Why do Doctors think they are................God!!

[RNdiva505]

Why do some doctors take their degree to their noggins! ....Us nurses are the ones who spend hours with the patient and have a sense of what the patient might need or want...We build that relationship! Then, here comes the doctor spending 2 mins with the patient then giving orders and don't care for our input! This frustrates me...

Why are some doctors knuckle heads who don't know what the heck they are doing! For example, my admit from the ER, chronic renal failure, came up with generalized pitting edema +2 running fluids at 125/hr...Asked doc to decrease fluid rate....He stated NO! What the hay day!

Why are we not heard!!!!!!!!!! Why is our opinion not valid!

[rnccf2007, BSN, RN]

recent e-mail to my boss after a doctor complained that i did not put an admission order in ( admit with specific dx), and i was subseqently written up:

what disturbs me is that: "no admission order was placed for the patient. dr..... had to place order this morning." is this for real???? i am the one who gets sanctioned???? to be honest, this is totally unbelievable. when we put these admission order sets in for the physician's we have to answer questions r/t dvt profilaxis, etc. beyond the scope of nursing practice. maybe i will order heparin sq q12, if i see fit (pure sarcasm). if a physician refuses to follow through on orders because "they can only do one thing at a time," or "hurry up, i have another call" or snores while i am trying to get orders....i refuse to place an admission order. and then, we are expected to keep them on the phone though a 20 minute + order set when they grudgingly give us 5. and this happens all of the time on midnight shift (also days, but less). i guess i was misinformed. when i went through emr training during hire, i was told that the physicians had access to computers and would have to put orders in, unless they were on the golf course...lol. what a farce. i will be looking for another job, before i have to use my malpractice insurance. quit the next day.

maybe why some doctors think that they are god. and this is a highly respected hospital. expected to cover up for some docs when they never called back. you can bet your behind that i documented this (highly discouraged). never experienced this in smaller hospitals (yes some good and bad doctors, but nothing of this magnitude). i guess what i am trying to say....may be why some docs in some areas think they are omnipotent. the ana can spout all they want about nursing advancing as a profession through education, blah, blah, blah. how can nursing progress when it is quite acceptable for nurses to be the ultimate scape goat. hey, not only can i be in 5 places at a time, i can also snap my fingers and make your doctor appear.

[linearthinker, DNP, RN]

Malice. Alec Baldwin before he became a fat, over-botoxed alcoholic.

I wish sometimes people could step outside of themselves and see how these posts make them, and by extension Nursing, look. It isn't flattering.

[~Mi Vida Loca~RN, ASN, RN]

Malice. Alec Baldwin before he became a fat, over-botoxed alcoholic.

I wish sometimes people could step outside of themselves and see how these posts make them, and by extension Nursing, look. It isn't flattering.

Finally someone knew. Kudos!

[linearthinker, DNP, RN]

You do realize half the posters here were probably in diapers when that move came out...

[~Mi Vida Loca~RN, ASN, RN]

Don't say that or you will make me feel old and I am having enough trouble facing my approaching birthday. :| I loved that movie when it came out! He delivered that line wonderfully. It was a classic like "You can't handle the truth!"

[StrwbryblndRN]

Md's and nurses are two different species. They each have their place.

[GHGoonette, BSN, RN]

Op, I too would love to know what the rationale was for 125ml/hr for a patient in CRF. I suppose it's too late to ask the MD yourself?

I'll bounce the question off our (brilliant) nephrologist when I see her again...if I remember

[Esme12, ASN, BSN, RN]

:yeah:

What's the difference between God and a doctor?

God doesn't think he's a doctor.

:rckn:

[canesdukegirl, BSN, RN]

First of all, thanks for bursting my bubble, folks. All this time, I thought that doctors WERE gods! Now I have to find a good therapist...

Thankfully, I have yet to meet a doc who thinks they are 'god'. There are some arrogant jackwagons, but there are also arrogant jackwagons in all walks of life. I don't automatically assume that a doc thinks that he is the All Knowing, Omniscient, Omnipotent being because he is being a meathead when he writes an order that I in turn question, he blows me off, argues with me, remains stubborn simply to be obstinate.

If I REALLY feel strongly about the order in question, I go over his head or refuse it outright if it is unsafe-for example, a resident wrote an order for MS04 for my pt who had an allergy to it. When I called him to alert him and get an alternate drug written, he stated that the pt didn't have a true allergy to it and that I should just give it. I asked him if he knew what the allergic reaction listed on my pt's MAR was (knowing that he didn't, or he wouldn't have written the order) and he told me that he was late for clinic and promptly hung up on me. So I called his attending, who gave me a verbal for Toradol. I have no doubt that the resident got a good talking-to about this scenario.

Just continue to advocate for your patients.

[healthstar, BSN, RN]

And I never heard nurses say anything positive about doctors, i am sick of this nurse-doctor war. Anybody can become a doctor or a nurse, nothing is impossible when you study, but not everybody wants to become a nurse or a doc. Everybody's job is hard, requires work, not everybody has the same personality(thank god). Yes, some people get paid more than others. I hate it when people say, doctors make so much money while nurses do everything and they get paid much less. If money is the only thing that satisfies you, stop complaining and go to medical school and be a damn doctor and not a nurse. Complaining doesn't get you very far.

[freebirdRN86]

After reading these posts, I am SO grateful for the docs on my floor. They are all so wonderful and so open to suggestions and even joke around with us nurses. This is my first job as an RN and I am very spoiled! These posts prepare me for what to maybe expect from other places.

[xtxrn, ASN, RN]

First of all, thanks for bursting my bubble, folks. All this time, I thought that doctors WERE gods! Now I have to find a good therapist...

Thankfully, I have yet to meet a doc who thinks they are 'god'. There are some arrogant jackwagons, but there are also arrogant jackwagons in all walks of life. I don't automatically assume that a doc thinks that he is the All Knowing, Omniscient, Omnipotent being because he is being a meathead when he writes an order that I in turn question, he blows me off, argues with me, remains stubborn simply to be obstinate.

If I REALLY feel strongly about the order in question, I go over his head or refuse it outright if it is unsafe-for example, a resident wrote an order for MS04 for my pt who had an allergy to it. When I called him to alert him and get an alternate drug written, he stated that the pt didn't have a true allergy to it and that I should just give it. I asked him if he knew what the allergic reaction listed on my pt's MAR was (knowing that he didn't, or he wouldn't have written the order) and he told me that he was late for clinic and promptly hung up on me. So I called his attending, who gave me a verbal for Toradol. I have no doubt that the resident got a good talking-to about this scenario.

Just continue to advocate for your patients.

Yep..... part of a detox protocol was to give 130mg phenobarb IM Q3-4h prn DBP > 90..... this little bit of a woman had received something like 800+ mg over the previous 24 hours since admission... And she was still bopping around the patio of the detox unit (visible to staff). Her DBP was still > 90, so I called one of the medical staff and asked about clonidine, or something else since the Pb obviously wasn't doing the job. And, silly me- I kinda wanted her to keep breathing should it all catch up with her at once (this was a "pure" alcoholic - no history of other drugs-so not high tolerance- family confirmed this as well- which was about as good as we could get to verifying something at the time; if I remember right, her drug screen did come back free of other drugs). I was NOT happy about hearing that we needed to keep giving the Pb....so I called the DON, and he said the amount wasn't going to hurt her... Fortunately, she only got another dose, and the medical director came in and added clonidine and a tweaked protocol for her. And, she did ok. Granted her DBP >90 wasn't going to kill her, but DTs can sneak in quickly...didn't want to mess with that

Also had a patient going down the tubes big time after a colectomy. Her color was bad, VS all weird- but not earth shattering , and just didn't look "right".... but not enough to get the surgeon to come and see her. Incision was fine, NG to int suction was unremarkable, lungs clear, no s/s DVT, urine output unremarkable, bowel sounds not good- but it was still fairly early, etc....but something was WRONG.... I called the sup, who agreed something wasn't right- but no orders from the doc, so whaddya do? I told the oncoming nurse that if this lady was alive when I got back at 7pm, I wasn't taking report. At the least, she needed to be in the unit. She coded at noon. (and this was a doc who was good- his patients did well on the whole....it was a largely elderly demographic, but he had minimal complications considering he worked on fossils most of the time). But he wasn't concerned- and I couldn't give him a lot of specifics to go on- just that gut feeling that something is BAD and her color being way off. Later they found a 350cc abscess at the autopsy- I don't remember her WBCs being nuts- maybe a pocket ? . I wish she'd been in ICU, with more monitoring, and maybe someone there could have found something more definitive to alert of what was going on. I don't remember her being THAT old... It's been 16 years, so that's about all I remember about that one.