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 Hospice, Psyc, post surg.

Just this last Sunday I was having lunch at a restaurant. When I looked across the room I got this sinking feeling, there was DR. M & JR. Just looking at them gave me the same feeling I had 23 yrs ago as a new nurse on a post surgical floor when JR threw a foam donut at a nurse & screamed at her. My feeling then & now is that we don't have to put up with that, I suggest you talk to your nurse manager, nurse director or keep going up the chain to get to someone that can talk with this MD. It has been my experience that surgeons are some of the worst Prima Donnas' & because they bring in a lot of money for the hospital generally they are often tolerated by the administration.

I ignore them and just do my job.

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

There should be a standard reply, backed by Nursing administration. Something like "Doctor, it's unacceptable to speak to me like this. Please just write your orders. I'll read them."

Like any abused population, intimidation is part of the power rush for the screamer that we can't help reinforce. So I've found that standing your ground without arguing and just looking puzzled like you're dealing with a crazy person takes away the charge for the "screamer."

This doctors' verbal abuse and acts of violence and degradation must not be tolerated. A license to practice medicine does not give anyone the right to be verbally or physically abusive to anyone; including staff. An incident report must be written each time something like this happens so risk management will have to investigate this behavior. Also; page the nursing supervisor and your manager/director to report this behavior again each incident. He is only acting like this because he is allowed to get away with it. Also, contact your state Board of Nursing and issue a report. Not only does his behavior exhibit a lack of professionalism and respect on his part, it also frightens the patients/family members and other staff within hearing distance. Don't be afraid of his bullying behavior. You have rights!

Sounds like you have a copy cat of Dr House. Now the truth of the matter is that this Dr has some mental health issues, but noone is stepping up to the plate to say anything to him because he has the title of Dr. The upper echelon needs to grow a back bone and put him in his place. He can't be fired because I am 99.9999% positive that noone has documented his episodes, confronted him, or told his boss. Everybody has a boss. While he may have a rare talent, he is replaceable. His patients are not the only ones in that hospital and I guarantee you one thing, If I were a patient in the hospital where you worked, I would tell all my friends, family and write on every blog to never seek medical help at that hospital. His overbearing ignorance, I am sure has scared a lot of patients. I hope that isn't a cardiac unit!? The hierarchy of staff needs to grow some ballz (man or woman.) All it takes is one person to step up to the plate and put him in check, but noooooo, everyone fears him. He is a loose cannon. Stop talking about it and be about it. Documentation. I have been in the medical field for 20+ years and one of the first things I was taught is documentation. If it isn't documented then it didn't happen! Start the paper trail. The next time he goes into a tireless tempertantrum, have taperecorder ready(most cell phones have a video and recorder.) Make it happen soldier! ok, maybe not soldier lol (I am in the military) As you can see, General McChrystal, one of the highest and talented Generals in the Army was relieved from his duty. If it can happen to him, it can happen to anyone:eek::devil::nurse::nurse:

I have encountered doctors like you describe. Not to stoop to his level, but if he is a vascular surgeon and not a cardiovascular, or thoracic surgeon, it sounds like he didn't cut it to complete his heart surgery training, and stopped after a year. He obviously has issues regardless.

What we do at our hospital is file a complaint of abusive behavior and hostile work environment, and sent it to Risk Management. Administration, the Medical Director, or whoever is the appropriate group, person, or committee to handle it.

While in front of the physician as the abuse is being dished out, I have said, " I am a professional, and you will not speak to me like this" and have walked away to call the supervisor or whomever else is indicated, to file an Incident Report and complaint. It is upsetting to patients and their families, as well as to staff, such that it interferes with the ability to provide the best care, and what the patient deserves. The worst thing is to just tolerate it and say "he is just like that". If enough people complain, the hospital should do something about it.

Specializes in psych, general, emerg, mash.

I agree fully with BATMAN25!

since he is continuing with this badgering behaviour, take it up, with your super, head nurse, or department head.

His boy has an attitude, GOD complex!

If he rants, tell him in LOW civil voice (dont lose your cool!), lets take this outside the patients room

Ask the patient, how HE/SHE feels! Surprising what getting feedback from the patient will tell you!

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...

...

are you sure he was the attending and not an actual patient? ;)

At my hospital, we have had 2 surgeons who were sent to anger management classes. They are much more restrained now but calling in the middle of the night can still be a problem.

Specializes in general assistant in a family practice..
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.

[color=yellow]"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!!!

this is what my instructors called a "code grey". you get on the pa system and announce code grey and the room number, or in this case, the nurses' station. :)

Specializes in general assistant in a family practice..

that's what my instructor told us about. I remembered they had a special code name for it, but it was the 'wall of white' that perfectly describes the shoulder to shoulder stance of protection taken by all the colleagues.

Specializes in Telemetry, Med-Surg, ED, Psych.

Its only a matter of time before this arrogant SOB becomes physically assaultive with the nursing staff (or anyone for that matter). God forbid that ever occurs, Learn self-defense. When I am at work I always carry pepper spray.

I had a situation once were a male physician made the poor choice to touch me in his agitated state. I am a large guy - i am 6'3" and 240lbs - Long story short I confronted this guy...."Let me make this clear cause you must be a hard learner - Do Not Touch Me Ever Again. You Got it?

Its amazing how much people get the point and leave you alone when you make reference to a meeting outside in the parking lot and that you are 1 phone call away from this persons mistress (I am sure his wife would not like that).

I do not encourage violence - but what is sauce for the goose is sauce for the gander....he he can dish it out he needs to be sure as heck he can take it.

P.S - Never got in trouble at work - Also, An incident involving this same guy was caught on security camera when he inappropriately touched a female CNA.

I wonder if MD's are monsters in there private lives.....Abuse there kids (mental/sexual/physical/overall neglect), domestic/spousal abuse, mentally absent. If how some of these people act at work is any indication of how they are in their homes - there families are really messed up. And I thought I had problems.

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