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...

What I don't understand is where is the charge nurse when all of this is going on? Or the nurse manager? Have neither of them ever witnessed this occurring? And if they have, have they not stood up to this doctor? This is absolutely unacceptable behavior, and I would not even entertain it by giving him any type of verbal response--I would walk right into the managers office, and bring her right to where he is throwing his temper tantrum and let the manager be witness to it, while I put something in writing in front of him to go on to his supervisor, or whoever it is that will counsel him on his current temper. We are all human beings (forget for a moment that we are all professionals), we are all living, breathing human beings--and DO NOT even for a second deserve to be treated like floor mats--unfortunately he's not going to stop until somebody stops him!

We have one doc who has a horrible reputation for becoming completely belligerent (only at nurses, only when there aren't other docs or administrators around). Literally screaming, frothing at the mouth, putting sailors to shame with his language, that sort of thing. There is no reasoning with him, no diffusing the situation. Once he gets going, he is really out of control.

After I heard about a tirade he unleashed on a coworker, I decided I'd be ready. I decided I'd say "If you are just going to yell at me, you can just f**k off." and walk away.

Maybe because I'm ready for it, I haven't gotten it. The one time I thought he was going to wind up on me, I got all excited about being able to FINALLY use my comeback, but he petered out before he ever really got going. Honestly, I was disappointed.

I think there's something to this, though. I am a smart gal. I work hard. I know I'm a good nurse, and I love my job. I respect my coworkers, from the housekeepers to the docs to my boss. I'm older than most of the nurses who work on our floor, and I'm in the same age group as most of our docs (including this jerk). I will not stand for being yelled at or bullied. It simply will not happen. And perhaps since I have this attitude...I'm not on the receiving end of this behavior. Yet. But if I ever am, I'm ready.

While I've been known to paint the surrounding air blue in my day, I wouldn't say that to an idiot doctor - because that would make me almost as bad as him/her.

My response (and I've used it, once): "Dr. X, you have begun to speak to me in a highly unprofessional and uncalled-for manner, and I do not have to listen to it. Once you feel you can address me again as your colleague and not as a belligerent child, I'll be happy to resume this conversation."

It was made even more effective by the fact he was yelling at me for paging him at a wrong number, when HE'S the one who didn't check out his pager before he left for the night! So I was calling the right pager but getting the wrong doc - and I pointed this out very calmly to him:

"Excuse me, Dr. C, but did you check out your pager before you left for the day?"

(random screaming about how I woke him up and his wife up and his kid)

"I do apologize if I woke up your baby, but did you check out your pager before you left for the day?" (not really worried about the wife - she's a DOCTOR'S WIFE, she knows the drill)

(more ignorant ranting as he realized the whole thing was actually his fault)

And then I slammed him with the zinger above - and informed him I'd be speaking to my manager in the morning.

So far, from what I've heard, he's not made the same mistake twice.

What pi55ed me off was when I told the charge RN that night about how stupid he was (professionally, mind you - I remained calm) SHE was worried that I was out of line!!!!

At which point I professionally told her she was completely wrong - and the RN who'd been sitting next to me for the entire exchange agreed with me.

The doc in question was known for being a complete tool. What he didn't know was that I'm no doormat.

"Look, can we just DO THIS?!"

"Stop, will you JUST stop? Sheesh! you are m a k i n g me crazy!"

Used these with my old boss. He grew to know that he need not irritate me further - I think it's because my response was actually very personal and not professional :smokin:

With most docs (or any irate person) you can deal with them in a reasonable manner.

If you can't get a single word in, your options are limited. The OP doc does not even begin to sound reasonable. *shrug* I don't care if a foul word and maybe an accompanying hand gesture makes me "almost as bad as them". Maybe a taste of their own medicine is what they need.

Like I said, not that I've every had the opportunity to use it. The most I've done is hung up on a doc who was yelling at me and wouldn't let me get a word in. I hung up, paged again, and when he called and said "Did you just fing hang up on me?" I said (in a loudish voice) "Yes, and I'll do it again if you keep yelling at me. I'm not an idiot, I have a good reason for paging you. Do I need to hang up *again* or are you ready to work?" That was all it took.

Specializes in ICU, PIC, BURN UNIT, PEDS, MED SURG, PSY.

Hi, when I worked at the local county hospital, we had a doctor who acted like that all the time but somehow he never screamed at me. But finally the day came and he began ripping into me that same way. I just looked at him, didn't look down and said, "Doctor, the next time you feel the need to scream at me, please scream instructions and information with your insults. That way I'll learn something, and you'll accomplish something."

He just looked stunned but he never did yell at me again.

Specializes in Clinical Research, Outpt Women's Health.
Hi, when I worked at the local county hospital, we had a doctor who acted like that all the time but somehow he never screamed at me. But finally the day came and he began ripping into me that same way. I just looked at him, didn't look down and said, "Doctor, the next time you feel the need to scream at me, please scream instructions and information with your insults. That way I'll learn something, and you'll accomplish something."

He just looked stunned but he never did yell at me again.

:lol2::lol2::lol2::yeah::yeah::yeah::yeah::yeah:

Dang, I wish I could be that composed under pressure. I only think of those kinds of retorts later.

I guess that is why I will have to resort to sign language......:D

Specializes in ortho, hospice volunteer, psych,.

when i worked at a state mental hospital, there was an attending who left clouds of not only blue air behind him, but black sulfury smoke all around him.:mad: nothing anyone said to him made much of a dent.

night shift he was even worse.:devil:

one day, the state was on grounds doing a surprise inspection and two committee members heard him in action and looked absolutely appalled.:eek: when the offender saw her looking at him, he turned around and

let her have it -- verbally.:mad: :crying2:

that was his very last day.:up: :D :rolleyes:

Specializes in ICU.

only one possible solution...

sjambok!

see:

sjambok - wikipedia, the free encyclopedia

don'cha just wish? it would certainly prevent "repeat offenders".:D

I agree that this behavior is inappropriate and should not be tolerated. I also agree that standing your ground..whether that's walking away or saying "excuse me, if you'd like to speak to me, you must lower your voice", etc. is appropriate. However, stopping this behavior must start at the top of your organization. There must be a culture where EVERYONE is held to the same behavior standards...including physicians. This should be reported to your CNO/CEO/Medical Staff Services/Medical Director...whomever it takes to address this behavior and hold docs accountable. And where was the medical doc who was looking through the chart? He put up with that also?? Ugh!

Specializes in ICU, PIC, BURN UNIT, PEDS, MED SURG, PSY.

Yes, I agree that the whole policy should come from the top, but we're not there yet and in the meantime each of us has to stand for himself or herself. Equality is an ideal concept and we have to make it "real" for those who don't get it yet. :)

We've had situations like this, maybe not as bad, but I've had my share of screaming doctors proclaiming my incompetance in front of everyone. After speaking to our manager and nursing supervisors, it was decided that every time this doctor behaves this way we are to submit an occurrence report. That way, if he racks up enough complaints, management has written proof of his behavior.

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