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.
al2phoenix
17 Posts
Yes, it is under his name, but you share a part of that liability. You can better protect yourself by becoming more prepared. If what he's doing is wrong, DO NOT EXECUTE IT. The best way to know what is right and wrong is to arm yourself with knowledge, that way, you can better judge the situations he's throwing at you. If everything blows off (which is at the expense of the patient, of course), your nurses notes will eventually save you, providing you did the right thing. Otherwise, you'll get tied with him and share his misfortunes. By the way, a book about Nursing Jurisprudence may better aid you. It can help you avoid legal issues in the future.