I really need to talk about this! (long) - page 3

I am so upset about a situation that happened last week, I just can't get it out of my head. I had a pt that was admitted for pylo/PTL and while in the hospital developed pneumonia and eventually... Read More

  1. by   bmoore
    You were very right to insist on the doctor coming in. I hope you documented exactly what you told the doctor and what the doctor told you, as well as the times that you paged her and the times that you spoke with her. Even if we have patients that aren't the easiest to take care of, their safety is still our top priority.

  2. by   fourbirds4me
    You did the absolutely correct thing. I agree with the others who have posted... if the MD refuses to come in... it is not enough to document... It the situation warrants it is up to us to implement "chain of communication" to insure the pt is properly taken care of. No one wants a dead pt or a compromised infant... let alone sit on a stand to try to explain how they got that way! (even if it was the drs fault)
  3. by   Dayray
    yeah i thought the "is it carrot shaped?" question was pretty disresectful. They should be riminded that we take fetal monitoring tests annualy and have to recert every 2 years. Most docs havent had a fetal monitoring course sceince med school.
  4. by   cardiacRN2006
    Either you get yelled at for the way you called her in, or you get yelled at for not calling her in and it resulting it the pt condition deteriorating. I'll take the "I don't like the way you spoke to me" over the "why didn't you call me-if I had known how sick she really was....."
  5. by   daisybaby
    Quote from fergus51
    When I have trouble getting a doc to come to the bedside, I usually just say "OK, I'll just chart that you are aware of everything and aren't coming in to assess the patient yourself at this time. Thanks."
    Oooooooh, good one. I'm going to add that to my list of phrases to keep handy.
  6. by   TweetiePieRN
    Bottom line: You are an AWESOME NURSE!! :wink2: You saved your patient!! You did the absolute right thing!!! I hope that if I am ever in the hospital again, I have a nurse as persistant as yourself!!!
  7. by   laurakoko
    Report it to higher management, and chart, chart, chart. Everytime you called, and everything she said. CYA
  8. by   mesa0505
    Congratulations on a job well done!
  9. by   unikuelady
    I just love all the great replys to you. I actually had a OB MD at the nurses station...just steps away from the patients room, refuse to check the patient when told that the patient (3 hours post-op C/S) was tachy, BP 48/24 tachypnic, difficult to keep awake/talking with o2 sats in the mid 80's with o2 via nc going. I stood firm, looked this MD in the eye and said if you do not immediately go in to check the patient I am going to call a CODE BLUE and you can explain it to the ER Doc/code team why it was necessary! Needless to say, the patient ended up back in OR. A leaking blood vessel was discovered along with 2,000cc of blood in her abdomen.
    To my amazement this MD did acknowledge the next morning that the nurse was right.
    So stay with it, our patients and co-workers need nurses like you at the bedside.
  10. by   SmilingBluEyes
    Quote from traumaRUs
    You did the right thing. If you don't get satisfaction from your nurse manager, I would take it up the chain of command.

    exactly right. YOU DID THE RIGHT THINGS!