So, about two weeks ago I had a very unpleasant interaction with my patients primary provider. I was in the patients room with him and they were talking about the care plan, when the patient directly asked me a question. It was nothing medical related, and not anything relevant to what they had been talking about, but I answered the question. I then went to the nursing station to chart while they continued. The doctor came raging out and started to yell at me for undermining him in there. This is in front of about 15 people. According to him, I should not even talk when he is in with a patient. In the middle of his rant. I interrupted him and frankly said, " There is no reason for you to be so disrespectful towards me, and if there is anything else you need to let me know, feel free once you decide to behave like a professional." and left. I was later pulled aside by my charge (who witnessed the entire thing) and told that it was unprofessional for me to "point" and raise my voice in front of everyone.
I just cannot believe that I was pretty much being told not to stand up for myself.
NO.....As I said in my previous post this was not something to be discussed while the doctor was in the room ...It clearly demonstrates the patient was NOT listening and I'm sure he was expecting you to help guide the patients attention back to the matter at hand.....I have to do this all the time with residents and family.Usually the doc will say "Nurse KTW will explain that in a moment but now yada yada...etc".....It's not always about YOU The fact this doc did something similar to another new nurse leads me to believe you both are not getting the mentoring you need or not accepting guidance from your peers....It's inane to think the doc is going to stand there while you discuss transport arrangement with the patient.....
Actually, a major component of the informed consent as required by EMTALA is that the transferring physician discusses transportation arrangements with the patient. The nurse is responsible for assessing the patient's understanding. Questions posed by the patient to the nurse in front of the physician, IMO, possibly reflects the physician's failure to obtain informed consent.
JenERally
68 Posts
Actually, a major component of the informed consent as required by EMTALA is that the transferring physician discusses transportation arrangements with the patient. The nurse is responsible for assessing the patient's understanding. Questions posed by the patient to the nurse in front of the physician, IMO, possibly reflects the physician's failure to obtain informed consent.