Quote from 2016New
new grad. started working about 8 months ago. slowly getting to know doctors.
two times ive had to contact a doctor. i work night shift. both times i called and it wasnt past 10 pm.
first time, missing order that the dr or arnp needed to put in. Second tine, change in patient condition and seeing if he wanted any orders done.
Both times, i went through my charge nurse before calling the doctor.
Whether or not i was a nurse was questioned, dr threatened to call my supervisor, and stated that i may be the one who needs to be on medication, not the patient.
HOW DO YOU DEAL WITH DOCTORS LIKE THIS? fyi, the doctor is known to react like this for basically anything. all the nurses on the floor know this... i understand every doctor is different, personalities.i was professional in speaking to him and never raised my voice or anything of that sort.
Your options are to report his behavior up to your manager / HR and hope that something will happen (which usually does not happen since they are still "untouchable" in a lot of places and could in turn make you a target ..)
Or you call, do your SBAR spiel and if the provider does not answer but insults you or questions you stay calm and say something like "sorry, this is inappropriate behavior and does not address the patient's needs at this time" and wait. If you manage to say that in an even professional matter of fact way most often the other person will turn it down some notches. Also works in person for inappropriate behavior but it is essential that you are secure, calm, and it comes across like you could not care less about that person's behavior while pointing out that it is inappropriate. If you do not get a meaningful response or the other one hangs up just call again with your SBAR and make sure you document in an object way like "called provider name at time for this or that - provider did this and that". This way - if your patient circles the drain and something happens - you have proof. And also document if you informed the charge nurse or other higher ups. If it is a community hospital you are most likely stuck with that person if they have allowed the provider to act like that. If you work in a teaching hospital and it is a resident you can bring it up to the attending.
Method number 2:
If you that this provider always insults nurses who call and it has happened to you call and say first thing "Hi Dr name this is nurse name - you are on loudspeaker in the nurse's station. Proceed with your SBAR - this way you have witnesses for the behavior and it may actually result in the provider toning it down a notch. Make sure that you are in a room where relatives or visitors can't hear the conversation because of confidentiality.
Fact is that hospitals and HR should address behavior like that, there are plenty of recommendations and research about it. But fact is also that this hardly ever happens or results in action. If they have accepted this stuff for a while, chances are you will take the shorter stick if you complain or keep on complaining.
Getting a thick skin and learn not to take stuff like that personally will serve you well as you will encounter many professionals (including nurses ...) who are not always behaving their best, in an inappropriate way, or otherwise unbalanced. Once in a while I have said stuff like "by the way - do you realize that your behavior is questionable at best?" in a calm tone and without any additional info and in rare instances with in person crazy encounters I did not say anything to the provider and just turned my back and walked away slowly without responding to craziness. That resulted in the provider starting to yell like a nutcase "don't turn around when I speak with you followed by questionable insults to which I said "please approach me when you have calmed down".
It is also important that if you do chose to say something to not talk about it afterwards with other nurses or anybody. Just go on with your day. That will help to get out of that spiral of getting upset over the provider, talking about it, getting more upset and so on and will give you the aura of resilience that you need nowadays as a nurse.