Problem physician

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Sorry this is long but I need some advice on how to handle a situation that is really bothering me.

I have been working in a hospital for the past 1 1/2 years. Unlike other hospitals where I have worked, this hospital dotes on physicians and does not promote the team mentality from which I am accustomed. This has been an adjustment but an easy work around except for one particular physician.

This physician has worked at this facility a long time and is part of a group that rotates through sister hospitals. I will refer to this physician as Dr. Z. He is the medical director at my location but is not the overall director of his department. I will refer to the overall medical director as Dr. X. Dr. Z has a reputation of being difficult to work with. The nurses fear him, he is intimidating. Has no interpersonal skills. He never discusses issues with a staff member, he always runs to the manager and director and tattles on people without getting the facts. I consider my work environment at this point hostile. Nursing leadership is aware of the situation but he is supposedly well liked in administration. His partners openly talk about him being difficult and are also aware of how he treats the staff. They say he has been talked to numerous times. The attitude is we can't control him. I could go on and on.

Recently there was a situation in which he made some negative comments to a patient about me and my service. He was blaming me for providing the patient with information he did not think I should share. The patient corrected him and told him that it was in fact it was his partner and boss Dr X that gave her the information. The reason I know this is because the patient complained the next day to another nurse about Dr Z about this and other problems. I asked that nurse to put it in writing and send it to my director and myself. This was done and my director and manager were aware of the situation. I was also made aware of him complaining and talking negatively about this to another staff nurse. She also was asked and did put it in writing. The NNP also told me that she had corrected him and told him that they had given the patient the information and not me.

The final straw was that he went to my director after being told by the patient and the NNP that I was not involved that I had in fact had done this. He knowingly lied and misrepresented the facts to my employer. In fact he told my director that the patient told him that I did it. Which is a complete lie. My director corrected him and told him he was wrong but here is my concern..... He lied to my director and tried to get me in trouble. I have a big problem with that.

What if my director leaves and he is able to snow a new director and make up stories. I want to file a grievance with his physicians group but am unsure how to do this or if this is even the right thing...any suggestions?

Specializes in NICU, PICU, PACU.

I'd go to HR and file a complaint. Take all documentation with you. This type of behavior is not tolerated by Joint Commission. We had a doc similar to this and several girls filed a complaint. Sometimes you have to take the big bull by the horns.

And be extra vigilant in your charting.

I'd go to HR and file a complaint. Take all documentation with you. This type of behavior is not tolerated by Joint Commission. We had a doc similar to this and several girls filed a complaint. Sometimes you have to take the big bull by the horns.

And be extra vigilant in your charting.

Several "girls" filed a complaint?

The Joint Commision does not care and HR will care even less. HR has NO control over a physician.

Specializes in MICU, SICU, CICU.

She's right. HR will label the nurse a troublemaker and Medical staffing services will not do a thing until several physicians file a complaint.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

As long as you are still at that hospital: keep a little notebook. Keep it locked in a locker or at home. Record every interaction you have with him or because of him. Dates, times, witnesses, etc. Also, please have liability coverage. Protect yourself and trust no one to stand up and do the right thing.

Why do you still work there?

Use the corporate compliance line to report the reportable stuff, write a letter to the CEO and whoever else you can think of, and get out of there.

Nobody's worth that kind of anguish.

Maybe he's mad because you don't use paragraphs?

Hahahahahhahahahhaa!!!

Specializes in NICU, PICU, PACU.

Our HR takes it pretty seriously and yes my "girls" on the floor filed a complaint. You knowwhy I said girls...because we have docs of certain cultures that do not work well with women, especially women/girls who question them or are on the same level as they are. And these doctors were dealt with and written up. We have one sent to anger management. And yes, there is a huge push from TJC for anti-bullying.

If if you let someone do this to you it your co-workers, well, shame. I would rather be labeled a troublemaker than let someone get away with this.

Guess I'm lucky to work where I do and that we have someone to back us up.

Specializes in Maternity.

I still work there because I love my job. He is a small aspect of what I have to deal with, in fact the only problem really. I am well liked and enjoy having my own department. If every one keeps looking the other way or quits nothing will change. I have pretty much just ignored his megalomania up to now. However, he crossed the line when he purposely lied to my manager and director. I value my integrity and I'm not one to be pushed around. It's time someone stood up to him.

I really appreciate all the advice that I have received. It's been very helpful and I'm going to think it over for a little while longer.

Sent from my iPad using allnurses

I say vote with your feet. Hospitals can't operate without nurses. They will eventually have to do something about this guy or deal with a law suit. He is probably not worth that much to the hospital. Meanwhile, you could be quite happy somewhere else.

Specializes in Med-Surg; Infectious Diseases; Research.

It sounds like a really unfortunate situation. Take a step back: never lose sleep over what ifs. Your manager is there now. You really shouldn't file grievances based off of he said/she said. Signed statements are acceptable to a point. I recommend that while your manager is there and willing to cooperate with you, you may want to schedule a meeting with the physician and have his director and your manager present to discuss the issue. You may even want to request a rep from HR to be present too. If he behaves inappropriately (which I'm guessing from your description he probably will), you will have administrators witness his hostility. Your goal is to keep as calm and professional as possible during the meeting. Then file a grievance.

If for some strange reason he behaves in the meeting, then you are indirectly drawing a line in the sand and firing a healthy "warning shot." Sometimes bullies need to know that you are not afraid to tell on them. He may hate you for it; but what you're looking for is his respect. His ability to "like" you is irrelevant.

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