RN2Bn2006

My first "delivery" without a doctor present was a hispanic 38 weeker, delivered in bed with bag intact. I ruptured the bag to remove the baby. It freaked me out at first, as I had never seen it before - I agree with the above poster about something from a sci-fi movie! lol

Well, Thought I would let everyone know that I have read all responses, and have considered them all. I went back to work last week for my 3 days, and did not have a delivery with him, so haven't seen him yet. I did however Triage a couple of his patients during the night and spoke with him on the phone - which I just stated my names and facts & waited for orders - and he did his usual "Hey *my name* how's it going" and telling me about his new puppy, etc.... as I politely listened! I still haven't decided exactly what I am going to say when I DO see him - but at least I am not "emotionally" charged anymore. I'll let you know. Thanks to all for your advice!

I'm an OB/PP nurse, and I've never heard of Hemabate - can you enlighten me?

You are right. As much as I would like to do some of the things that have been suggested - most of them just aren't within my personality or nature. I am naturally a person who tries to keep peace in most situations, and have been known many times to overlook things from time to time, but even I can't seem to let this situation just slide. I mean you have to draw a line! So I plan to say something, but it will be in a private setting, and hope for the best. Even though I did lose alot of respect for him today, I still respect him as a person, would not treat him the way he treated me! I wouldn't treat ANYONE that way! I hope you are able to resolve your issues. Sometimes I think it takes a strong person to not immediately react to a situation. Some people need to take a few to gather their senses, so that the reaction/response is not based soley on emotions. Emotionally charged rebuttals can get out of hand - I've seen that many times. Good luck to you!

Glad you are able to stand up for yourself! It takes a strong person to do this!

yes, the other ob would have covered for him - so i have no idea what his problem was. and, i honestly didn't think she was even going to need pitocin. as an ob nurse - we have to make judgement calls too - i mean if i had started the pit - and had hyperstimulation causing fetal distress/c/s - don't you think he (as well as a court of law & nursing board) would hold me responsible to know when it is appropriate to pit - regardless if that is the standing order. we don't just follow orders blindly. when i first put her on the monitor - she was contracting 2-3 minutes, in a pretty regular manner, and they were strong, and obviously her cervix was changing, so even though i mixed the pitocin, i didn't hang it immediately because of the fear of hyperstimulation. after about 20 minutes - they became a little irregular, and i was mixing the antibiotics/getting supplies for epidural because they want them ready when they arrive, plus helping with the pp patients on the floor, so i was going to hang it the next time i went into her room, but her family came to the desk, and said she was crying for pain medicine, so i called surgery and found out it was going to be about 30 minutes before the crna to come for epidural, so i ran to get her some pain meds, and that's what led up to my delay. it was certainly all about his convenience! absolutely! i just got an e-mail from the girl who relieved me - she said that she never turned the pit above the initial 6mu - and that the patient was complete by 10am! so, i mean the pit probably helped some, but does not deny the fact it's almost 99% certain that the patient would have easily progressed on her own - just wasn't even given the chance. there are many things this doc does that is questionable, and i have many times charted to the excess to cover by butt. the other ob is aware - and gripes about him also. but...nothings ever done about it!

Maybe so, but in a small town where everybody knows everybody, and this is the only hospital within an hours drive, I have to choose my battles wisely. I have to have a job, and most the times, I absolutely love it! Life in a small town can become difficult if you get on the bad side of people. I am not saying he would like get me fired, but he could make me dread coming to work because he would be short with me all the time, and I just don't want to work in that environment. It's sad but true.

You are oh so right in sooo many ways! I think you have hit the nail on the head!!!! THANKS!!!!!!!!!! You have just managed to put the whole situation in PERSPECTIVE!

I'm glad I'm not the only one like this - I sometimes wonder if I'm "normal". I've been to several funerals in the past month or so of friends/loved ones, etc... and although my heart aches for them, and everyone one I'm with is crying with them, I'm just sitting there, appearing like I'm not sad - I just don't always cry at appropriate times! It's not PMS stuff either - as I had a hysterectomy 7 years ago. I never know when it's going to happen, but like you say -it's more about when I'm extremely mad. Also, it's evidentallyl when my feelings have been hurt! Man I wish I had a switch to control it! Ha Ha

You made me literally Laugh out Loud!! THANKS! I only wish I had the b*lls to say that! (and I am female btw)

Oh ME TOO!!!! You have NO idea!!!!

This is not something I would do - and I KNOW it just lets him get by with this behaviour. BUT, we are a small hospital, this doctor is someone I have to deal with on a daily basis, and BECAUSE he "likes" me, this is the first time he's acted this way toward me. IF I ticked him off, he could make my life miserable. Our administration is a joke, and making a report would only make matters worse. From what I've heard - most everyone has experienced something similar to this at some point in their career in this department, and it's like - you just learn to pick up on his cue's when he's "in a mood", and to know when to be agressive getting a patient ready. I've been warned, I've just personally never experienced it. I have no desire to make him mad, I know if I did write him up, that it would only bite me, so my only option is to hang loose, and when I'm far removed from the incident - try to speak with him. I am not promoting his behaviour by not addressing it - I'm protecting my working evironment/working relationships - because I desire to stay in this department. Not that he would get me fired - he would just be unpleasant to work with, and I don't want to have to come into work dreading seeing him. I have to look at this fact that 90% of the time - he treats me totally awesome! I've actually enjoyed learning from him, he's very teaching, and usually very fun to labor with, but this dark side......ummmm, another story!

Well, as bad as I hate to admit it - you are probably right. My problem with having a talk with him - is I'm afraid that my emotions might pop back up, and I do not want to appear emotional in front of him. Now I am not a "crying" person - I barely cry at funerals - sometimes don't, some people think I'm non-emotional - most people think I'm a strong/tough person because I handle situations when others are falling apart - that I'm able to be strong, but it's weird that in situations such as this - I can't seem to control when unbidden tears will threaten to fall. I will have to be pretty far removed from the situation to where I am no longer emotionally affected - when it no longer seems like a big deal - to feel safe to do this. Guess I'll have to wait and see. I just HATE confrontations!

What makes me mad - is I have uttered these very words from my mouth (after witnessing what I did in nursing school) and WHAT did I do? Stand and look him in the eye, and apologize, and fight back tears. I'm mad at myself as much as I'm mad at him!!

Lets see... "what have I learned?" It doesn't pay to stay after your shift in order to help out...... and "what will I do next time" Contact mgr/DON for them to cover, Clock out after giving report, and let them deal with it. Seriously! I would NEVER do this - it is NOT in my nature. But that is what I'd LIKE to do. Basically I've learned what is perfectly fine one day is extremely wrong the next day. You are supposed to KNOW (by reading minds of course)that the doctor is going out of town, and needs a G1 delivered in less than 3 hrs. And despite the fact you are in the middle of shift change, and patient is still in triage, that when you've called the doc at 7:15 - you should have already had her admitted, and pit mixed, and ready to start at 7:16 - worry about her pain/consents/GBS + status/Labs later. I am very sorry........I am totally not trying to be disrespectful to you - I appreciate your comments, but it seems that I did the best I could given the circumstances I was under. My evil side is coming out!! LOL! Believe me - I'll try to avoid this happening again. You definately live and learn!