What doctors do that bugs you...

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1. in our nursery, the charge nurse assists the pedi while rounding. there's this one pedi who will ask questions about a baby (was mom's gbs neg., etc.) as she is looking through his/her chart.

'uh....well....um... you've got the chart.'

i actually said this to her once. she said, in a somewhat irritated voice 'that's ok, i can look it up', i replied 'i don't mind looking it up, but you've got the chart.' :banghead:

2. obs who manhandle women's bottoms and then get mad at them when they aren't effective at pushing their babies out. you know, it's not just about pushing well, it's about being able to relax the muscles in your bottom at the same time. the woman relaxes in between, then as soon as another contraction comes, he begins poking, prodding and pulling - you can watch her tense and pull away from him, all the while trying her best to push, poor woman. i just want to shove him out of the way and apply a warm compress instead - way more effective. how about working with her body instead of against her.

is it just me, or does it seem like everything is going great, and then (some) obs gets there and mess it all up?

3. ob's who induce/section for no medical reason. :angryfire

4. obs who complain about the apgar scores. :nono:

(this especially bugs me when they fuss out loud to everyone in the room. just give the family a heads-up to sue why don't ya! :banghead: )

you want to give 'em, doc? then you sign your name to them!

5. doctors who are so macho that they will do the opposite of what a nurse suggests just because they can - regardless of what is best for the patient.

some of us get wise to this and use reverse psychology to get what we want. :rotfl:

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1. Doctors that make a huge mess during a delivery and refuse to clean up the mess. Including leaving their sharps on the table and not telling you how many there are on the table. You're left oh so carefully browsing through the mess to find your sharps and not stick yourself at the same time.

2. Docs that cut episiotomies when the mom doesn't need one. I've seen one doc that every single patient gets one. Even if its her 5th baby!!!

3. Docs that will use any reason to section a pt just because they don't want to sit around and wait for labor to take its course.

I'm sure i'll think of some more

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i guess it goes along with social sections and inductions -

docs (or whole groups!) that practice '9-5 obstetrics'. they try to schedule as many births as possible to avoid nighttime deliveries. arggggg!

if you want a 9-5 practice, try dermatology! he he he

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Specializes in Orthopedics/Med-Surg, LDRP.

Unnecessary sections. I had a doc section a girl becuse she was in pain. Went right past the Nubain/Phenergan and had her consent to an epidural She moved a lot during the epidural and it didn't go in well and never gave her any relief. Still bypassing the Nubain/Phenergan (and she was only like 3/4cm) he had her consent to a section. He had her scared to death that she was abrupting with "unrelieved pain" when she had no other signs/symptoms of an abruption other than an elevated BP, but she'd had that her entire pregnancy.

Doctors that just schedule repeat sections and talking the women out of VBAC's.

When doctors try to use suctions when the babies are like 0 or -1 station.

Doctors who suction more than 3 times - had one who suctioned SEVEN times. Each time it popped off, blood flew everywhere. The room looked like a murder scene.

Doctor's who suction because they're sick of waiting and the mom's have only pushed for like a half hour.

Docs who will not reschedule elective inductions/sections/cervadils when we don't have anywhere to put them because they overbook us and we're not that big of a unit yet.

Ok, I think I'm done ranting.

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Have you ever worked with a Dr. that goes into the patients room and talks a great deal.... and usually in circles, and actually says NOTHING!

When the Dr. leaves and you are standing there...the patient and or family will ask, "what did he say".

lol...I go get him or beep him and tell him the patient has ?'s for him.

We had Dr.s give their patients our L&D unit number for them to call us with their ?'s. One dr. said he wasn't going to return this one patients call. I called her back to let her know that I had spoken with her Dr. and had not received any orders. That if she felt like she needed to be seen to come to the hospital. Boy was he upset with me. (I think he was going to tell the patient that I'd not given him the message)

One Dr. would have a number of patients in labor, and we were busting our britches to care for them, IN he walks and breaks everyones water, orders a ton of epidurals, and pitocin augmentations!...now a once managable situation is no longer...oh and I would be the one following him room to room doing this and he would be upset that I'd not gotten the first patient admitted by the time WE had seen his last patient. Sorry but it does take about as much time for him to chart what he did as it does for me to clean up after what he did, and on to the next patient.:banghead:

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doctor's who suction because they're sick of waiting and the mom's have only pushed for like a half hour.

you know, when i first came to this hospital, i thought the l&d nurses were rather cruel. nearly every delivery i went to, they'd be telling mom not to push and waiting on doc to come. i felt bad for the moms. but after i'd been here a while and asked a couple of them about it (nurses), i realized that they were trying to keep the moms from having epis. and other interventions. i have to admit, there is much less cutting/forcepts/vacuum going on here than other places i have worked. if a mom just can't hold back anymore, we just deliver the baby. no big deal.

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ps. we don't automatically start pushing moms the minute they become complete. it seems that our l&d tends to wait until moms get the urge (if baby is ok, of course). i have to say, we don't have moms pushing for hours like other places either.

having been told to push without an urge and then later getting one, i can say from personal experience, that it is very exhausting to push when your body is not helping you.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Unnecessary sections. I had a doc section a girl becuse she was in pain. Went right past the Nubain/Phenergan and had her consent to an epidural She moved a lot during the epidural and it didn't go in well and never gave her any relief. Still bypassing the Nubain/Phenergan (and she was only like 3/4cm) he had her consent to a section. He had her scared to death that she was abrupting with "unrelieved pain" when she had no other signs/symptoms of an abruption other than an elevated BP, but she'd had that her entire pregnancy.

Doctors that just schedule repeat sections and talking the women out of VBAC's.

When doctors try to use suctions when the babies are like 0 or -1 station.

Doctors who suction more than 3 times - had one who suctioned SEVEN times. Each time it popped off, blood flew everywhere. The room looked like a murder scene.

Doctor's who suction because they're sick of waiting and the mom's have only pushed for like a half hour.

Docs who will not reschedule elective inductions/sections/cervadils when we don't have anywhere to put them because they overbook us and we're not that big of a unit yet.

Ok, I think I'm done ranting.

I would be discussing the high station suctions and multiple pop-offs with your manager/risk mgt department. These are blatantly negligent violations of standard of care. The maximum acceptable number of pop-offs is more like 2-3 and NO MORE. Seems to me, there is a real problem there w/some of your docs. Some day, someone is gonna get hurt and badly...and you may be called to give a deposition. Scary thought. BTDT, several years ago, myself. I have learned since then.

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We had a doc that "popped off" 7 times. Baby was severely injured due to his negligence. I heard the baby was having uncontrollable seizures and i'm not sure what else. But it was really bad. I heard the case was going to court but not sure of the outcome.

It makes you wonder why sometimes they're so quick to call a section(even if mom doesn't need one), then the same doc will do a delivery like this and cause unnecessary injury to a baby?????:nono:

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I know of a case where a baby was permanently brain damaged due to similar negligent malpractice by a doctor, years back. I learned really quickly how they WILL look HARD not only at the doctor, but also, at the nurse who is present and assisting at such deliveries, as well. It can get ugly, fast. I would be writing this stuff up, in the form of occurence/incident reports and talking to my manager about such practices, no doubt. I learned my lesson way back then. I feel for that baby and family and wonder how they are today......

And thankfully, that physician is no longer practicing obstetrics at all anymore.

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Specializes in LTC, Med/Surg, OR, OB, instructor.

We have Docs on each end of the spectrum here...One will simply ask "Well, do you think she needs a section?"(and almost ALWAYS listen to us), and one of the others will NOT, under any circumstance listen to anything you say...We've all had to learn to sort of dumb ourselves down and let him think he's sharing his infinite wisdom...pathetic! He is also one of those Docs that will argue about the APGAR.

One of our other Docs is notorious for calling in to see who is taking care of her patient, and if it is someone she doesn't like, she'll ask to talk to another nurse. One time, she asked me to do a vag exam on her patient because she didn't believe the other nurse (who is a very good nurse).

AND I personally love it when I get yelled at because a pregnant women wants to do something like deliver in the middle of the night!!! How inconsiderate of her!:nono:

One more thing...we have an induction policy (for elective inductions) so we can try to avoid using all our labor rooms. If there aren't any spots available, one of our wonderful physicians has learned to say her patients are complaining of decreased fetal movement, and the "elective" becomes indicated, and we end up running like mad all day!

UGH

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Specializes in many.

Only been in L& D 18 months now and have seen as many as 5 pop-offs. Stupid me I later asked the resident for the reasoning for so many applications.

Now that I have learned more about the complications I have no problem with using our ASK, ASSIST, ASSERT method...

" Do you really want to apply the kiwi for a fourth time?"

"Our policy states 3 times is the max for vacuum application"

" I will have to call the attending and nurse manager if you apply that again."

As for arguing with apgars...I will ask the MD to check along with my assessment at the warmer/bedside and review the portions one by one in front of the pt. Usually makes the resident look stupid, but that's what happens when you try to make me look stupid, or act like a know it all.

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