Rant: Physician pagers!

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Specializes in LTAC, OR.

Anyone else feel like they can't get through a case without spending half the time answering pages? Today I did an operative laparoscopy for a ruptured ectopic and I was on the phone for most of the case with the floor and OB triage. The attending even asked me to call a lady at home...she was 6 mo. pregnant and having spotting and pressure. I felt really stuck...it's not like you can just ignore them...one page was about a lady with a BP of 78/45! But on the other hand, I'm the nurse for the patient in the OR, not the secretary for the doctor. I know I should just put it on speakerphone and stop relaying information and orders back and forth, but the docs all seem to get really annoyed when I put the phone on seaker and sometimes it is hard to hear. AHHH make it stop! My perfect OR would be one with no pagers!

Specializes in OR, Nursing Professional Development.

I know the feeling! We even have some that will stop operating and come to the phone while you are answering pages. Wish we had a system that some of my newer coworkers said they had elsewhere- pagers were left with the secretary, and the room was only called if there was an emergency going on. Otherwise, they picked up their pager with a stack of messages.

Want that! Want that!

Specializes in Operating Room Nursing.

I will not interrupt surgery if the phone call is not important I take a name and number but I don't take a message because I'm not a secretary. However there have been times when I've had to interrupt. For example, one day I answered the phone and it was an ICU nurse who was very concerned about a patient and had to update the surgeon who was on call. I did this and as soon as the case was finished we had to rush this ICU patient in to do an emergency splenectomy.

Another time I answered the phone and it was an intern. I told them Dr so and so is operating, can't answer the phone I'll take a message. He said it was important enough to interrupt. I asked what the problem was. He said patient X who had a liver resection wants to know when he can drink alcohol. Because I'm friendly with this particular surgeon I announced to the entire room that I had an urgent request and repeated it. The surgeon laughed his head off and said' tell Dr so and so the patient can drink alcohol in 5 months but no women for 2 years'. The intern was really embarrased he could hear us all cracking up and hung up on me. I don't think he'll ever make that mistake again :lol2:

Specializes in Intensive care, Operating room.

I just love when you are answering a page and then get chewed on for not being attentive to the instrument they just dropped or whatever. That happened to me and the Dr screamed, "get off the ******* phone!!!" Soooo when the ER sent xray's of the hip Fx into the OR, same Dr said, "what the story with this?" I promptly replied, "I don't know, that was the message I was taking when told to get off the ******* phone!!" He didn't ask me for anything else. Sweet!:yeah:

Not just pagers....but the doctor's cell phones as well. Gah.

Specializes in PeriOperative.

This is why I like text pagers. Half of the time they put enough information for me to figure out if it is urgent or not. There is absolutely no reason to just page with a number, but people do, and it's usually something that can wait, but i don't know and have to call back.

Our surgeons are told that we are not secretaries and are not to answer cell phones, and that even the pagers are a courtesy. I will answer the cell phone if I like the surgeon. If he's rude and indignant, sorry, I must follow the no-cell phone policy :D. Administration does back us up on not answering cell phones.

My favorite pages to get in the middle of an 8-hour case are the "Hey honey, want to do lunch in 30 minutes?" from the wife. One of my surgeons has a five that calls/pages about every 2 hours. :rolleyes:

Specializes in OR.

You always have the right to refuse. And if it's getting excessive say, "Dr I think it's more important to take care of your patient than your phone calls right now. It'll have to wait."

Specializes in Operating Room Nursing.

I was in the middle of counting sponges with the scrub nurse when the phone rang and the surgeon yelled out in the most pompous voice you could imagine:

SUSPEND THE COUNT AND ANSWER MY PHONE..... I AM THE VASCULAR SURGEON ON CALL!

I just looked at him in disbelief and kept on counting. What an idiot.

Specializes in LTAC, OR.
I was in the middle of counting sponges with the scrub nurse when the phone rang and the surgeon yelled out in the most pompous voice you could imagine:

SUSPEND THE COUNT AND ANSWER MY PHONE..... I AM THE VASCULAR SURGEON ON CALL!

I just looked at him in disbelief and kept on counting. What an idiot.

HAHA that's awesome! What did he do?

Specializes in Operating Room Nursing.
HAHA that's awesome! What did he do?

Tried to give me a lecture on how he's the vascular surgeon on call and if a AAA comes in then he has to be there to answer his phones. I told him that if he wants his phone answered then he can leave it with an intern or a med student because it is DISRESPECTFUL to nursing staff to expect us to behave like secretaries.

I actually filed a complaint about his behaviour because by interrupting like he did may have lead to an adverse event. The funny thing is that we only had 5 lap sponges to count and we got to 3 before he tried demanding to have his phone read. I would have been able to answer it anyway. I believe he was spoken to about his attitude.

Specializes in NICU, ER, OR.

yes yes yes.... this makes me so mad..... especially when your in the middle of COUNTING a large open abdomINAL case and they yell out " CAN YOU GE THAT PAGE"......ummm.... no I cant.... I will gladly answer if im not doing anything, but to add a pager call to my list of things that have to be done right NOW for my actual PATIENT on the table....it just adds more stress and frustration to what I allready have about the CURRENT case.....

I have answered calls from communtiy pharmacies, orders for tylenol, all kinds of nonsense. If its the trauma pager, I am all over that..... but sometimes the medical students even ask me to answer their cell phones!!!

Plus, I dont know how to work all of them... it just annoys me... I have heard that there are oRs that actually have a no pager policy... they leave them at the desk.... sounds like heaven.... but i wonder if thats mainly at non teaching hospitals? THE DOCS ARE SHORT STAFFED TOO..... but still, its a bit much sometimes. These pagers go off non stop....

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