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

Nurses Relations

Published

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...

or, how about the (nearly) serious explanation...

the post was constructed to be both informative, and humorous.

firstly, no one should record unless they are certain they are standing on firm legal ground.

second, if the md is truly abusive, then the incident should truly be treated as such.

the humor, if one allows oneself to be amused, comes from the underlying themes of:

the organization/administrators won't do anything;

many organizations/managers are abusive with tasking, and won't change anything unless it costs more to not fix it.

the second part of my missive slides into the humorous by engaging these themes in a manner which is dry but should be clearly 'over the top' humor to a majority of people. ie: what would cost more? ignoring the situation or paying comp to a wing full of traumatized employees? plus, the humorous juxtaposition of "nurse" in "unreasonable health professional's" shoes with the tables turned.

hopefully we have not disturbed too many with these images which we have portrayed, and we sincerely wish all readers to understand that we continue to love you all just the same, in a good, non-perverted, completely non-sexual, wholly platonic sort of manner. which is to say completely and not just sort of. ;)

precautions:

poster has diagnosis of acute montypythonitis and stickittodeemoniosis.

Specializes in ER.

POTR

You have redeemed yourself in my eyes, and now I suppose I will have to get literate and read Hitchhiker's. I'm not saying that I wouldn't get PTSD pay if I could get away with it, I'm just saying that no one would buy that a tough talking nurse like myself could be squashed by a tiny squeaky rodent with an MD badge. Just showing tears would ruin my rep.

Specializes in Rural, Midwifery, CCU, Ortho, Telemedicin.

There are such things as warning to the DON, CEO, and the Hospital board of an intent to file a state and or federal suit charging the hospital, and, if appropriate, the parent hospital corporation in a hostile work environment suit. Never threaten but a threat intended to be carried out is a warning. Having lived through several such situations I now have no problem with "going to the top" and if there is no response, taking it outside to the agencies whose job it is to educate the recalcitant institution the financial meaning of deriliction of duty and rebound hostility. A group or a single person filing can be effective espicially if anyone has had to take even one day off because of the stress of working in that environment. Good luck in putting a bow on the jackasses tail.

Specializes in Corrections, Cardiac, Hospice.

Had an incident at a local hospital that ticked the nurse off so bad, she wrote a letter to the editor of a local paper stating that patient care is suffering because of poor professional behavior. I heard that lawyers were involved and it ended up the doc had to write a letter of apology to her.

Specializes in Emergency Room, Specialty Infusions.

Yes, it will happen to you. Just a matter of time.

This doctor is highly unstable.

I have posted before regarding being assaulted by an irrational volatile doctor in 1996. Now, in 2010 I still can't really think about it. It still effects me and causes nightmares.

Hopefully someone in that hospital....and good luck to them, will have the cajones to stand up to this petty egotistical self-righteous tyrant.

I managed to avoid our abusive physician for 5 years until I got physically and verbally assaulted....and then my life and license was threatened afterward.

Good luck.

Specializes in retired from healthcare.

One time a doctor started screaming at me on the phone about a hospice patient who he said was a NO CODE.

She was really a CODE and he accused me of, "stirring things up," when I was just trying to get directions from him because I was dealing with some conflicting information. My agency supervisors adamently sided with me.

Specializes in psych, general, emerg, mash.

what is this...war wounds stories?

Doctors have been doing this for longer than I care to remember. I look them in the eye, especially in front of a patient, and stare them down aka no discussion in front of the patient.

some dr are bantam rooster.

Specializes in Operating Room Nursing.

My hospital has recently developed Disrespectful Behaviour forms. This covers ALL staff Including surgeons. The hospital can no longer afford to turn a blind eye to workplace bullying. I haven't had the pleasure of writing one up yet but it's a comfort to

know that there is finally a system in place to document when these things occur.

As for screaming doctors my advice is to try and remain composed and tell them that their behaviour is unacceptable. If it continues to escalate then I would call security to protect myself, patient and other staff.

While I understand that doctors work under stressful conditions and am

happy to let them vent about how the hospital system sucks etc I am not going to accept being abused. The hospital as my employer has a duty of care to protect me from harm and I certainly haven't spent 4 years studying to be verbally assaulted in the workplace.

Specializes in Peds/outpatient FP,derm,allergy/private duty.
Had an incident at a local hospital that ticked the nurse off so bad, she wrote a letter to the editor of a local paper stating that patient care is suffering because of poor professional behavior. I heard that lawyers were involved and it ended up the doc had to write a letter of apology to her.

That took a lot of guts! I hope she's wearing her Kevlar scrubs for when the long knives come out==shudder==

what is this...war wounds stories?

Doctors have been doing this for longer than I care to remember. I look them in the eye, especially in front of a patient, and stare them down aka no discussion in front of the patient.

some dr are bantam rooster.

That strategy doesn't work so well for our nurses who are not much over 5 feet and 90 pounds soakin' wet, though. -RAWR- for the alpha male. :)

My hospital has recently developed Disrespectful Behaviour forms. This covers ALL staff Including surgeons. The hospital can no longer afford to turn a blind eye to workplace bullying. I haven't had the pleasure of writing one up yet but it's a comfort to

know that there is finally a system in place to document when these things occur.

This is a great idea. Not all of it rises to a critical level but at least the thought that there is recourse helps from the feeling of being victimized by these individuals.

Specializes in Management, Emergency, Psych, Med Surg.

I try to just turn around and walk away from them.

Specializes in ER, cardiac, addictions.
That took a lot of guts! I hope she's wearing her Kevlar scrubs for when the long knives come out==shudder==

That strategy doesn't work so well for our nurses who are not much over 5 feet and 90 pounds soakin' wet, though. -RAWR- for the alpha male. :)

This is a great idea. Not all of it rises to a critical level but at least the thought that there is recourse helps from the feeling of being victimized by these individuals.

We have similar forms, and I think they make a difference, since no doctor wants to be written up as a troublemaker.

In the ER, I seldom have to interact with jerk doctors. But, when one comes down to the ER and acts like an idiot, I treat him/her the same way I treat disruptive patients. The louder and more uncontrolled they get, the quieter and more controlled I am, so they have to stop shouting if they want to hear my answer. If I've done anything inappropriate, or failed to do something I should have, I do apologize and ask them how they'd like me to handle it differently next time. That often makes them think, and most can't think and yell at the same time.

And---I know this is passive aggressive of me, but I do it anyway----when they've just gotten done shouting, I wait about a second before replying (quietly), just so their own yelling can echo in their ears and they can hear how foolish they sound. ;)

(In fact, I see some of the ER doctors handling such tirades the same way.) ;)

+ Add a Comment