paging her doctor twice (before and after enema) but he never answered.

- For the last 3 days she had straining on the toilet complaining of pressure.

- She was screaming in pain and I had nothing left to give her. I just felt like I had no other option but to send her.

Please be honest. Was I wrong in sending her, as the doctor furiously suggested?

No, the doctor was being a Whiney idiot! Forget about him. Glad you were there for Granny!

[BeenThere2012, ASN, RN]

Hi,

thanks for the responses; I appreciate it. To shed light on the incident in question, here are the details.

I work in a long term care facility. I had a woman who has advanced Alzheimers that I sent to the ER for a query bowel obstruction. It is the ER doctor who filed a complaint; in fact he was FURIOUS that I sent her! My reasoning for sending her was:

- No one had witnessed her having a bowel movement in 11 days.

- Her abd was distended, and she was guarding it. She hit me when I tried to touch it.

- I couldn't hear bowel sounds in the LUQ.

- She has been given suppositories 2 days in a row with no result except a hard marble sized poop. When I came on my night shift the following night no one had yet to give her an enema. We normally give supps/enemas around 6:00 in the morning but she had woke up around 2am screaming. After almost 2 hrs of screaming I figured she was probably uncomfortable d/t constipation and decided to give her the enema at 4am thinking it would give relief. I did not get much of a result so I was concerned.

- I tried paging her doctor twice (before and after enema) but he never answered.

- For the last 3 days she had straining on the toilet complaining of pressure.

- She was screaming in pain and I had nothing left to give her. I just felt like I had no other option but to send her.

Please be honest. Was I wrong in sending her, as the doctor furiously suggested?

From what I can tell, you did the right thing. What if she ended up with a ruptured colon? Under the circumstances, she needed further workup to possibly determine the cause and get a more aggressive bowel evacuation plan such as go-lytely etc...