Unprofessional doctor

Nurses Relations

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Hi everyone,

I am looking for thoughts and perspectives about a situation so that I can take the next step in dealing with it.

I work with a doctor who has been rude to me and others for about the last month. I tried not to take her rudeness personally because I figured she is just stressed out. She always talks about the "countdown" to the end of her fellowship. She has more than once mentioned to people at work how much she hates her fellowship and described it as the "bane of her existence" on Facebook. So, trying to be a cheerful person and brighten her day a bit, I say "hello" to her whenever I see her, to which she bares no smile and gruffly and obligatorily says "hello" back...I try my best to promote a good working environment for everyone.

Yesterday, I was taking care of a very sweet, laboring patient. She had a very sweet husband and a sweet extended family as well. We all got along very nicely. I do my best to provide a warm, nurturing, caring environment as childbirth is usually a time of great joy. I want all the kiddos I help see into this to have a very Happy Birthday. :) All those good vibes were wrecked when in walks Dr. Grumpy (I'll call her Dr.G for short). She literally barked off about three "orders" to me...things that aren't medical orders...like "change the pt's underpad" and such...seriously, I don't need to be told how to be a nurse. I am not a lazy nurse who waits to be told to do things. I am busy and proactive. Then she quickly apologized for being "so demanding." Next, she turns to the resident in the room and said, "I'm sorry, but I'm going to be a princess today." Huh? What does that mean, anyway? That you are going to keep up with this ridiculous trend of telling me how to do the job I've been doing without prompting for the last five years of my life? I didn't respond to her "princess" statement. I thought it was just dumb that she said that. Furthermore, I am precepting a nursing student right now and want to teach her to be professional.

Long story short, Dr. G kept that poo up all day. I didn't pay too much attention to it...didn't take it personally...until she yelled at me in front of two other doctors, my student and a couple of other nurses. Here's what happened: My patient was completely dilated and was starting to push with contractions. Dr. G is not satisfied with the fact that the pt's contractions are five minutes apart, so she wants an oxytocin infusion started. I didn't really think it was totally necessary but couldn't disagree with her reason for asking for oxytocin--it would be helpful. Well, Dr. G had walked out of the room after demanding that Pit be started. When I came back with the Pit, I asked the resident at what dosage she wanted to start the infusion. She said 1mU, which I did. (She put the order in the computer later). Those of you in L&D know that oxytocin is a high-risk medication and low-dose "Pit" infusions are more effective than high-dose. After 15 mins, I increased the infusion by 1 more unit. The resident them told the pt that she would have her take a short break from pushing and would have her start again when her ctx were 2-3 mins apart. My patient was stable; I stepped around the corner to get a sip of coffee in the "board room." Dr. G is is there looking at a computer. She whips her chair around, stared at me in the face and asked if the Pit had been started, to which I replied, "Yes." She asked me what it was started at; I told her. She immediately yelled very loudly saying, "ONE? ONE? Her contractions are SIX minutes apart! How do you expect her to have a baby with ONE mU of Pit going?" I said, "I just increased it to 2." She said, "We need to CRANK that Pit. This is ridiculous Why did you start it at one?" I said, "Because that's what your resident ordered and I started it according to her orders." She replied, "Well, you need to crank that pit!" and whipped her chair back around. Why in the world was she yelling at me? I went back to my pt's room to help with her delivery, unable to smile for several minutes. My face was so hot I had to step outside the door for a couple of minutes (my charge nurse stayed in the room with the patient during that time).

It was at that point that I started to feel like it was personal with Dr. G. She was nice to the other nurses and techs yesterday. What bugs me is, I seriously cannot think of anything I ever did to upset her, personally or professionally. I am so upset about this. It literally ruined my day yesterday. What should I do to handle this? I am definitely not going to let her just get away with being so unprofessional.

Specializes in Step-Down.

You need to fight fire with fire. I am not saying to be rude but 50% kill her with kindness and 50% be fresh. Example: The next time she yells at you tell her to NOT raise her voice at you and walk away before she can say anything. Next if she is not talking directly to you and being rude to someone else, but you are in her field of view - roll your eyes several times. Do not say "Hello" to her in the morning unless she says it first. Next time she appologizes for "being demanding" or whatever tell her that she should be sorry because she was being rude.

Specializes in Home Health.

What the doctor did, justifies a report to the Board of Medicine.

Specializes in Home health was tops, 2nd was L&D.

If you are friendly enough to be FB friends.. why not use your professionalism and talk to the woman? She obviously has issues. and maybe it is just wanting to move on.. but I think she may be taking it out of you because we alsways take things out more on friends than strangers! maybe she somehow feels you get it and can handle it.. Simply tell her you do not want to handle her behavior and ask her to stop.. If she does not, then report it up chain of command.. Any by all means do not FB a doctor where you work!!

If Dr. G spoke to me that way I would tell her "would you like me to talk to you that way"? Rest assured, she would never speak to me that way again. I don't take that kind of nonsense. Also, I would not FB people at work. If they want to communicate with me, they could talk to me at break time.

Specializes in L&D.

Wow, these are all great replies and have helped me a lot! Yes, I agree with not friending doctors on FB anymore...completely agree. I quit adding them as friends a couple of months ago, no matter how much I like them. I am going to have a chat with Dr. G the next time I see her. I will not stand for being treated poorly at work. I don't do it to other people and I don't think it's right or acceptable for people with whom I work to do it to me.

Thanks for all of the wonderful replies! You all are GREAT!!!!!!!!!! :yeah:

Specializes in Cath Lab/ ICU.
Have you thought about taking your observations about the situation(s) to THAT doctor---and asking if you did something to offend or upset her and is there a way you can help make the last months of her fellowship more pleasant for her? Sometimes, taking the responsibility for what happens, even if it isn' your fault, can defuse the situation, and, may have the added benefit of helping her see her own unprofessionalism. You, by the way, sound like the type of nurse I would put my students with any day of the week! Keep up the good work. Sorry that day was such a rough one

Last year I was SOOoooooo bitter with work that I could barely stand it. I was in my room and a Dr came in and said something really stupid (IMHO, lol) that I briskly responded to in a very mean way.

A few mins larder, she asked to speak to me, took me aside to a quite location and asked if there was something she did or said that offended me because she was really shocked at how I responded to her.

Ugh. It really made me think about what I had become at work. I apologized. I took a step back. And I changed. I also transferred OUT of that department.

I think the direct approach tactic, in a quite place, works best.

Specializes in OR, Surgical.

Unfortunately in our profession we have to deal with such bs. What I have learned is that you cannot control other peoples' thoughts and/or actions. You can only have control over yourself. As long as you are putting your patient first and the orders you follow do not harm them, keep doing what you're doing. It is unfortunate that she got all *****, but if the orders you implemented are safe, then you did the right thing. If you do not have orders to titrate the Pit or you do but it is unsafe to start out at a higher dose, then too damn bad for Dr. G. When it comes down to it, your employer will "back" you if you were putting patient safety first, especially if you have policies/procedures on your unit related to pit dosing, which I'm sure you do. You can't make everybody happy...if they're grumpy, oh well. Don't let it affect you and DON'T go out of your way to be super nice. Maybe she just wants to get under your skin. Make sure she sees that it's not working. Just be professional and take good care of your patients. You have to pick your battles and there's no way that we as nurses can "right" every "wrong" that we have seen when it comes to doctors being jerks. Sometimes you have to just realize "it is what it is" and move on.

Specializes in ER.
What the doctor did, justifies a report to the Board of Medicine.

No, I disagree.

She's a PIA, and socially stupid, not a danger to patients.

About the Pit... I think I would have remained in the room after she yelled and taken a deep breath. Then said, "You asked me to start the Pit, and your resident gave me a specific order about the rate. I can't change that, and I really need you to work WITH us. It's much harder to work as a team when you're yelling." Don't know if that would be effective, but once I've said my piece if she didn't improve or apologize I'd be writing her up. You can't work effectively in a situation like that, or with someone sporting a hair trigger temper.

Specializes in Medical Surgical Orthopedic.

I would have a lot of fun addressing her as, "Her Royal Highness, Princess of Pitocin". My patients would be "ladies" and my rooms would become "castles". She wouldn't get any coffee from me, either. NO COFFEE!

Specializes in ICU, Cardiac.

You are an amazing nurse. You did an exceptional job of keeping your cool in an unfair and difficult situation. I would have cried or said something I shouldn't have.

I agree with canoehead. Take a deep breath and gently confront next time something else happens. If attempts to resolve this situation like an adult don't work I think this should be taken above her head. It sounds like she is creating a hostile work environment.

I wish you the best. You sound like a wonderful nurse and teacher. Keep your head up!!

Bless your heart.

I've worked in the OR environment for many years and have seen the rise and fall of many surgeons. One of my best friends, a general surgeon, always reminds me that when docs yell and scream, they are insecure and unsure of themselves.

Hope this helps and best of luck to you.

Specializes in L&D.
I would have a lot of fun addressing her as, "Her Royal Highness, Princess of Pitocin". My patients would be "ladies" and my rooms would become "castles". She wouldn't get any coffee from me, either. NO COFFEE!

HAHAHAHAHAHAHAAAA!!!!!! This is AWESOME!!!!!!! You gave me the laugh I needed! I am ROLLING ON THE FLOOR!!!!!!:lol2:

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