Now I am sure that everybody has a particular OB that they could live without. I have encountered several but this one just tops the cake!!!
Had a patient the other night who was a G8 P7 w/ hx of fast deliveries, she came in with mild pain and I let the offending OB know, asked if she wanted to check her, in front of the patient, she says No, I am going home now...let someone else do it, and don't call me unless you really need something! Out the door w/ her so house OB checks and she is 4/100/-2 bulging bag. So we admit and 10 minutes later, the variables begin. So I page her letting her know what was up, she is 5-6 now and wants something for pain. About a half hour later, she is 8/100/-1 and getting pushy, so I call the OB, she is on her way. 20 minutes later, states she is leaking, chux is soaked. So she walks in I had just checked her and she is complete, forebag bulging, with a big urge, pushing w/ the UCs. So she decides to check her and says she is not ruptured and only seven, ruptures the forebag and makes a comment about calling her too soon. SO ok, pt continues to push with the contractions, I am trying the help her, but OB keeps telling me to tell her not to push, she isn't ready...whatever, I know she is complete and am waiting for her to leave; all of 2 minutes later, the parineum is bulging and I call for her getting the room ready, and throwing on my gloves. She still doesnt believe she is complete...so I check and head is +3, I can see the head and the bulg, so can every one else but she wants the patient to stop pushing, because she still din't believe me. Lets just say she almost missed the delivery while in the room. And then had the gaul to b***ch at me for not calling her sooner!!!! WTF!! She had her little hissy fit in the middle of this birth, all I kept thinking is why do you want the patient to sit here in pain, to prove that you are right???? Are you that insecure?? Man besides yelling at the staff and the patient and the family, why show up at all, patient would have been better off precepting w/out her attendance, she didn't even tear!! I still would have been to blame either way, which I really don't care about cause I think this particular OB is an idiot any ways!!!
She is only a few years into practice, and I just can't imagine why she went into medicine! Every time I have had encouters with her she is just plain mean and spiteful to the nurses, house OB and most of all the patients!!!!
This is the type of thing that just gets under my skin!!! How in the world do you deal w/ these types w/out getting into it with them in front of the patient????
Man I am looking forward to the day someone tells her to stop pushing because they don't want to admit that they were wrong when she has a 8 pound child between her legs
We had a jerk doc like that. No one liked him (including his colleagues). Several of us nurses wrote him up on more than one occasion. The good news is that he didn't like us either and left.
Let us know what happens after this doc is written up. I hope the family follows through, also.
Working with Dr's like that is what drove me out of OB. I like the work with pts, but got so tired of having to be the advocate for every pt and worrying about lawsuits d/t useless docs. (unfortunately, the admin of the facility won't back the nurses, doc's are always right, etc....) Maybe I'll find a decent ob unit someday and go back to working it!
Come to Connecticut, sunnybrook. We have our docs very well trained! LOL! But they are a great group and trhey even answer phones and sit with babies at the desk when need be!
Betsy, I love the Northeast at this time of year, so beautiful when it is full of fall colors.
I am still waiting to hear from administration about this, you know the upper management has a hand in all of this stuff with politics and the such. I wrote it up as did the RN I was working w/ that night. Hopefully someother RNs will do the same after she has one of her little hissy fits next time, some are still afraid of confronting MDs, no fear here, I am not going to let some snot nosed doc do this to pts under my care, there are 4 total in this practice and 2 of them are wonderful, the other one has some attitude problem as well...rather have just the two other ones who are big time patient advocates. So I will update when there are further developments...knowing administration, it will be some time before I hear much more. I must add on a side note: The other night we had a full board, and most of the patient's were her's, guess who didn't have to deal w/ her??!! I was lucky enough to do 3 deliveries with another doc, who was so kind to her patients, didn't mind having to come in at last minute (one pt precepted a primip who went from 2 to complete in less than 2 hours and the other one walked in complete) She is wonderful to work with and wasn't mad that she had to sprint in, I was holding the head on the perinum while she got some gloves on...That other OB riped me a new one when I ended up doing that w/ her pt.
Man sometimes I wish there was a class in med school about how to behave around pts and how to treat nurses w/ respect especially when we are their eyes and ears (sometimes their brains) while they are not there, which is most of the time.
Would you ever feel comfortable talking to the other two docs in that practice and letting them know of your concerns? Maybe they are not aware of things as they are and working in collaboration with that physician might hurt their practice.
Sounds to me as if that doc is question has a real problem with nurse autonomy and is threatened by anyone who is competent.
Don't forget, as nurses, we get to see how ALL practitioners practice as far as technique goes. Docs don;t get to observe other docs except at sections. Her partners might appreciate the FYI. You go girl!!
I have actually, accidently made a comment in front of one of the two nicer OBs. She is fully aware and made a little comment of her own. See I am still new here and don't want to rock the boat too much, but I am glad she heard it, and she agrees in many ways. It seems that OB nasty 1 & 2 are new to the practice...so maby it is just a matter of time. And interestingly enough these guys don't even come in for eachothers c/s they use surgical assists...so guess they don't really have too much clinical contact.
BETSRN
1,378 Posts
We had a jerk doc like that. No one liked him (including his colleagues). Several of us nurses wrote him up on more than one occasion. The good news is that he didn't like us either and left.
Let us know what happens after this doc is written up. I hope the family follows through, also.