An MD that states "I don't want so and so to take care of my patient anymore ......."!
It seems easier when it's a patient or family... if you wish you can take the assignment and try to repair the relationship....
But since WHEN does an MD delegate assignments?
Our MOST senior RN left a vented patient on 18 mg/hr of versed unrestrained (she required the dosing due to size).... patient suddenly woke up, responsive and self extubated and the MD was livid!!! no harm to the patient, reintubated without incident.
If you were in charge, or it was you... what would be your response?
THis nurse said she didn't care, yet she was the best person suited to care for this very sick patient, plus,,,, it would REALLY hurt my ego and feelings if it was me!
We have a "doogie howser" surgeon at our hospital, and sometimes he tries to blow smoke.... One day he was complaining about nursing..... He told the sup that he wanted the best nurse in the hospital to care for his patient. The house supervisor looked him in the eye and said "ALL of the nurses here are the BEST nurses in the hospital" It was a wonderful moment.
Did this doc forget that he has to order restraints, and that the order must resigned every 24 hours? Perhaps you are under different regulations, but I was under the impression that these are nationwide. Sure the nurse can suggest, but even under emergency conditions, the MD must still assess the need for restraints, and apparently he/she had not done that.
Too bad we couldn't refuse to take care of pts who have jerks for doctors....
Oh, sorry nurse manager...I don't want to take care of Dr. Butcher's pts because he is a lousy surgeon....wonder how that would fly with the medical staff....
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Originally posted by deespoohbear
Too bad we couldn't refuse to take care of pts who have jerks for doctors....
Oh, sorry nurse manager...I don't want to take care of Dr. Butcher's pts because he is a lousy surgeon....wonder how that would fly with the medical staff....
Like a fart in a wetsuit. But then they DO think it's Burger King or something huh? UGHHHHHHHHHHHH!
Thank you all for the great feedback. The nurse manager who was present just said to the senior nurse "don't worry about it..." The senior nurse clearly didn't....
How crazy some people are.... like someone else said I wanted to reply "Oh yeah, and you're a crappy surgeon and I HATE taking care of your train wrecks, get yourself a new nurse"..... but I hadn't been the earlier RN, and after a bit, it's easier to keep truckin' oon
We are getting as rash of botched Roux enY surgeries. Same surgeon. Can't seem to keep his damn scalpe away from the spleen. Can't seem to use steril technique and keep from infecting the wounds. Can't seem to......
I have all I can do to bite my tongue with his patients and not say what I think of him. He is also doing these surgeries inappropriately. But that is another story.
We are getting as rash of botched Roux enY surgeries. Same surgeon. Can't seem to keep his damn scalpe away from the spleen. Can't seem to use steril technique and keep from infecting the wounds. Can't seem to......
I have all I can do to bite my tongue with his patients and not say what I think of him. He is also doing these surgeries inappropriately. But that is another story.
May I ask what Roux enY surgery is? Never heard of that one before....
We have a surgeon that I dread taking care of his patients. The patients almost always have complications and end up staying twice as long. I work for a small facility so this surgeon's reputation for botching stuff up is pretty good. What I don't understand is why our primary care docs keep referring their patients to this surgeon.... I just dread when I see this surgeon's name for a consult on patients. I shutter to think of the end results.....
We have a surgeon that I dread taking care of his patients. The patients almost always have complications and end up staying twice as long. I work for a small facility so this surgeon's reputation for botching stuff up is pretty good. What I don't understand is why our primary care docs keep referring their patients to this surgeon.... I just dread when I see this surgeon's name for a consult on patients. I shutter to think of the end results.....
Not that it would ever happen, but once all these hospitals are computerized (they are getting there) then the data could be mined for information to use in building up stats. Then the stats on different hospitals and doctors could be viewed in order to pick the one with the best results. Talking about informed choice! What would be more likely to happen is that insurance companies would use the info and pay doctors accordingly.
I'm very new to this message board and relatively new to nursing (2 years), but have been in the medical field for 11 years. Not that I don't know about everything that's being stated here, but how sad the posts are in this thread I feel.
I guess I'm extremely lucky, comparatively that is. We have our share of cocky physicians in our cardiothoracic surgery ICU, but I have never felt disrespected by a doctor, heck, some of the nurses are worse than the docs (that's a whole different thread!).
Our surgeons definitely have their "favorite" nurses who they like to have manage their cases, but mostly because they've been working with them for years. Doesn't mean they reject any other nurse assigned to their patient. The physicians are some of our greatest teachers; there's nothing like troubleshooting a difficult swan insertion with the on-call resident at 2 o'clock in the morning (which was the case for me last night)! Mine's a teaching hospital and once you get to know the attending's preferences regarding patient care, the ever changing residents sleep deprived personalities, and have confidence in your own highly critical to patient outcome nursing importance, everything flows smoothly for the patient care team and the patient.
This may be very rare, but in my unit it truely is run through a collaroration of both physician and nursing input equally. Nursing management is not against us and neither are the docs.
May I ask what Roux enY surgery is? Never heard of that one before....
A Roux-en-y is a form of gastric bypass surgery done for weight loss. And when there are complications, it can be really bad stuff.
I recently made a move to the OR, where I have had more than my fair share of run-ins with some of the biggest flaming a%%es on the planet. I have been pigeonholed on the ortho service, and these little Hitlers have been running the roost for a long time--it seems that they bring in LOTS of revenue, so they get what ever they want and treat people how ever they want. There is one surgeon in particular whose pager was going off while he was scrubbed in, so he asked me to remove it from under his gown and answer it. I did, and he didn't like the messages I gave him and started screaming at me. I said, calmly, "Please....don't kill the messenger. I am simply relaying the information to you as you asked." Well.....that was the wrong thing to do....he went BALLISTIC! I thought he was going to throw something at me, he was so incredibly out of control, so I left the room and let another circulator (someone he knew) take over. I wrote it up and it went through the code of conduct committee as far as I know, but I'm sure there will be a next time.....AAAAARRRRRRGGGGGGGHHHHHHH
capgirl
113 Posts
We have a "doogie howser" surgeon at our hospital, and sometimes he tries to blow smoke.... One day he was complaining about nursing..... He told the sup that he wanted the best nurse in the hospital to care for his patient. The house supervisor looked him in the eye and said "ALL of the nurses here are the BEST nurses in the hospital" It was a wonderful moment.