what do nurses hate about doctors?

I did'nt undertake a 3 year degree to become "your nurse" Nursing is a profession, I am not your nurse.

Even if you are employed by a doctor, via his/her office in private practice, there are a lot of doctors that will not pay a nurse properly, sometimes its better to be employed by a medical facility.

Hi there!Without nurses,the doctors will have to go on duty and carry out their own orders and monitor their own patients.It would be best for doctors to be kind and appreciative of all the hardwork nurses put into their jobs.It would'nt hurt to say thank you each and everytime.

Here's an example from clinicals a couple weeks back.

We had a patient awaiting transfer. Physician had written and signed orders but not signed the transfer sheet. Patient cannot go without it. Period.

Nurse runs into the physician on another floor and says, "Hey, we need you to go up and sign the transfer form." His response? "No, I signed everything." Her reply, "No, I was just looking at it. You didn't sign that form." His reply, "Yes I did. I signed everything."

Summary: If a nurse tells you that you didn't sign something, believe him/her. You just look silly when you argue a point on which you're obviously and demonstrably wrong.

Here's another one:

A physician who, because of his/her personal religious faith, is reluctant to recommend palliative care in favor of "curative" care for a patient who's horribly uncomfortable and very obviously coming to the end.

Please make decisions based SOLELY on the best interests of your patient and not with regard to your religious beliefs... even if it is a Catholic hospital.

My current pet peeve is practitioner orders specifically physician verbal orders. First if you are present write and authenticate your own order. If you are not present then make it a point to review the verbal order for accuracy and actual implementation. Then sign your orders. This is a patient safety issue. There is also the issue that the nurse took the verbal order in good faith. It is the physician's responsibility to follow through with the authentication to make the order a legal one.

Things I dislike...

1. Poor to illegible handwriting and then a tempertantrum when you ask for clarification.

2. Holier than thou attitude. (We are all human...get with the program)

3. Pt trying to or wanting to ask questions only to be brushed off or doc has one foot and both ears out the door. (Stop and listen to what your pt is saying or asking)

Those are some of my biggies. I agree with much of what other posters wrote.

Docs need to remember that all nurses have friends and family and are sometimes patients themselves. I worked night shift for many years, so have developed the following rules:

• Never refer a family member to a doc who yells at the nurses for waking them in the middle of the night with an emergency. It can delay care while the nurses do everything they can to avoid calling the doc.
  
• Never refer a family member to a doc who is known to be abusive to the nurses.
  
• Never refer a family member to a doc who does not listen to the nurses.
  
• Never refer a family member to a doc whose handwriting is extremely illegible.
  
• Never refer a family member to a doc who does not consult the appropriate specialists on a regular basis. (We have a couple of "cowboys" who play Nephrologist, Cardiologist, Infectious Disease docs, which means they have a hard time admitting when they are in too deep.)
  
• Never refer a family member to a doc who doesn't know when to quit.
  
• Never refer a family member to a doc whose partner fails any of the above tests and, to add insult to injury, fails to read the consulting docs' notes. (This one's courtesy of the smartoff partner of our former PCP, who told my DH that he'd "already lost 3/4 of his heart function" -- a statement that was completely untrue and he would've known it had he read the cardiologist's cath report -- a copy of which was given me by the cardiologist, so how hard could it have been for him to read the note?)

:yeah:

That would only leave 2-3 docs for patients in our town.

Here is another.....

Never refer a family member to a doctor who yells at a nurse and calls her stupid for an order, done by the primary physician on the case, that he disagrees with. Talk about passive-aggresive. This Dr expected me to call the primary and get the order changed. Hello! I told him to change the order himself if he didn't like it.

Do you guys have a government organisation that investigates and handles health care complaints? In some of the posts it seems there are cases for failure of duty of care. Do your managers advocate and mediate for you when you have a grievance against a doctor? You as nurses can change this so last century culture.

As you will probably have heard in the news, Dr Patel, former head of surgery at a large public hospital in Oz has been extradited back to Australia from the US (thanks) to stand trial on numerous charges of manslaughter and others related to a failure of duty of care.

This all came from a nurse manager who stood up for her patients, her colleagues and stared in the face of a hostile medical fraternity and complacent government.

you have hit the nail on the head. the issue is nursing leadership. there is a huge difference between a leader and a manager. in the army nurse corp this behavior is not tolerated.

we have conditions of participation for hospitals in our federal regulations and now our joint commission has a standard related to disruptive behavior. the office of the inspector general and centers for medicare and medicaid are looking at this disruptive behavior as a quality of care issue. so there is shift towards lack of tolerance. i expect to changes in the not to distant future.

i have also noted that the abusive behavior is not uniformly applied. the stronger female and male nurses do not experience this. what we are actually dealing with are bullies. they have a tendency to be cowardly when they run into resistance. our colleague from down under has the approach. the nurse manager needs to put on the leader hat and standup for their staff. remember the old army slogan no gut no glory. it applies everywhere.

What they said---and, not speaking, like "hello".....we have an MD who will not speak to the nurses unless he is telling them something. This guy is known as "Mr. Personality"

ALSO some of the older docs still have the ego and superiority thing going on.:bowingpur

I have always appreciated MD's who counsel with the nurses as peers rather than subordinates. Nurses get them out of alot of difficulties. I also appreciated MD's who truly have a good bedside manner with their patients and listen to what they are saying, what the nurses are seeing, and what the diagnostics are saying. Remember it is the art of medicine. God has a lot to do with the outcome, no matter how good a doctor or nurse you are. I respect doctors and I know how much education and sacrifice it takes to become an independent practioner, but doctors have a medical way of thinking and nurses have a more holistic approach. If those two disciplines can be balanced patient care can be enhanced. Many times an experienced nurse will pick up on fine nuances that only being at the bedside can produce.

The thing I dislike the most is demeaning behavior, and I always will remember a doctor who treated me or my peers in a rude disrepectful way. I won't let that go unnoticed and will confront a doctor or anyone who feels that they are justified in treating me in that way--especially in front of others. At that point, I will make sure they are exposed and demand an apology.

Nurses do need to learn the art of SBAR, which you speak concisely and leave the emotion out of the equation. Doctors like factual information that is delivered in an organized and understandible sequencing. That leads to respect and acknowledgement that the nurse has the ability to put together cause and effect outcomes, and knowledge based on scientific research. Intuition plays a part when nothing else will. The tenacity in which a nurse presents their case makes the doctor more aware that something is not right, and there may be hidden issues with the patient that have been undetected. A prudent doctor will take note and start assessing and diagnosing possible issues with the patient.

Thanking those that help you along your path is always a good thing. You did not get to where you are completely on your own. But I think that sometimes forget where they came from.

Nurses need to check bad behavior, and need to make sure that respect is expected whether right or wrong. "I appreciate your concern, but..." or "I appreciate this information, start...call me back when this is completed for a status report." or "I am on my way in...have this prepared for me, thank you"

I have always asked why I didn't become a doctor. For me, nursing is the ultimate, I would not want to become a doctor--care for the whole person, not just a disease process is what I am about.

I have always appreciated MD's who counsel with the nurses as peers rather than subordinates. Nurses get them out of alot of difficulties. I also appreciated MD's who truly have a good bedside manner with their patients and listen to what they are saying, what the nurses are seeing, and what the diagnostics are saying. Remember it is the art of medicine. God has a lot to do with the outcome, no matter how good a doctor or nurse you are. I respect doctors and I know how much education and sacrifice it takes to become an independent practioner, but doctors have a medical way of thinking and nurses have a more holistic approach. If those two disciplines can be balanced patient care can be enhanced. Many times an experienced nurse will pick up on fine nuances that only being at the bedside can produce.

The thing I dislike the most is demeaning behavior, and I always will remember a doctor who treated me or my peers in a rude disrepectful way. I won't let that go unnoticed and will confront a doctor or anyone who feels that they are justified in treating me in that way--especially in front of others. At that point, I will make sure they are exposed and demand an apology.

Nurses do need to learn the art of SBAR, which you speak concisely and leave the emotion out of the equation. Doctors like factual information that is delivered in an organized and understandible sequencing. That leads to respect and acknowledgement that the nurse has the ability to put together cause and effect outcomes, and knowledge based on scientific research. Intuition plays a part when nothing else will. The tenacity in which a nurse presents their case makes the doctor more aware that something is not right, and there may be hidden issues with the patient that have been undetected. A prudent doctor will take note and start assessing and diagnosing possible issues with the patient.

Thanking those that help you along your path is always a good thing. You did not get to where you are completely on your own. But I think that sometimes forget where they came from.

Nurses need to check bad behavior, and need to make sure that respect is expected whether right or wrong. "I appreciate your concern, but..." or "I appreciate this information, start...call me back when this is completed for a status report." or "I am on my way in...have this prepared for me, thank you"

I have always asked why I didn't become a doctor. For me, nursing is the ultimate, I would not want to become a doctor--care for the whole person, not just a disease process is what I am about.

Ya gotta luv it that nurses are expected to communicate information in a way that accommodates doctor's limited adaptability to interpret the English language. So as we are being trained to do Doctor Speak are doctors being trained in the art of Nurse Speak. If they don't understand 'I need you to review a patient, I am very worried' then perhaps they shouldn't be practicing medicine.