I got yelled at in front of my patient and two other physicians because my pt did not have sequentials on one of her legs. Now, I am over the getting yelled at part because as we all know we take a lot of crap in this profession. However, this is my real problem with all this. After he made a fool out of himself he said now you cant place the SCDs on pt without a venous doppler. By the way, he told me to go write myself up over this. Keep in mind, it was my first time I had this patient and I was only two hours in my shift when this all happened. The SCD had been taken off on the previous shift when pt received a bath and not put back on. From the get go that morning, I had critical labs and stat IVP etc etc. You guys know how it is. Her SCD was not foremost on my mind. So, its the weekend and doctor did not put the order for the doppler until I followed up. Order in and since it was the weekend I had to call vascular surgeon to get this ball rolling. They refused to come up on weekend to do this doppler. Resident made attending aware of this and I was told to leave SCD off. So, she went a day and half with no SCD on and I felt if she did not have new DVT before she would now. Heres the kicker, this pt had greenfield filter placed to prevent a DVT that developed prior. I asked another resident about this and was told filter takes care of both sides. So, isnt SCD contraindicated on this pt? In other pt with greenfield filters placed we leave SCDs. off.
I actually thought I had put it in the original post. I just stated that I thought I would save it for last. I am not sure how it would be considered not nice. It seems I have managed to upset a couple of people. It was not my intent. For the record, I said nothing back to the doctor but okay I understand and nodded my head. It seemed all I could do at the time. He was yelling at me in front of patient and two very uncomfortable looking interns. Maybe it was not the best way to handle it but the best I could do at the time. I appreciate the input I got including the information from lpnflorida. I will read the information and hopefully it address the applying of SCD on greenfield filter patients. I am over this whole situation. I truly am. I just wanted to vent and ask for input on SCDs specifically on greenfield filter patients nothing more. Again I apologize for making anyone upset. If I did then I managed to do on this computer what I dont do at work. I am the one who gets along with everyone. I really do appreciate all the support posts. Its nice to get that kind of feedback when you have really bad days like that particular day. Thats what I think is so nice about this site. You can get support and information and not judgment. I will be more careful with my posts in the future. The last thing anyones needs on here is to deal with each other the same way I see many so often do at work.
angel36
9 Posts
I actually thought I had put it in the original post. I just stated that I thought I would save it for last. I am not sure how it would be considered not nice. It seems I have managed to upset a couple of people. It was not my intent. For the record, I said nothing back to the doctor but okay I understand and nodded my head. It seemed all I could do at the time. He was yelling at me in front of patient and two very uncomfortable looking interns. Maybe it was not the best way to handle it but the best I could do at the time. I appreciate the input I got including the information from lpnflorida. I will read the information and hopefully it address the applying of SCD on greenfield filter patients. I am over this whole situation. I truly am. I just wanted to vent and ask for input on SCDs specifically on greenfield filter patients nothing more. Again I apologize for making anyone upset. If I did then I managed to do on this computer what I dont do at work. I am the one who gets along with everyone. I really do appreciate all the support posts. Its nice to get that kind of feedback when you have really bad days like that particular day. Thats what I think is so nice about this site. You can get support and information and not judgment. I will be more careful with my posts in the future. The last thing anyones needs on here is to deal with each other the same way I see many so often do at work.