Look at those itty bitty wittle Pepsi cups!
Speaking as someone who thinks the arrival of the KFC Mega-Jug is on par with the discovery of penicillin, I hope they didn’t have to pay more than a nickle for that.
Probably didn’t even come with ice….
And what are they talking about?
They obviously know each other well enough to invade personal space, so I suspect they aren’t discussing the latest technique in abdominoplasty.
Full hospital soap opera plot lines have been developed around less than you can imply from this ad!
Let me clarify one thing.
This is not a “Men are from Alpha-Seti 5, Women are from K-PAX” issue.
Both sexes are represented in nursing and medicine.
This is about communication in a medical setting.
- Telling a doctor something you believe they need to know about your patient.
- Getting an order from a doctor for something you believe a patient needs.
- Unless your patient is dying, don’t interrupt.
- This is Basic Manners 101
- If the doctor is talking to a patient, another physician, a nurse or is in the middle of a dictation, try to wait until the conversation/dicatation is complete.
- If the situation is urgent, approach the doctor, apologize for the interruption and state your concerns as succinctly as possible.
- Remember, in the Emergency Department, while you, as the nurse may have a 3-4 patient (or more!) assignment, the ED doc has every patient in the department and is bombarded from all sides, just as you are. Patients, families, lab, radiology, primary doctors, hospitalists and even the Administration all want a piece of them. Sometimes ya just gotta wait your turn.
- Have all pertinent information available when you call a doctor on the phone, such as from a med/surg unit.
- If you know what you want from the doctor, ask for it directly. Examples would be restraint orders or additional pain medication before it is due.
- Just calling and saying “there’s something wrong with Mr. Doe” will get you nowhere. Especially at 0400.
- State the issue. Mr. Doe is confused, you suspect an adverse reaction to a medication, no urine output for 2 hours, new onset fever, Mr. Doe has chest pain, unrelieved abdominal pain etc.
- Be sure you have done all that you have orders for before you place the call. If the patient has a prn order for Tylenol, give it. If IV Lasix is to be used for a low urine output, use it. If there are orders for blood cultures if fever > 101, do them, etc.
- State what you have already tried to rectify the situation, if applicable. You gave Tylenol with no change, the prn Lasix did not work, everything was fine until 30 minutes after the little purple pill, blood and urine cultures are in progess, etc.
- Be ready for questions
- Have the patient’s chart in front of you.
- This includes the medication record, the vital sign sheet, including the most recent set of vital signs (which should be taken just before you call), access to the lab work and a doctor’s order sheet to write down any new orders.
- KNOW THE PATIENT
- You may be speaking to an on-call doc who has no clue who your patient is. Be ready to give a brief history of the present illness, previous surgeries, etc.
- Eyeball a dictated history and physical before you call or keep it in front of you.
- If you don’t know the answer to a question or the information is not accessible to you, say so. Don’t try to explain around it.
- Doctors are human.
- Do not, under any circumstances, take anything said by a physician in the heat of the moment or at 0400 personally. You will hear four-letter words on occasion. They’re venting.
- You will run across doctors who are angry, exhausted, sick themselves, half-asleep, exasperated, sad, mourning, or just plain stressed because this is their weekend call and they have been in surgery for 95% of the time and they just hit the bed when you called.
- Cut them some slack.
(Yes, I know all the comments: they knew what they were getting into when they went into medicine, they get paid to get calls at 0400, yadda…yadda…yadda.
Give ’em a break, they earn every bit of that money and then some.
It took me a long time to see a “person” under that “MD”, but life will be much less stressful for you when you can.)
Now, what to do if you are confronted by an out-of-control, abusive, screaming physician? Male or female?
- Understand that the odds of this occuring decrease with each year that passes. Doctors and nurses have a different relationship today.
- While it is happening:
- Stay calm – do not burst into tears or punch ’em in the nose. What is happening is not your fault (unless you have just backed into their BMW, then you got it coming!)
- Stand upright and face the physician. Make eye contact.
- Wait until the anger dissipates. It will.
- Don’t yell back, in fact, drop your voice a few decibels.
- Ask the doctor to step away with you to discuss why they are angry.
- Acknowledge any error or lack of communication on your part that may have contributed to the situation at hand. This will deflate the anger faster than anything.
- Do one of two things
- Take a breather for a minute or two to get your adrenaline under control. Or, if you feel like you are going to lose it with either tears or retaliatory anger,
- Get busy with something else ASAP
- If it happens to a co-worker
- Go stand next to them. Encourage others to do so, also.
- It is really hard to be abusive to a person with a crowd of support around them.
He can work on my central nervous system anytime….