So what do you do again?!?!?!

Published

******WARNING*****RANT*******

So in the past week I have had 2 separate occasions where patients of mine have been in need of a PA/MD consults and have been blown off... First I had a guy whos blood pressure drops to 36/48 (At what point do you stop profusing organs???) called the doc, no call back so I call the medical director who oversees the entire hospital and she tells me to recheck it in 2 hrs and call her back if it gets any worse. :madface: SERIOUSLY!?!?! Secondly, not quite so dire but still obnoxious is a lady of mine complaining of flank pain who had in the last week been treated for a UTI... the PA decides to do a repeate UA....that sounds prudent and fair. Another nurse comes in and tells the PA that the patient is specifically asking to be seen would he mind steping into her room for 5 min... he is nasty with her (the other nurse)... and then tells her that he does not see pts until we have screened them first... *** do u think we have been doing?!?! So he continues to sit around with staff and tell (INCREDIBLY STUPID) stories that are non-work related until he decides to leave the unit. Do ypu really think he was clocked off for story time, I doubt it, could he have not gone in and seen the patient? I mean really as doctors and physician assisatants I thought that they actually liked to asses patients so if not What do they do????? sorry, we really do have some amazing docs at the facility I work at but the few bad eggs sometimes can really spoil a friday night for ya. :angryfire

Specializes in Emergency Department/Trauma.

I've been called to a community hospital med surg floor in the past for an unstable patient when they were not able to contact an MD to give orders. It was a like situation with a profoundly hypotensive patient that I ended up using dopamine on under our standing orders and transferring to the regional hospital. There was some bickering from the MD that would not answer his page but the patient care was our priority and all worked out well. That MD ended up losing his privledges several months later. The days of that are in the past around here though, now if needed they would just call down to the ED for assistance.

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