What doctors do that bugs you...

Specialties Ob/Gyn

Published

1. in our nursery, the charge nurse assists the pedi while rounding. there's this one pedi who will ask questions about a baby (was mom's gbs neg., etc.) as she is looking through his/her chart.

'uh....well....um... you've got the chart.'

i actually said this to her once. she said, in a somewhat irritated voice 'that's ok, i can look it up', i replied 'i don't mind looking it up, but you've got the chart.' :banghead:

2. obs who manhandle women's bottoms and then get mad at them when they aren't effective at pushing their babies out. you know, it's not just about pushing well, it's about being able to relax the muscles in your bottom at the same time. the woman relaxes in between, then as soon as another contraction comes, he begins poking, prodding and pulling - you can watch her tense and pull away from him, all the while trying her best to push, poor woman. i just want to shove him out of the way and apply a warm compress instead - way more effective. how about working with her body instead of against her.

is it just me, or does it seem like everything is going great, and then (some) obs gets there and mess it all up?

3. ob's who induce/section for no medical reason. :angryfire

4. obs who complain about the apgar scores. :nono:

(this especially bugs me when they fuss out loud to everyone in the room. just give the family a heads-up to sue why don't ya! :banghead: )

you want to give 'em, doc? then you sign your name to them!

5. doctors who are so macho that they will do the opposite of what a nurse suggests just because they can - regardless of what is best for the patient.

some of us get wise to this and use reverse psychology to get what we want. :rotfl:

Specializes in ICU;med/surg;research;office.

is it just me, or does it seem like everything is going great, and then (some) obs gets there and mess it all up?

would just like to say kudos!! i am not a l&d nurse(yet), but have had 4 children and i was induced with all of them. just fyi- i did not particulary want to be induced this last time because i thought that w/out the pit labor might be tolerable...well there was not time for an epidural the little guy came so fast that my nurse delivered, and let me tell you all- it was the best delivery of all 4! there was no-push, don't push..she was my advocate and let my body do the work..thanks to all of you l&d nurses so dedicated. my nurse has now made me do what i originally wanted to do all along and pursue l&d myself.

My favorite: the doc who has just promised a patient a sleeping pill or other comfort med and has forgotten about it between the room and the charting station. When the patient screams at us for not reading his mind and writing an order ourselves, we call him to verify the order. Then HE screams at us because he really doesn't want to be bothered unless the patient is coding.

My second favorite is the doc who loads up on sleeping pills on his on call night. How do we know? The phone rings about twenty times and when he does answer, he gives lunatic orders that have absolutely nothing to do with what we have described to him and starts to snore on the phone.

Great post, y'all!!

I just wanted to throw in a little noted concerning "non-medical" inductions. At my 40 week appointment, my dr. said, ok, so when do you want to come in? I'm like, um, what? She gave me 2 dates that I could come in for an induction. At the time, i was so excited cuz I was ready to see my baby, but when I got home and actually thought about it, I started getting scared and wondering why she wanted to do the induction. After calling the office, and the hospital for like 2 days, she finally called me back. Basically she told me was that she didn't like mommas going over 40 weeks, and just kept pushing that I come in. Ok y'all, I'm a freakin nurse, and I even wanted to do the natural child birth thing, but in my crazy hormonal state, I ended up saying yes to getting induced!!!!

So, i got the cervidil, then the next morning they start pumping the pit, broke my water...after about 12 hours I finally gave in to an epidural...and about 10 hours after that my little guy finally came out.

Now, normally I would look back and say i really wish I would have had someone telling me to just trust my body and not be pressured by the doctor wanting a scheduled induction (haha for her though, cuz she still had to be woken up for a 2am delivery that she thought would be done in the afternoon!!!). But, I ended up back in the hospital 4 days post delivery vomiting uncontrolably and having severe pain that I had during my 3rd trimester...that's when they realized I had gall stones...got shipped to another hospital, waited for my pancreas to settle down, then went to sx. SOOOO it ended up being better that I had him when I did! Oh my goodness I am so sorry this post turned out so long and rambling!

So while I still think non-medical inductions shouldn't be done, cut the momma a little slack...hormones make you do crazy things! I'm definitely looking for a midwife next time around :)

Specializes in Community, OB, Nursery.

Not something that bugs me as much as I found humorous...

We had a lady who had had GDM but hadn't had any PP blood sugars. So I caught the residents on rounds & asked her if she wanted one, and of course she wanted an AM stick. (I work nights, btw) I asked if she wanted it fasting or not...she asked, "Well, it's morning. She's been fasting all night, hasn't she?" Mmmmm, no. She just got back to eating real food after her C/s. People just assume that these mamas sleep all night. Wrong!

Great post, y'all!!

I just wanted to throw in a little noted concerning "non-medical" inductions. ..., and I even wanted to do the natural child birth thing, but in my crazy hormonal state, I ended up saying yes to getting induced!!!!

So, i got the cervidil, then the next morning they start pumping the pit, broke my water...after about 12 hours I finally gave in to an epidural...and about 10 hours after that my little guy finally came out.

So while I still think non-medical inductions shouldn't be done, cut the momma a little slack...hormones make you do crazy things! I'm definitely looking for a midwife next time around :)

No, I don't hold mothers responsible for scheduled, social births nearly as much as their doctors, who should know better. it's natural for mommies who are uncomfortable and ready to meet their baby to want to deliver too soon. (as a mom of a 9# daughter and 6# & 7# twin boys, I know the meaning of uncomfortably pregnant!) They need someone to remind them of the dangers and encourage them to keep going. It's the doctors who should be held accountable.

Specializes in ENT, Urology, OR, OB/GYN, Med/Surg.

Doctors who expect THEIR lab reports to be on the charts when they make rounds even though lab techs have 150 labs to do all over the hospital and haven't even returned to the lab at the point that he is demanding.

Doctors who go in little geriatric patient rooms and babble professional lingo to them, walk out and charge for the visit when the poor patients doesn't even know what he said because of his elite terminology!

Doctors who keep my pen.

Doctors who never can call me by name even though I worked there longer than he has been a dr. It is wonderful to hear one of them address me with my birthname!

Doctors who forget to flag charts with new orders and put them back in the chart rack, then blow a fuse when an order is not found till later.

Doctors who defame a nurse in the presence of her coworkers.

Doctors who expect us to lie to a patient. We had a drug-dependent patient (who was also a nurse) who wanted Demerol. He ordered Compazine and told us to tell the patient that it was "Opazine"- an unheard of drug. The HN asked him if he would be in the court room when the patient sued the nurses and he just smiled. He was a psychiatrist. Maybe that's why he just grinned.

Specializes in many.

Doctors who keep my pen.

I have found the cure for this one...all my pens have caps (no clickie kinds).

When someone borrows a pen, they don't get the cap and I keep the cap in my hand until they return the pen.

As for the induction deal...we have two units, one is mother-baby which does not take any pt's with anything out of the "normal" range. We had a pt this week who arrived with a dx of IUGR and orders for induction. Boy was she mad when she was told no mother-baby unit for her. In comes the md with a new dx of "post dates", mom is 40 and 2.

So was the IUGR just a sham?

By the time the MD got her orders changed, the m-b beds were all full and the pt was mad at us.

As for the induction deal...we have two units, one is mother-baby which does not take any pt's with anything out of the "normal" range. We had a pt this week who arrived with a dx of IUGR and orders for induction. Boy was she mad when she was told no mother-baby unit for her. In comes the md with a new dx of "post dates", mom is 40 and 2.

So was the IUGR just a sham?

By the time the MD got her orders changed, the m-b beds were all full and the pt was mad at us.

Could you elaborate on the two units thing? I'm curious.

Specializes in ob, med surg.

1) Had both my kids with midwives while living in the UK. Never saw an OB doctor my whole hospital stay. I LOVED my midwives!

2) In the catagory of things docs do that make you crazy....We had a meeting recently and the floor manager told us nurses that the docs were getting mad because they were being asked to sign off on orders they did not give, and could we please make sure that the orders were entered under the proper doc's name??? And I said "Sure, if you can get them to sign their names legibly, 90% of the problem will evaporate". To which the manager said "Well, you can look them up by their "number"". "Well", I said, "not if they don't write the number down next to their undecipherable signature!" YIKES!!

This isn't really an OB thing, but it DOES drive me nuts.

When I have a patient on the medical unit who is a mouth-breather and is "comfort cares only", one or two doctors write irritating orders, like an order for "good mouth care" or "mouth care QID". It drives me crazy because that is NURSING CARE!!! Do they think we don't know when our patients need mouth care??

I was very tempted to write a note to the doc who ordered mouthcare QID and let him know that we're actually doing mouth care q1hr, but thanks for the suggestion. He may as well have written an order for nursing care PRN. :rolleyes:

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
When I have a patient on the medical unit who is a mouth-breather and is "comfort cares only", one or two doctors write irritating orders, like an order for "good mouth care" or "mouth care QID". It drives me crazy because that is NURSING CARE!!! Do they think we don't know when our patients need mouth care??

Our docs started writing that as a part of their orders, since when we would get some of them for surgery, it was quite obvious it wasn't getting done sometimes. A few of out pts. had to have mouthcare before they could even start with induction, because of the solid gunk and slime in the mouth that an ET tube couldn't even pass though.

Doctors who snatch things, steal pens, try to give verbal orders to students when they know it is not allowed, docs who quiz you on weir lab values as if I have the whole chart memorized, ones who scare my patients with their abrupt, poor bedside manner, ones who don't introduce themselves or wear identifiable gear and then expect the students to divulge information to them without even asking who they are. (newsflash, we don't work there, and if you haven't seen me before, then cahnces are I don't know you either and can't tell you anyting unless I know who you are. HIPAA and all that...) and my personal favorite as a student, the ones who take off with the chart or assessment sheets and tell no one, so the student gets yelled at by the nurses and other docs because, we must be the idiots who took the sheets and put them with our stuff...

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