What doctors do that bugs you...

Specialties Ob/Gyn

Published

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:

Specializes in med/surg.

Sounds like it would be better if you had proper midwives. here in the UK the doctor only gets called if a woman gets into difficulties. otherwise the trained midwives take care of the whole thing & they are much more in tune with what your body needs because that's how they are trained.

Of course I'm sure someone will come in with howler of a story but there's bound to be the odd one or two who aren't as good that spoil it for the majority.

I've had 3 kids, no doctors, no episiotomies, no stitches & no epidurals or opiates. I did use entinox - LOVELY!!! I'm short, quite petite & my babies weighed in at 9lb 4oz, 7lb 8oz (2 weeks early) & 8lb 12oz so it's not as though they were small either.

I LOVE midwives!!! So to all you midwives out there -thanks, you've obviously saved me from a lot of trouble! xxxxx

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Specializes in Looking for a career in NICU.

I just wanted to say that I read this entire thread and I am just floored at what goes on at some of the hospitals.

I'm not a nurse yet, but I have seen one friend of mine that had a baby that was suctioned out. I just assumed that she had trouble delivering (because again, I have never seen a baby delivered like that before), she said, "No, that is just how he does it."

Now I realize that nature just needs to take it's course.

Running into incompetent doctors (once I learn and gain experience) is going to be the most difficult part of nursing for me, especially since I want to work in NICU. I mean, you have to allow yourself to get desensitized to an extent, otherwise you would just die every time you see something bad happen to a baby, but how some doctors treat people, and in this case babies, like objects is frightening.

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

Yes, it can be quite demoralizing, seeing what goes on in some hospitals at the hands of some obstetricians. It's almost driven me away from hospital nursing altogether, in the past.

There, for me, is a silver lining in all of this: I find working with midwives one of the most rewarding and educational things I have ever done as a nurse. For those who are looking into a change, or are not yet nurses, my advice would be to look into working in a place that has a high number of midwives on staff. Really, this is the best way to go, IMO, after 9 years as an RN, having worked in 4 different hospitals.

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sounds like it would be better if you had proper midwives. here in the uk the doctor only gets called if a woman gets into difficulties. otherwise the trained midwives take care of the whole thing & they are much more in tune with what your body needs because that's how they are trained.

last i read, the us is rivaled only by canada where medicalization of the birth process is concerned. we are actually quite low on the list of industrialized countires when it comes to infant and maternal morbidity and mortality stats. the countries that fair the best are the ones where midwives are in charge, and birth is natural in most cases - without a doctor in the room.

the only thing the us is better at is saving the tiny preemies, but that's because we get more practice at it. the average, healthy woman is nearly twice as likely to deliver her baby prematurely if she is cared for by an obstetrician than if she were cared for by a midwife. that fact is sobering to say the least.

the ratio of doctors to midwives is opposite of what it should be in this country -- not becuse of safety (as the obs would have us think) but because of money and politics.

kudos to all you midwives out there. :yeah:

yes, some of us do know the truth!

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boy... this thread has really taken an interesting path. these threads have a life of their own.

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Specializes in Med/Surg.

Hi, new to this...:nurse: I'm fairly new to nursing but I HATE when the doctors ...

1- remove a patients dressing/packing without telling me or another nurse

2-tell the patient they can go home but don't write discharge orders :confused:

3-tell the patient one thing and document/order another :(

4-ignore your concerns about a patient until its too late and then take credit for saving them...arghh :madface:

5-playing with pain pumps or other pumps when they obviously don't have a clue what they are doing... :nono: then wonder why the patient is having difficulties

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sometimes docs realize their mistakes & do a little sheepish crawfishing.

when i was a new nurse and not as assertive with the docs as i would be nowadays... i had a rather young, avg.size, post-hyst. patient once who couldn't settle down and get comfortable post-op. she was on a demerol pca with typical settings, but no luck.

i had just shoooed the visitors out, turned down the tv, and explained that she would probably drop off to sleep if the room was less stimulating. i told hubby to either take the phone off the hook or catch it on the first ring. even so, she still was restless and rating her pain high - but normal findings otherwise.

about that same time, due to my call for something more, the resident ordered a bolus of 100mg (!). he came in and was standing over her bed talking to her and her husband as i began to administer it via the pca.

i looked up at him and said, "um... i'm going to administer this in 25mg incriments, if that's ok with you." he kind of blew me off in a mildly irritated way, but agreed. (like yeah...whatever)

shortly after the first bolus of 25mg went in, the pt. -- who had been involved in the conversation with her doctor -- rolled her head to one side on her pillow, closed her eyes and became totally oblivious to all of us. she was fine, just medicated and finally comfortable. (allthough, i must say, i checked on her frequently for a while afterwards just to be sure.)

i watched the resident's facial expression as he watched the patient promptly drift off, trying not to let his shock/surprise show. he knew immediately that i had just saved his butt bigtime. he followed me back to the desk like a little puppy... "what did you say... 25mg incriments... i'll write that order right away."

:rotfl:

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Specializes in Orthosurgery, Rehab, Homecare.

I don't work OB, but I hope I can play. . .

I hate it when the MD downsizes a patient's trach and leaves the old one laying on top of the dresser with secretions drying to it (and not telling anyone of course). I found it several hours later. Gross.

~Jen

(for those whose MDs leave sharps for you to clean up, there should be, and most likly is a way for you to report/write up that. If not only through OSHA- not safe.)

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Docs that breathe and speak.

(No it wasn't a good day at C-section Land today lol)

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Specializes in Orthopedics/Med-Surg, LDRP.
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.

Our facilities policy is only 3 applications and the person who applied it 7 times was the CHIEF OF STAFF in maternity. I think he let the Baby Story episodes go to his head.

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Not a nurse yet, but when i was in L&D and the subsequent sick baby nursery for Olivia, I noticed 2 doctors who changed diapers and DID NOT WASH THEIR HANDS! Now I know it was just meconium...but come on!

(I now recognize that it was probably rare for a doctor to change a diaper anyway, so I guess it was "nice" of him, but still gross)

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Specializes in Peds ER.
Yes, it can be quite demoralizing, seeing what goes on in some hospitals at the hands of some obstetricians. It's almost driven me away from hospital nursing altogether, in the past.

There, for me, is a silver lining in all of this: I find working with midwives one of the most rewarding and educational things I have ever done as a nurse. For those who are looking into a change, or are not yet nurses, my advice would be to look into working in a place that has a high number of midwives on staff. Really, this is the best way to go, IMO, after 9 years as an RN, having worked in 4 different hospitals.

I've been wondering how midwives are compared with MD's. Many nurses on my unit are pregnant and go to an OB group that has a midwife on staff. None of them want to see her or have her deliver their babies. I don't think it's anything personal, but they all feel more comfortable with the MD's. I think it would be great. Would you, or have you, had a midwife previously? Just curious.

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