I don't know if I can handle another 3 months of this. Dangerous doc?

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Specializes in med-surg, psych, ER, school nurse-CRNP.

Hey guys, bear with me here, please.

I wrote a while back about a locums doc who I was not gelling with very well, and some of the incidents involved. Well, it just came down that he has re-upped his contract, and will be with us till June. This was not well-received, to say the least.

Since I last spoke about him, things have escalated, and to the point that the other docs and staff are noticing, too.

There have been instances where he will not fill out med rec sheets after procedures, and the floor staff will call me to fix things. He refuses to dictate, unles I dictate on the consults I see with him, the consults are NOT dictated. If he sees someone I know nothing about, then there we are, no dictation, I know nothing about the patient, etc.

The stress lab is such a hotbed, I rarely go anymore. He will literally move me out of the way if it looks like I might actually get to DO something down there. And he does them WRONG! He's been told and told, and just blows us off. Same with caths, takes 4 pics and calls it good. The cath lab director asked him if reckon he ought not to shoot one of the arteries again, and I thought they were going to come to blows. His cath dictation is 2 weeks behind, because he refuses to dictate as he goes. He'll save the cases up until he thinks it's worth his time, THEN dictate. It's caused no end to the headache in the billing dept.

Last week, we got a heads-up that a patient was expecting drugs that have no place in a stress test to be administered, he had had his wife call and request, saying that he had had them last time. No records of such, we refused, and I told Doc Locums about it. He never even looked up from his newspaper.

The patient showed up, and, not knowing who I was, and not knowing that I knew who THEY were, proceded to tell me that my nurse had said that they could have the drugs. HA.

One of my other docs was in lab, and told me to start the test. We did great, no drugs needed. About the time we got done, Doc Locums waltzed in and saw that we were done. I told him that Doc Nice was there and told me to start. He gave me a look that could've curdled milk.

I'll try to ask him about consults, because I'll have 4 done before he decides to show up, and all he'll say is, "I'll look at them". 5 hours later, he MIGHT get around to it.

Called before I left today to ask if I could do a note and dictate on a new one before I left, only to be told that "We'll just do a stress." and then have him hang up on me.

He went back home over the weekend, and was so late coming in Monday, I had to call Dr. Big Dog (our director) to supervise stresses with me (certain insurance won't pay for just NP supervision). We had waited for almost an hour, and had people threatening to leave, so I called OM and asked if Dr. Big Dog could come help me. Locums showed up about 20 minutes after that. I got another look over calling Dr. Big Dog as well.

Does anyone deal with a doc like this? What did y'all do? What else can I try? I mean, one has heard of offering the olive branch, I have offered the whole dang tree, roots and all. I don't know what else to do. I am so tired of greeting the so-and-so every morning without so much as a "Hi., How are you?, Kiss my foot" nothing, usually it's a good day if I get a snort.

I can handle the personal stuff, but the way he operates seems dangerous to me. I may be wrong.

Sorry so long, I'm just frustrated. Thanks for reading.

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Specializes in Acute post op ortho.

Agrhaaaa........I feel your pain. You came soooo close to getting him out of your hair......and bam.....!!

That stinks.

We had a similar situation in a clinic a few years ago. This man was explosive. There was no limit to his vile, hate filled, and completely insane behavior.

It eventually came down to enough employees getting a good full-on; face -to face,......... catching a glimpse of the mad man inside.

He came undone.

It was sad, and scary, and unbearable, not just to witness, but to have been one of his targets as well.

I feel sadness for the man.

But when he was finally gone, I didn't miss him.

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The fact that they are willing to extend this fool's contract is very telling. No matter how much you like the other docs, how much you like the director, etc., THIS SITUATION IS NOT WORTH IT! You know the old adage...crap runs downhill. Do you really think the docs are going to forego their licensures if a sentinel event or worse happens if it can be pinned on you? They are already looking the other way! I'd run, not walk, away from this place.

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If you don't feel you can deal with this until he is gone, get another job. I know you are already looking, aren't you? If you feel your license is in danger, resign now. Since he was allowed to reup, you won't get any sympathy from Dr. Big Dog. Don't stay there unless you have no choice and you have plenty of preventive meds for all the somatic stress he is causing you.

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Forgive me for diving in, but what I fail to understand is why you, the NP should be the one noticing all his "flack". You said you had to call the Director MD, in twice and he thought nothing of it, did not address the issue with this doctor?

Something does not seem right here. You are an NP, this is beyond you. You do NOT have any rank over him. If all these is happening, file a complaint and have the Director MD, address it as he should...if he hasn't already done so.

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Specializes in Cardiac Telemetry, ED.

This really sounds like an untenable situation. I have no advice, but I think whether you decide to stick it out or walk away, either would be reasonable and understandable.

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It seems to me I remember you had a terrible time of it when dealing with your prior situation. I would definitely try to stick it out until you can transition to a suitable new job. NP positions are just not a dime a dozen and I think I remember you didn't exactly get this one that easily. Tums, tums, and more tums. Maybe some valium. Or a martini or two when you get home, until June passes. Maybe the next doc will be a gem.

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It seems to me I remember you had a terrible time of it when dealing with your prior situation. I would definitely try to stick it out until you can transition to a suitable new job. NP positions are just not a dime a dozen and I think I remember you didn't exactly get this one that easily. Tums, tums, and more tums. Maybe some valium. Or a martini or two when you get home, until June passes. Maybe the next doc will be a gem.

Lol Caliotter:). Why resort to that?Don't fight fire with fire. Let her run and gym up instead. Summer is round the corner- so get your bikini self ready.Besides much stress is released that way.

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Specializes in CHN.

Walking away seems most logical, but that would also make you weak. The risky method is to stay strong... if you can survive it, you'll emerge a better nurse. Anyway, it's your call.

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Gonna get flamed here. It is not my humble opinion, but is my experience that boy docs cannot punch their way out of a paper bag management-wise.

1. Don't want to know about it (Angel, can I just watch a little ESPN here, please!!)

2. Don't know what to do about it anyway

3. Will find the easiest route around it, which means do nothing and hope it goes away

4. Will let things blow up in their face and still with that blank face say, "really? Oh, I didn't know"

5. When things blow up even if you get hurt, they will just move on to the next thing like it's just another day.

Remember, they think that their only job in life is to be an MD. Even if they have a practice of their own, they believe that there are little elves that do everything else. If you were for example, to push Big Dog far enough, I bet he'd even say that it wasn't his job to deal with Locums. :twocents:

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Specializes in med-surg, psych, ER, school nurse-CRNP.
Lol Caliotter:). Why resort to that?Don't fight fire with fire. Let her run and gym up instead. Summer is round the corner- so get your bikini self ready.Besides much stress is released that way.

Oh, yes, just loaded up on some new Under Armour for the walking I can do now that it's warm. Had to, my old workout gear was so worn, they'd have got me for indecent exposure. The girls at work are planning to pierce my belly, so I'll look cute for Florida (never had a belly ring before, but it's their idea, since I lost all my weight).

I agree, have never relied on pharma, I like pounding it out on a treadmill or the road.

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Specializes in med-surg, psych, ER, school nurse-CRNP.
Gonna get flamed here. It is not my humble opinion, but is my experience that boy docs cannot punch their way out of a paper bag management-wise.

1. Don't want to know about it (Angel, can I just watch a little ESPN here, please!!)

2. Don't know what to do about it anyway

3. Will find the easiest route around it, which means do nothing and hope it goes away

4. Will let things blow up in their face and still with that blank face say, "really? Oh, I didn't know"

5. When things blow up even if you get hurt, they will just move on to the next thing like it's just another day.

Remember, they think that their only job in life is to be an MD. Even if they have a practice of their own, they believe that there are little elves that do everything else. If you were for example, to push Big Dog far enough, I bet he'd even say that it wasn't his job to deal with Locums. :twocents:

I have no doubt, but my Mama and Daddy didn't raise a weakling. I may be little, but, dang it, I'm as stubborn as they come. Everyone, and I do mean EVERYONE knows how he is, and I sign nothing for him that I am not comfy with. Of course, he has to sign behind me eventually, but just like the order that he told me to write to d/c tele on a 18 year old with a heart rate in the 30's, it goes under his name, not mine.

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