This is my chief complaint about my current manager, there is no support or advocacy for the nursing staff. I work in a large clinic with 12 MDs. The majority of the MDs are professional and respect what we do. However there are two who act like king and queen of the castle.
A few weeks ago, King MD was the back-up doctor. They take turns in this role to be the go-to person if the patient's regular MD is not in the office. They are supposed to remain at the office until all patients are seen and we are open until 6:00. Pts can be scheduled as late as 5:30, depending on what is going on. We have an infusion area, injection area, a coag clinic, lab, and phone triage to deal with. This MD insists that we call him at 4:30 (infusion area only BTW) to let him know how late we will be.
#1, how are we to know how late we will be when we still have patients to come in? Believe me, we have had train-wrecks come in for their 5:15 Coag appointments who have to be direct admitted to the hospital.
#2, only the infusion center is expected to call. I guess it doesn't matter that Coag patients are scheduled until 5:30 and that phones don't go on service until 5:15 at the earliest. Even if the infusion center is done by 4:30 (sometimes, but rarely), these other areas still need an MD on site.
#3, our hours haven't changed in 10 years. We are always open until 6:00. If you are back up doc, I don't understand why the expectation isn't that you stay until 6:00.
The other day, no one called him at 4:30 because we were busy. He left. We only found out after someone in triage tried to find him about a call. He got paged by QUEEN MD, who also hates being back-up MD and would very likely pull the same stunt. He ends up calling my boss and yelling at her about not being called at 4:30. Does she stick up for us? No, we get a big note on the bulletin board saying to make sure to call at 4:30.
I can understand calling when the last patient arrives to give an estimate of how long we will be. I can understand calling at 5:15, when the phones go on service. The other MDs will often call us when they are finishing up to see how long we think we will be.
With this particular scenario, if the infusion center happened to have been done at 4:30 and called him, how would we have known that the patient was going to call us at 4:45 when phones don't go on service until 5:15?
I am angered that the MD is a jerk, that he is allowed to be a jerk, and that our boss just rolls over and does what he says. It is infuriating!
We are professionals, but are not treated as such in many situations.