screaming doctors....how can we handle them?

Nurses Relations

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I work on a fast paced med/surg unit in a large hospital. For the most part our surgeons are great caring doctors who are easy to get along with. But we have one especially, who is a peripheral vascular surgeon, that is the most rude, degrading, loud, and angry doctor you could imagine. I mean you should hear the stuff that comes out of his mouth.

We have many good nurses on our floor, we are by no means incompetent. We even have one surgeon that insists his patients come to our floor and our floor only. But this "jerk" doctor will sit in the nurse's station and demand to speak to so and so's nurse and then as soon as they approach him he will lay into them in front of everyone; fellow coworkers, patients, visitors. He usually screams and says what horrible nurses we are and that he should never bring his patients here, and hes just very very degrading and nasty.

For instance tonight one of our nurses had a post-op angioplasty/stent placement patient who was complaining of numbness that just started in his foot and was progressing up to his shin and calf. This was the foot he had just been operated on and he said it had never been numb before and the numbness was spreading. So of course that nurse called the doctor who happened to be the "jerk" doctor. He ended up coming in, assessed the patient, and decided there was no need for concern. Well he came into the nurse's station, plopped down with his feet up, and demanded our unit assistant to get the patient's nurse.

When she didn't appear before him within 30 seconds he demanded to have the nursing supervisor called. In the meantime he is looking around for the patient's chart and sees that the patient's medical doctor is there looking through it. So he leans over, grabs the chart from the other doctor without saying anything, is tearing through it getting what he wants, and then gives it back to the doctor without saying a word.

By this time the nurse had made it to the nurse's station and the first thing he says to her is "have you EVER taken care of a vascular patient before?!" she says yes of course. He then proceeds to rip into her about why would she ever call him when there's nothing even wrong with the patient and that he wants to know how he can have all his patients transferred to another hospital, and so on and so on. I mean he literally yells so you can clearly hear him all the way down the hallway.

Then when he was done with her he demands again where the nursing supervisor is and our unit assistant tells him that she is on the phone but he demands that she come to the floor because he wants to talk to her face to face. our unit assistant tells him that she is doing staffing for the whole hospital and will be there as soon as she can but it wont be right away.

He stands up and slams his pen down and says forget it, let her know i will be speaking with the vice president of nursing tomorrow. make sure you tell her that! and he leaves. It was unbelievable that a human being would act like that....and the sad thing is, this has happened just as bad if not worse many many times with him in the past.

So my question is, has anyone else ever had to deal with this and how did you react? Are we allowed to stick up for ourselves or do we have to sit there and take it? He has never yelled at me but im sure its bound to happen and i really dont know if i would be able to keep my mouth shut. I was just curious on other people's thoughts on this...

Specializes in Med/Surg, Float Pool, MICU, CTICU.

I gave kudos to this post a couple of weeks ago. I believe this can be applied to your situation! The link is May I speak to Dr. soso? - Nursing for Nurses.

Here is the post:

"I just had to share this.

Last night one of the nurses had to call one of those docs NOONE wants to call in the middle of the night. Anyways, she calls and has the guy on speaker phone coz that's who he is and that's what we've gotta do when we call him.

He starts yelling and basically cursing her out but she wasn't got have that so she calmly waited for him to finish and she says

"Am sorry, May speak with dr. so&so? My name is...am calling from..."

The doc sounding a bit confused says "This IS dr so&so. I've been talking to you for 5 minutes"

The nurse says "Am sorry u misunderstand me. Am calling to speak with dr so&so about his patient and I just know that u couldn't be him because no doc is his right mind and a license to protect would dare speak to me or any nurse like that when they are calling not to chat about the weather but about the health and wellness of his patient. I am sure you understand. So when he comes in, could you kindly have him call me @ #. I would really like to speak to him soon or am going to have to call the medical director in the middle of the night. And we all know how pleasantly that would turn out. Don't we dear?"

And hang up the phone!!!

A minute later, the doc calls back and says "This is dr so&so. someone page me?"

She is my hero.:bowingpur"

Harrassment in the first degree----call the Nurse Mgr/CEO/CNO/and anyone else that can be available----DOCUMENT----DOCUMENT-----contact the State Board of Medicine-----

Specializes in Clinical Research, Outpt Women's Health.

Flip him off and walk away? Slash his tires? Put a fart cusion on his chair?:smokin::smokin::smokin::smokin:

Oh boy, I am in trouble now - LOL!

Seriously, every singel staff member that observes this should report it to HR as verbal harrasment and/or assault. They will then have to act on it or become liable for his actions.

Specializes in PICU, NICU, L&D, Public Health, Hospice.

Much good advice here and a bit of much needed levity. Bottom line is that he does this because he gets away with it...period. Most docs give this behavior up when they encounter nurses and units which will simply not tolerate his outbursts. You have to find your own comfort zone in how you choose to communicate your lack of interest in that level of communication to him.

His behavior needs to be documented according to your company policy re: harrassment or professional conduct. He is likely not an employee of the hospital but he is still responsible to meet the facility standards of conduct. You need to speak with your department management about this. A department strategy needs to be discussed which empowers the nursing staff of the unit to address his unacceptable behavior in real time. As a department supervisor I visited the office of the chief medical officer on more than one occasion to discuss the unacceptable conduct of attending medical staff, particularly as it related to their interactions with the bedside staff. At one time the CMO held a meeting with myself, the CNO, and a bad acting MD. The physician at one point glared at me in the meeting and stated that he has a difficult time working with people that he just "doesn't like"...at which point the CNO chirped up and said that he was no longer in high school and this was not the country club...whether or not he "liked" someone had no relevance to his professional conduct in the hospital. The behavior improved enormously and, ultimately, the MD in question decided to relocate to another state.

If your nursing management and the hospital administration is not supportive of nurses in this area you might want to consider another place of employment if possible. When hospital administrators and medical staff refuse to require civil and professional conduct by the medical staff this will be an ongoing issue for nurses in every unit with obnoxious egotists who happen to be MDs.

Remember that attitude and professional conduct is often mirrored from the top down...so if the top dogs (in medicine and nursing) don't really care there will be recurrence of similar issues for those of you in the trenches.

Good luck. Don't put up with it. Don't be afraid to come to the aid of a peer who is being attacked. Don't be afraid to carry this as far up the food chain as you feel necessary without making it a personal vendetta.

I think there is a website or an organization where you can "write up" this doctor and there are people who will review this doctor's behavior and he can lose his license to practice. You should look into it.

You have to take exactly what you wrote above and put it in those objective terms and write him up. Keep writing him up, they are reviewed by their peers but at least your manager will have a copy too. You have to stand up to him and not allow it. Make sure the nurse who actually got yelled at documents in the chart when she called him when he came in etc. And she writes up exactly what he said to her. It isn't fun but you have to do it. It does help we have had to do it for several Dr's too and it does make a difference. I haven't had it happen lately but I stand my ground and give my explanation back, I might be shaking inside but I fight for my patients and myself.

A very good friend of mind responded to a bully MD saying "You might talk to your kids or your wife like that, but you don't know me, I am a professional and I don't have to listen to this. When you are ready to speak to me in a professional manner about YOUR patient come and get me." She then walked away from him. She never had another problem with him.

Most of this is great advice. I've been yelled at, not as a nurse because I'm a student, but I bet one day it will happen. I usually walk away. Silence is good too. Definitely have him written up. I love the "wall of white" thing.

Sorry, but NO ONE talks to me that way.

Specializes in LTC Rehab Med/Surg.
No one should have to tolerate that kind of behaviour. He needs to be confronted directly. The DON and the head of the medical side of the hosp need to be made aware of his inappropriate conduct.

The next time he starts up with one person, gather all of the floor personnel and surround the person who he is shouting out. Put a human barrier between them, and call security. Explain that you were all trying to protect her.

Best wishes!!!

I have always thought that was an exellent idea. When one nurse is being humiliated, every nurse on the floor stand behind her, or in front of her, as support if nothing else. As a witness if needed. Where I work, when the nurse is being verbally beat up, everybody scatters, thinking "glad that's not me" leaving the victim alone.

Specializes in Geriatrics, Home Health.

I've found the phrase "You don't have to shout, I'm right here" helpful. If that doesn't work, I've had luck with "You're clearly very upset, so I'm going to give you some space," then walking away.

Upon reflection, this alternate statement may have appeal...

"Sir, you do understand that I and all my colleagues on this floor are 'Mandated Reporters', do you not?"

Yikes, how awful. I'm only a student nurse but observed a surgery with what is apparently this doctor's twin. Not only was he loud, obnoxious and arrogant, he actually threw instruments on the floor, insulted his assistant, and used some of the foulest language I've ever heard. All I could think was, "what a jerk, I'm so glad I don't have stay here all day".

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