What would you have said to this??

[DebRN06]

This afternoon I called to inform a doc that pt whose urine has been amber now has gross hematuria. Doc asks if pt has foley, I say yes and he says "well, d/c it. Maybe it will stop." I start to reply with, "Ok, and if it doesn't stop...." Doc then takes over and says, "If it doesn't stop, I'll care...Hmmm...Maybe when hell freezes over."

I can't wait until I have more experience!!! :chair:

[lashes]

Write everything he said as an order.

[Julie_Bean]

Wow Glad I read this thread! I'm sure I'll have to deal with this sort of thing sooner or later. I'll be a little more prepared for now!

[DebRN06]

Oh honey, make sure that you tell him why, too. Because that patient could've been anyone--you or a family member.

Not forgetting the fact that as a nurse, you were entitled to respect from him.

quote]

I agree...have been thinking about how to do that. Thank you!!

[caliotter3]

The easiest most non-confrontational way to fire your doctor would be by letter. But you might want to request your copy of your medical records from the office prior to the letter.

[fivewestortho]

I would probably repeat the order and tellthe doctor that i am writing it as he had spoken. on our orders there is a box to check that you have repeated the order. It clears you and puts the ball #$%^%$$# back in his court. I would also consider an unusuall occurance to be written up. then he has to explain his order to the hospital review and ethics board. OH BOY

[gitterbug]

Agree with written as a verbal order and incident report as way to handle

the situation. CN informed and super depending on time. Every one has to learn to cope with doc's like this.

[Antikigirl, ASN, RN]

We have been having this big deal about 'blanket orders' and I would have said something like "hell freezes over" is a blanket parameter sir, can I have a specific parameter please so I can write the order?".

Next, off to the charge nurse I go to start the formal complaint process and advocate for my patient!

This would include trying to change MD's!!! I am quite sure my patient doesn't want an MD taking care of them that waits till hell freezes over to care!

It would also include a complaint to the ethics commitee that I have in my hospital (some do not have these)! That was very unethical conduct, and if I or another nurse had said that we would have been put into an electric chair before we could say "what?".

This doctor is being negligent, unethical, unprofessional, and actually very dangerous to patients! He showed his true colors, and should be straightened out right quick! (we all have bad days and say things we wished we didn't say...but it needs a double check when it comes to patient safety on this one!).

[RN BSN 2009]

:roll :chuckle

I usually say something like "How do you want me to write that order"

That doc is obviously burnt out, he needs to become a patholigist.

LOL

Some docs are just better suited to be Dr. G's

[Antikigirl, ASN, RN]

Get a little devil doll or something...freeze it into a block of ice...put it on his car with a note..."Hell froze over! Do you care yet????...Love, many a nurse and patient!

LOL!!!!!!!!!!!!!!!! No really you shouldn't...but let me tell you a story!

One day I was doing a very complex dressing change on a patient who had venus grafts taken out of both thighs. It was supose to be a short stay, but wound up being months because the wounds kept getting infected! I worked my darndest on her wounds and actually would come in on my days off to dress her because she only trusted me.

Found out why...well thanks to her! The MD's would peal up all that work I did..and just slap it back on! This was a STERILE dressing change for Gods sakes! The grafts failed and she had to have more taken from her breasts!

Well, one day I caught the MD about to put the dressings right back on and stopped him and said...I will do it, it is a sterile dressing change by your order! The patient about chewed him out...but I gave her the look like "hold on..let me!".

He walked me out of the room and chewed me out! Saying "you nurses think you are hot s***, a monkey can do your job if not better!".

OH REALLY NOW!

For weeks this guy had nurses act like monkeys around him, we filled his locker with banannas, he got many a monkey stuffed animal in various places...and a gift basket of monkey chow with a note saying it was his paycheck! He couldn't go anywhere without a monkey reference, let alone get much help from the nursing staff in the ENTIRE hospital!!! LOL! (he got really mad when we smeared his car in bananas! LOL!

He changed his attitude..well especially once other doctors got into it because it was so fun! He was paged Dr. Monkey...I mean Dr. _____. Now he is especially respectful of nurses..and we stopped the prank!

The trick was that it was so widely done that I could not be at blame! Yeah, he still blamed me and I said "I can't help what the patient may have said to people or staff, or the grapevine of staff...you were in the hall when you said it!...I don't have time to play games with you, I work for a living!".

LOL!!!!!!!!!!!!! I should have won an oscar for that performance!

Anywhooooooo....one of the greatest pranks in my lifetime! :)

[DebRN06]

Get a little devil doll or something...freeze it into a block of ice...put it on his car with a note..."Hell froze over! Do you care yet????...Love, many a nurse and patient!

:rotfl: Too Funny!! Thank you for the replies & good laugh.

[RNOTODAY, BSN, RN]

I probably would have chuckled with him, and then said, "No, really, what do you want to do?" Not defending him, but maybe he was joking. You know, sort of like professional to professional type of thing?

[hanging in there]

Thank you for this prayer. It was very inspiring and makes you feel like your hard work is worth it.