Okay, I guess to be a legit post in here I have to complain about something so...
...how 'bout them doctors? Not only is the handwriting bad but you can't even understand half of them anymore. (run on sentence alert!) Seems like when they come from India or Pakistan or where ever they don't even bother to learn the language well enough so that when you call to ask them about what the hell this order is you can't even understand what the hell they are saying?
And if anyone disagrees with me on this I'll... I'll say you are wrong! So there!
Better to be moron than off. ha,ha.\
I totally agree with you. I had an indian physician the other day that tried to give me verbal orders on the phone and I could understand about 2 out of the 10 orders he gave me. I kindly said to him " I am sorry but you are going to have to repeat slower or come in and write the orders yourself." HE got so mad and hung up on me. He later came in and wrote the orders. LOL>>>>
Amen, I am a new Rn and I have already encountered a doc who thinks he can do no wrong, well I have news for him. He recently was taking call and had the gall to tell a family of a pt (who was obviously) crashing, that she would just be fine. After he left the room he stated," I am not her primary doc and she is a DNR anyways, Im not worried about it. That just ran all over me. I don't care if she is a DNR or if he wasnt her primary doc. He should have atleast paid alittle attention to her.
Sounds like he interpreted DNR as Don't Provide Any Care! If she was obviously crashing it sure seems callous and ethically wrong to assure the family "she'll be fine". I take it empathy isn't that guy's strong suit eh? sheesh...
Bonnie don't you agree that it's asinine that hospitals have a "top pay" cap for their professional staff? That either forces experienced nurses to leave for greener pastures or it's done on purpose so they can move well paid staff out the door in order to take in less experienced nurses they can pay cheaper. Corporate healthcare mentality... it's not what's good for patient care that matters most- it's that bottom line babe!
When the inexperienced pool of nurses far out weighs the experienced pool, and the staffing ratios don't compliment patient acuity, I think we all know what happens to patient outcomes.... AND the bottom line! The 'suits' just don't get it, do they!
Whoever said the suits were smart?? They are just a bunch of stupid, idiotic, ass-kissing, buttsniffing, brownnosing overschooled, overpaid, idjits!!!!
hey you wouldn't be referring to those OBNOXIOUS and arrougant beings than look down their nose when one asks a very dumb question like - well how about a diet order? I think that they all went to school on the East coast - they give a couple special classes here - walking on water 101 and parting the waters 102. Having worked across this fine country I can pinpoint one of these graduates anywhere. If they move west - there are those who will try to copy them but can just never get it down quite right. Nope - East Coast Gods stick out like a sore thumb
Heck I ask many of them if they took hieroglyphics in order to get into med school and the one'e with good penmenship I question if they Clepped the course.
In Indiana....You gotta remember he is a surgeon..
I had to bring in a fistula needle to show him how deep to put the grafts and to bring the veins up so we could cannulate our ESRD patients.. And I didn't charge a consultation fee..What was I thinking.
Now I did clarify this with the ER doc. Penna does have Board certification for Obnoxious and arrogant and hieroglyphics. It is a speciality by itself!
I swear, there is some backwards penmanship engineering somewhere during med school. It cannot be a coincidence.
How many people die every year because of shotty doctors handwriting? I would bet it is a pretty solid number.
That is the thing that pisses me off the most.
Look at the lengths they go to ensuring that nurses are responsible for their actions. I mean it's insane, and yet you NEVER hear even a word mentioned about doctors handwriting.
Oprah could do a show on it, and take a sample, just a random sample of doctors orders from across the country, and it would instantly be an issue. Until that happens, it won't be. (I am not so secretly in love with Oprah)
I did an assignment a few years ago at OSU Medical Center in Columbus, Ohio. They were implementing computer charting and the Doctors were the first ones to have to start. They had to put all their orders in the computer. I tell you it was GREAT! Talk about pissing and moaning....you would have thought someone took their BMW or something.
Worked last night and awful time decifering 'Duoneb txs q 6 hrs'. When I 1st read it, thought it was refering to IVF. I was looking for IV orders as Pt had D5LR hanging but NSS was marked on IV sheet and I needed to clarify what the patient was actually to have. Piss poor handwriting should be a crime in the medical field. And these Doctors need to made accountable.
Well, I hate to say this but when I worked in the hospital I was the one the unit clerks came to to decipher hand writing... Some how I could always figure it out. I have a photographic memory I suppose that's how I did it..And very good penmenship BTW... HMMMMMMMM
I guess I just wasn't gonna let it get the best of me.
I worked in Virginia for many years, many years ago and recently went back for a visit. I was riding a crowded elevator up to my old floor when a doctor grabbed me and said "thank God you're back!!!" "Can you teach those idiots how to read my handwriting? - they've been bugging the hell out of me since you left!!!" Seems I'm the only one who could EVER read that chicken scritch!!!
The funny thing is, he could never remember my name and always acted like I never existed, but that day on the elevator he sure knew who I was!!!
I am not a nurse yet. I did work in the O.R. as a surgical tech. and I have had the unfortunate pleasure of working with the "I am God" idiots, oops I mean doctors. I have been in the room when they were cracking jokes about the physical appearance of patients, I have been yelled at for correcting a doctor because he contaminated the sterile field, and I have left the room in tears because I helped take out the trash in the whole room. Now I am in nursing school and I see the same bull crap more than I'd like to. It only pushes me harder to become a nurse. We were going through charts one day and I swear the hand writing was so bad, that out of the 100 or so words and numbers on the page, I could only read the number "4". We are constantly told that our handwriting in the nurses notes need to be legible, so why isn't the same thing told to the docs. I am tired of trying to decipher the hand writing and I think this is one of the reasons why so many errors are made. And god forbid if you call for clarification about something. The docs are ready to shoot you. All of the good nurses that I worked with as a tech left because of pay cuts, and not for nothing I hate working with nurses who don't give a crap about there patients and are only there for the money. You have to have some type of empathy and sympathy if you plan on being in this field for a long time. Well I have more to say, but I don't want to take up all of the room on the post.
I have found that people who try to be intimidating hate it when you are nice to them.. They don't know what to do.. And I just get real close and say quietly, "Ya know you put your pants on one leg at a time just like I do."
I like the nurse who told a doctor one time that if he didn't stop having a temper tantrum she was gonna call his mother..LOLLLL
As for the handwriting.. I don't guess. You either write it so I can read it, type it, put it in the computer yourself or you get a call...
I don't guess. You either write it so I can read it, type it, put it in the computer yourself or you get a call...
But I didn't even have to call the other day I asked the doc to read me the orders because I can't read her writing and she doesn't understand English and I don't understand Philippino accented English when she said BNP and I said BMP and she said yes BMP she wanted the BNP but she wrote (it looked like) and sounded like BMP so not a biggie thing it could have been with a drug mix up but could have been an important lab result (I guess if it was such a big important one she would have ordered it stat instead of the next day)
We're now doing peer chart reviews and it does have on the form can you read all of the nurses notes. And did the MD use a banned abbreviation and was it corrected within an hour. Part of that comes from knowing what you order ours orders MgSO4 for labor patients not MS but we can't write them among other days...but I did have a nurse of 5 years ask me a few weeks ago what AC means....I thought that was one of the first tests in nursing school. But then I"m not paid to think
on the other hand, DH and I were out to eat last weekend and in walked 1 of the OB's I work with who is a real hard a-- (he has gotten a bit better since a new partner has come in that most of us don't care for) but I introduced him to DH and the doc says I really enjoy working with your wife she's a wonderful nurse and went on and on. At work Monday he said I hope I it was ok what I said to your husband because you are good....well knock me over. But he is one that if you're good you're good and it's expected and if you're bad he goes off and just goes straight to the manager and tells her what a goof you are.
As long as there is a thread to talk about doctors this thing will go on for ever.
We gave one of our cardiologists a crayon for his birthday for writing orders.
By the way, I was looking at a few web sites on nursing hx.
Did you know women were the first doctors and men were the first nurses. I have found women doctors are much better to deal with, I have not seen much GOD syndrome in women as bad as with men, and they have better hand writing.
i worked in an O.R. 10 years ago... had an ENT surgeon who was particularly bad... a real primadona whiner... we bought a puppy sized pacifier, put it on a string and dangled it from his microscope in between cases...!!!
I'm ready for another vacation. I just got back and worked the last 3 days (12 hours) and am about ready to choke a few people..(not really but wish I could)Wed and Today I didn't sit for more then a hour total both days and not much more yesterday. We've beem overly busy and then had students sitting in the few chairs we have doing nothing while the nurses stand and chart and also anthesia docs that can't do an epidural...the MD's we have are usless at tits on boar hogs. Send me a CRNA anyday ours are wonderful. I went off on them all today and the student told the boss but I told the boss too and was an inch away from telling them where to put it and keep this student (who's worked 4 days on our unit and acts like she knows everything and has RNitis already and is still in school)
Ok basic bitching and moaning done for today I don't go back till Monday then only work a few more days till I get another beach vacation.
It works best with a smile!!!!!! Not with an angry face. Best used behind Doctors backs. Not used well to their faces.
Employment is important! For a more pronounced version, swing finger upward from waist and with your other hand slap the biceps of the arm the finger is attached to. Gives a more convincing tone with stronger body language on how you feel.
This isn't a complaint about doctors. This is a whine about nurse managers.
I work in the PACU. Sure we're not as specialized as the OR, but I like to think what we do is important and some what specialized. But our manager obviously thinks otherwise.
A new person in our department gets six weeks of orientation. A RN from the OR, gets maybe a day and our manager thinks they are considered 'crosstrained'. So while I get to take care of 3 new surgicals, I also have to take care of the OR RN and her 1 new surgical cause she doesn't know what to, or doesn't feel comfortable doing it. These OR RN's are putting their licenses on the line, but our manager doesn't see that, since there is an 'experienced' PACU nurse present.
I just felt I had to voice my frustration cause I'm really getting tired of playing with fire.
Your manager should see something your scope in the OR and in PACU are different. I work L&D but also circulate c-sections and tubals and recover them too. In the OR you have your responsibilities for counts and making sure the sterile field is maintainted but anesthesia makes sure the pt stays alive once you hit PACU then the nurse gets to read the monitors, vitals, give meds etc. Sure you could call someone should you have to but you have to be able to make the decision to call. We have to do lots of narative charting in PACU in OR it's fill in the blank for the most part. Those OR nurses should stand up too. I got lots more PACU orientation the OR orientation.
working with the God complex really rocks! that's why i became a nurse! NOT!!! we have a surgeon (the WORST!!!) who writes for lab orders then when you call her (which makes her worse!!!) she asks, "why did you call me? i don't care what the results are!" no joke. last time she did that to me i told her that if she really didn't want to know, she either needed to write the order not to call her or don't order labs because she WILL be called. i work in ICU, we don't just jack around and call for the hell of it! hello! that woman is truley a bitch!!!
what's worse than a doc having a God complex? a woman surgeon with constant pms and the God complex! the only thing that would make it worse is if she had some accent that made her hard to understand!
shew! i feel better now!
angeeRN
Not with an angry face. Best used behind Doctors backs. Not used well to their faces.