I'm getting written up! (Very long) - page 2

I'm getting written for an incident in which was completely misunderstood. Yesterday, I had a 20 year-old patient that was being induced for labor. On admission, she was asked what her plans were... Read More

  1. by   rn4babies63
    I want to thank EVERYONE for their encouragement and support! From what I understand, it has to be written up simply because it was a complaint whether it be family or patient. The family did not complain to any of the staff, just the doctor. He's known to be a jerk. Everything else went beautifully during labor every vag exam matched his, he was happy with her progress, etc. I actually was blindsided by this because I actually liked the family and they gave me NO indication whatsoever that there were going to be any issues with the care I was giving. As a matter of fact, the S/O thanked me all day for various things I did and information I gave them.
  2. by   Batman24
    I've never heard that before and I don't buy it at all especially about a family complaint. There is no way everyone writes up every family and pateint complaint. They'd run out of paper. Just make sure you document well here.

    The patient doesn't have a problem with their treatment and that's the person that matters here. How the family feels is insignificant in this situation. I think they might be giving you a bunch of bunk. It sounds like the doctor wants the write up and they are using this as their excuse which is totally spineless. If he wants the write up make him do it. If they bend to him knowing he's wrong I'd be good and ticked. I also wouldn't sign it as you disagree with it. You might even want to think of looking for a job where your superiors will defend you in a situation where no defense should even be needed.
  3. by   VICEDRN
    You sound like an amazing nurse! very inspiring and a role model to the students. Try to keep your chin up and stay positive. You know the guy is a jerk so go with your gut!

    heartbeat:heartbeat
  4. by   labcat01
    Quote from rn4babies63
    I want to thank EVERYONE for their encouragement and support! From what I understand, it has to be written up simply because it was a complaint whether it be family or patient.
    In the write-up, I hope they remember to list the anesthesiologist who is responsible for obtaining consent and performing the procedure. I mean, isn't it ultimately up to the doc to make sure that the patient understands and consents? Isn't that the person with whom the OB has the REAL problem?
  5. by   Jolie
    The physician is bleeping with your excellent work record.

    Turnabout is fair play.

    Call the State Board of Medicine and let them know how he "educates" young, vulnerable women in need of prenatal and delivery care..
  6. by   rn4babies63
    Quote from labcat01
    In the write-up, I hope they remember to list the anesthesiologist who is responsible for obtaining consent and performing the procedure. I mean, isn't it ultimately up to the doc to make sure that the patient understands and consents? Isn't that the person with whom the OB has the REAL problem?
    This all occurred while the family was in the waiting room while the pt. was getting the epidural. I was with the patient so I had no idea. Our hospital policy is that ALL family must leave during the procedure. The patient was also unaware that her family was making a fuss until the charge nurses questioned her (it was shift change so there were 2 charges there). They told me she was very embarrassed that the family was doing this and she was totally happy with my care and the epidural and wasn't coerced in any way by me. I was stopped in the hallway by the charges on the way to get the family. I ended up leaving my shift not even getting to say goodbye to the patient like I usually do because the family was now in the room and I was advised not to! I think what upsets me the most is that my work record will be blemished for the first time just because of an egotistical, lying OB!
  7. by   leslie :-D
    Quote from rn4babies63
    Everyone, including the unit director agrees that I did nothing wrong especially since the patient herself said she asked for the epidural when the pain got too intense for the IV medication.
    i agree that doc nastypants should be the one who writes you up...
    no one else.
    if the ud and cn's support you, the unit dir should respond to the writeup, w/a ltr of support, emphasizing you were being pt advocate and how you appropriately followed p&p.
    then have ud and charge nurses sign.

    definitely stand your ground, and handle it like the class act you are.
    let us know what happens?

    leslie
  8. by   steelcityrn
    Who needs written up is the obgyn with his ignorant attitude on epidurals and the incertion of his opinions that are totally false and unsubstantiated.
  9. by   jm394
    Quote from arelle68
    I wish someone would explain men to me. (Or explain things to men.)
    Belittling men, classy. Yes, men are nurses too and read nursing websites.
    Welcome to the 21st century.

    Well, your comment is moot regardless. The SO had no legal say in whether or not a 20y/o female gets an epidural or not. If the order is written and the pt (over 18 or emancipated) requests the drug, it's their body and their call.

    To the OP: I'm confused, if the original doc was so anti-epidural, why did he have an order for it signed? How can you get written-up for something that follows hospital policy (which the rights and responsibilities of you, the doctor) to a tee??? You clearly didn't practice medicine without a license, abandon the pt, assault the pt, or anything else I can think of. I think that the doctor is the one who is courting a malpractice suit for intentionally deceiving his pts.

    What does your nurse mgr. say? Somebody there must see this objectively.
  10. by   rn4babies63
    Quote from jm394
    Belittling men, classy. Yes, men are nurses too and read nursing websites.
    Welcome to the 21st century.

    Well, your comment is moot regardless. The SO had no legal say in whether or not a 20y/o female gets an epidural or not. If the order is written and the pt (over 18 or emancipated) requests the drug, it's their body and their call.

    To the OP: I'm confused, if the original doc was so anti-epidural, why did he have an order for it signed? How can you get written-up for something that follows hospital policy (which http://images.allnurses.com/icons/bad.pnggoverns the rights and responsibilities of you, the doctor) to a tee??? You clearly didn't practice medicine without a license, abandon the pt, assault the pt, or anything else I can think of. I think that the doctor is the one who is courting a malpractice suit for intentionally deceiving his pts.

    What does your nurse mgr. say? Somebody there must see this objectively.
    He has a preprinted induction order sheet which says "May have epidural when 5CM, prn" He also gave me a verbal order earlier in the day stating the same thing. What he does to ALL his patients is try to scare them into NOT getting one. The standing order is for those who have already educated themselves on the subject, want an epidural anyway and thus it prevents us from us calling him to obtain it. This was a sweet little prime that thinks her doc walks on water. As a matter of fact, it is a unit joke that he must like to see women suffer because he doesn't want them to have epidurals and orders vag exams every 15-30 minutes despite their progression of labor.
    As for my unit director, I have to talk to her tomorrow. I spoke on the phone today with our clinical coordinator and she told me that the UD agreed there was no wrongdoing on my part but it still has to be written up as a complaint. She's the one that made rounds today and said the family told her they were satisfied with everything and didn't mention it.
  11. by   VICEDRN
    every 15-30 minutes? I am the mother of two and I would have HATED you for that! lol

    As for the epidural, his ideals are laudable as my own research and experience suggest that the pain is better then the alternatives. (Mine slowed down my labor, spaced my contractions, the whole slide, etc.) OTOH, and it is a big one, this is EVERY SINGLE person's individual choice. The patient had every right to ask for relief and to receive it.

    Seriously, try not to let it worry you too much.
  12. by   Batman24
    I really think the clinical coordinator is mistaken. They don't have to write you up here. No way...no how. Ask to see written policy of this.

    Is she saying it is because of a family complaint?! If yes, she's lying and doing this because she's appeasing the doctor. You have every reason to be livid and I wouldn't take it quietly or lying down. The family said they had no complaints and were satisfied and the patient has no issues. It should end at that. I'd ask them to advise the doctor to do the write up if he wants one so badly. And I'd be polite but firm about all of this. I also wouldn't sign it in a million years as it's inaccurate. You can flat out let them know that. You are paying the price for the patient going against her doctor's wishes and that's unfair. Let them know you feel you are being harassed because of that. They don't like hearing the word harassed.

    The woman consented to the epi not just to you but the anestheiologist as well. Are they stating the doctor be written up too because it was forced on her?! Of course not. She consented. I would ask if doctor is being written up because if they have to write you up they would have to do the same to him because he actually performed the procedure not you. I mean a complaint is a complaintm right?! This is absurd.

    I agree with Jolie about reporting him to the board. He deserves it. His practices are barbaric and he lies to patients. It needs to stop.

    And if there is a write up don't sign it. Write a letter and ask all those supporting you to do the same. And attach a copy of the epi consent form to it.
    Last edit by Batman24 on Apr 22, '09
  13. by   imenid37
    RN4babies...Do we work together??? This doctor has an evil twin and I work with him. What an *ss! As for the 37 year old impregnator, I don't see why admin. cares if he is satisfied, as long as the patient is satisfied. There goes the hotel mentality again. Gotta give that fake "customer service." The family is probably what I term "unpleasable." They are nasty people who love to cause a stink. I am very sorry to hear you are being treated this way. Ask your manager if she would prefer to be writing you up because the patient begged for an epidural and you listened to the family instead. The patient is in control of what she wants for pain NOT the family. I had a man get right in my face one night and yell because his girlfriend got an epidural while he was outside smoking (for over an hour). I told him I am responsible to do what the patient wants and he is not in a postion to order me around unles he would like to be the one giving birth. Only thing there was I was with a decent doctor who backed me up.

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