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Discussion

Wrote a doctor up!!!

Last week I felt I was verbally abused by a doc. I am probably too nice to some of them at times, so maybe they think it means I am a push over. We had an 89 year old NH patient come to the floor from ER with an IV in her foot. The bag was empty, so ofcourse the site was no good. I told the nurse to just pull it, the last thing we need is a thrombus because we were trying to unclot a site in the foot. She also was dehydrated with an INR>6 and a b/p 88/40's or so. So according to hospital protocol, she tried twice and couldn't get it. Then I (the floor "expert") tried twice and blew the vein. So we called IV team and it was after 10:30, so they weren't taking any more calls. I called the doc and said, what should we do? Any ideas? He started SCREAMING at me. "This is the second time we have had issues on THIS unit. What do you want me to do you say? I say, she needs the site, go put one in, NOW!" I said to him, very FIRMLY, "Doctor, there is no need for you to yell at me this way, I am telling you we cannot get the site in and am asking you what other options you want to consider. So, you can stop it right NOW!" He kept yelling, "I said get a site in her. This is ridiculous, it is just basic medical practice." So I repeated, "there are NO VEINS TO START AN IV, what other options do we have, I can't get a line, what part of that are you not understanding?" He just kept yelling and saying, "just go put a line in her NOW." Like, I didn't want to, right? So, finally, I said, listen, I am going to call a house supervisor because this is getting us NOWHERE. I did call and she happen to know a nurse on the intensive unit who worked as a float on the IV team. She was gracious enough to come up and start a line, (on the inside of her wrist.) That line blew the next day:sniff: So, anyway, I wrote up my conversation with the doctor and sent it to the administration. Someone up there must be pretty upset, because they actually called me on the unit tonight to find out what happened. When I told them, he said, Oh, that was completely inappropriate. I am going to forward this to his chief of staff and I can assure you it will be dealt with....Nothing may ever come of it, but it makes me feel good knowing I stood my ground for myself and MY PATIENT!!!!

Featured Replies

Awesome! Way to go! :)

I'm so glad that you held your ground. You're fortunate to have an administration that sees this doc's bullying tactics for what they are. Please, keep us informed about the outcome.

Thank you for meeting this issue head on.

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First of all, thanks for taking up for our nursing home resident, next, thanks for keeping calm in the heat of battle. You go girl, keep reminding us who the true professional is, and keep us in the loop as to sanctions etc.

:kiss

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WAY TO GO!!! Its time that doctors learned to treat us as the PROFESSIONALS we are and not like a bunch of flunkies... :D :D :D

Good for you, and good for your administration that actually listens to their nurses and looks into inappropriate doctor behavior, instead of just sweeping it under the rug!

Keep us informed!

You rock! Hey you never know and something might come up. Hopefully at least an apology from him.

GOOD GOING!!!:kiss

That was a very good thing you did!! It is even more impressive that your administration is backing you up!!

:w00t: :w00t:

You are just AWESOME!!

Mary Ann

Very good, Shay. :cheers: We all need to stand up for ourselves like you did.

But now I gotta know, was there any way a PICC could've been inserted that night by Radiology? Is there no on-call?

The patient obviously needed a line badly. Inner wrist. Owie. I've had to stick them there, though no one likes to. :( It should've been patently obvious to Dr. Dolt that if the first line was in the foot, then the patient was quite a hard stick. Ya think? :rolleyes:

Please update us with the doc situation too, ok?

Was the doc an attending in house when you called them or was he at home. Just wondered, because the day i see one of our docs insert a peripheral line is the day it will snow someplace it shouldnt.

Normally if we cant get a site, we go through the chain,,supervisor tries, if she cant or is busy we get P-med to come up and do it, which they usually can. If for some reason they cant get a line, the patient will usually have a picc or central sub-clavian put in the next day, but noone is gonna come do that in the middle of the night either. If they are bad enough that they cant survive without a line overnight, they should be in ICU anyway.

Kudos for you for holdin your ground though.

Was the doc an attending in house when you called them or was he at home. Just wondered, because the day i see one of our docs insert a peripheral line is the day it will snow someplace it shouldnt.

Normally if we cant get a site, we go through the chain,,supervisor tries,picc or central sub-clavian put in the next day,

I was wondering the same thing... I have been out of the loop for a while (clinical setting) but I used to work steady nights and calling a doc had to get an ok from the house supervisor back in my day.

And were you looking for an order for a picc line, and do they do that at night.

I am just thinking maybe he was frustrated because it was not clear what you wanted him to do.

None of that really matters, because in the end, he was very rude and needed to be written up, so you go girl.

I one time had a doctor call up at 7:30 am and he yelled into the phone, "Let me speak to the (non PG13 phonetic) nurse that called me last night in the middle of the night." I was so glad it wasn't me that called him, but I sure felt bad for her. She took the phone and turned beet red. She would not talk about what he said, but I felt really badly for her. She did not write this dr up, but I understand how hurtful it can be when you are only trying to be and advocate for your patient, and the dr gets mad at you for doing your job.

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