Its pointless to call the doc. Do you have faith in the docs where you work?

[chenoaspirit]

We truely have a FEW good docs, but about 98% suck.

My day in a nutshell....

One patient with dx "aspiration" is lethargic, will not wake up and has 0 urine output. I called twice, doc came twice, nothing ordered. IVF's KVO. I was hoping he would order some fluids...NOPE. I requested ABG, none ordered.

Next patient is on dialysis and is edematous and weeping, K+ 6.8 with EKG changes. The doc FINALLY sent her for stat dialysis, she came back puking blood. Doc did nothing. Just moniter. This is the same patient who I posted about dobhoff placement... https://allnurses.com/forums/f8/placement-care-dobhoff-315218.html

Next patient with bp of 198/124. Called doc multiple times. NO orders.

I just dont understand.

Docs will tell a patient he will order a med, then doesnt. Family asks ME why, and I cant answer that. One doc will say one thing, another will say the opposite, then I am the one in question. How am I supposed to advocate for these people. And HOW AM I SUPPOSED TO DO MY JOB LIKE THIS?!

I have no faith in the docs where I work and I feel like my job is pointless. I ran around all day today, trying to get things done, behind on my paperwork, stayed late and left there feeling hopeless.

I hate nursing and I wish I had never became a nurse. I hate it. Its ultimately up to the doc, but when you have none worth having, your job is a hard one. I truely hate being a nurse. I hate it. Thanks for reading, I just had to vent. Right now I feel lost.

[lpnstudentin2010, LPN]

if the mods want this can be deleted. It made no sense and I have no clue what I meant.

[AZLPN2007]

Pretty much all the docs where I work are really good about listening to the nurses. We have sometimes had to call them several times for a pt., but I have yet to be yelled at for a late night call or any kind of call for that matter. We keep saying we are overdue for a mean doc, but so far so good! kind of restores your faith that there are still good docs out there

[pezzy68]

If you are getting nowhere with the docs and the pt is truly in need, esp a crisis, then you have to go over his head.Always notify the Nursing Supervisor.Once , i called a doc a couple times, he basically blew it off, i called the Nsg Sup, she called the DR , told him if he didn't come in to see the pt, she was going to have to call the Medical Director of our hospital.It is the nurses responsibilities to do what is neccessary for the pt's well being.

[suanna]

That is 70% of the reason I left my last job in nursing. I felt like I was betraying my patients every day I worked. As a patient advocate I kept wanting to say "are you nuts going to doc so-and-so, you need to see doc ***" Not very PC, so I left and didn't look back. Some things you just can't fix as a nurse.