I'm sorry to hear of this lousy doctor. Most internists are NOT cut out to be Hospitalists, and certainly this guy is one of them. It's a hard job, long hours, and incredibly high stress.
All hospitals are required to have a mode of communicating problems. You need to file a complaint, but how you do it depends on a few things: If the Hospitalists are employed by the hospital, nurses have alot of input on how they perform and interact with staff. There should be a method of event reporting in your hospital, bypass your manager and call your Risk Management office, they will direct you. If the Hospitalists are employed as an LLC (a privately owned group of physicians), they are still on staff so follow the same complaint route. And finally, if they are employed by a Hospitalist company that provides physician staff to the hospital, again use the same complaint method but you might also feel compelled to write to the Hospitalist staffing company. In addition, set up an appointment with your Risk officer, he/she is required to listen to your concerns. If your complaints are legitimate and this doc is truly a danger to your patients, they will listen and help the documentation get to the right people. Believe me, written complaints/event reports are recognized by administration as a red flag. It just takes ongoing documentation to get a physician reprimanded and/or fired. No hospital wants a dangerous doctor due to increased liability, but admin needs proof...they rely upon nurses to let them know what's going on. Please continue to document what you see and report this physician.
On a personal note, I feel Hospitalists are the best thing that's ever happened to hospital medicine, and have been a godsend to nurses and improved patient care. In my hospital they run the code blues, are there in an instant when a patient crumps, and nurses don't spend 3 hours paging a clinic doc trying to get a simple order. They admit the homeless, indigent, uninsured, ETOH w/d, OD's etc., where most of the other docs in the community refuse because they won't get reimbursed. With that said, I know not all Hospitalist programs are alike, but the ones run well make a mediocre hospital into a 5-star facility.