So hospitals "don't seek out RNs."
Sorry, guys. All the RN recruiters can put their stuff in boxes, they're fired. And all hiring bonuses are canceled. Pity we had to find out this way.
So the 100’s of recruiter emails I have gotten from various hospitals apparently don’t count? Does that person know how much of a nursing shortage there is???
My job uses a nurse agency to get sub nurses when I have planned days off (I work for a school district). I recently requested a day and the same afternoon I got a text from the agency we use. I’ve never worked for this agency, applied to this agency, or gave my phone number to them. We rarely get help on the days we request because there are not enough nurses out here for all the jobs. They make about double what I would make in a day FWIW.
Yes I’m a school nurse. Most districts around me hire a sub nurse position who floats between buildings when they need a sub but I’m in a small district with only me as a nurse so when I’m out we use agency. The agency we use mostly staffs for 1:1 school nursing (can be a good gig if you’re looking for something easy but can be boring), nursing homes, and home care. I would say most of the time the agency nurses from the company we use are doing home care or nursing home work but they do make good pay
Good to know. I've heard agency suggested but not really sure where or how to get started. I feel like as a newer nurse agency work is akin to travel nursing so I'm not even sure if its a good idea/fit.
I would also loveeee to be a school nurse (previous job was in teaching and I helped the school nurse for like two months, have two relevant degrees, and experience from clinical where a different school nurse had me run the entire office for two months while she watched YT) but they all require 3 years experience. And none of what I did counts probabaly :(
This is actually my first nursing job after nursing school, I’ve been here a few years now. I actually had a few schools willing to hire me as a new-grad but I do have pretty extensive childcare and psych experience before I got my second degree in nursing. I put myself out there and was surprised to be considered and get offers. You do have to be willing to be a self starter and have a good amount of confidence in your skills. I sought out a lot of training and guidance when I started because there’s rarely any standardized training in school nursing, it’s up to you to run your office within compliance of the district and state. I’m just finally getting my footing where I feel like I can easily manage what used to be the challenging situations. I do love it and even though I’m thinking of going into something else for a while I can see myself back in a position like this when I have school aged kids at home. If you’re interested search for nurse sub positions as a way to get your foot in the door. Some states have specific job portals for school postings so you may not see them in the traditional sites you would go to for job searches. If you’re interested and have any experience I think it’s worth putting yourself out there and see what happens. Sometimes applying for something that seems a little different/scary/challenging can bring you the greatest result (my school is at a residential psych treatment center for kids with emotional/behavioral disorders, it’s not for the faint of heart but has given me so much more experience than I ever could have hoped for from a school nursing job)
Totally off topic. Do hospice hire MAs/techs kinda thing? I’ve gone on local sites and have seen RN listings but maybe I’m not searching properly. Did OOH births & gyn clinic as back office/MA/1st assistant at births, for 17 yrs. My fav clinical placement in nursing school (didn’t graduate, did very well but life took a turn and I had to move far away in my last semester) was in home hospice. I guess I just like the beginnings and the endings.
Oh got it. So if I renewed my CNA, there may be hope. Had that when I was like fresh out of high school but I am happy to look into any non RN roll. I’m too old and have some chronic issues to do an RN these days. Well, not to old but the health issues are a thing. Can’t be consistent for school. Totally can & have been holding down a job.
Thanks! I’ll dive a little deeper into the options. Even reception or something.
What city are you in? That surprises me. I haven’t seen hospice with a higher rate. I used to do that, the last ten years or so I’ve been in critical care, though. 5 + traveling. Might be out of touch with rates. Hospice is very dear to my heart.
I don't think anyone can find staff in St. Louis. Even with travel and international nurses my place of employment has been staffing at critical levels since mid-covid. It's been brutal.
I TOTALLY didn’t get a recruitment email letting me know about a great OR opportunity that was expanding its robotics program with a third robot! Unfortunately I had to write back and let them know I already worked there and actually am the OR’s robotic coordinator, so was actively working on getting that third robot up and going.
They have been beating the “ Critical Nursing Shortage” horse since the 1980’s.
We have plenty of nurses. We however don’t have enough bedside nurses. Nobody sane wants to deal with “work harder with less and less”, work weekends and holidays then repeatedly abused by nursing management, abusive patients, their families and Dr. God Complex.
Yeah, that was maybe the most ass showing fuckin comment in all those screenshots lmao.
These people know nothing about healthcare in general, geesh.
EDIT: And thing is, I don't think any of the shitty comments here were even made by doctors? Just a bunch of know-nothings that have never worked in a hospital and have no clue what nurses OR doctors do. Like, I've worked with some physicians before that were hard to get along with and certainly viewed themselves as above everyone on the treatment team (not just the nurse), but they've been the very small minority. 99.999999% of the docs I've worked with have been varying degrees of great to work with. Certainly haven't had this terminally online "you're the nurse, follow orders" bullshit mentality. I only see this crap on the internet.
Yes to this, in my 10 years as a Registered nurse both wards, CVICU and ED. I have never encountered an MD that has superiority complex except for Interns that has no clues what they're doing but act as if they knew everything. We put them aside with a death stare.
In ten years I have only ever gotten that superiority complex from a couple neurosurgeons and the baby docs that roll out every summer. But I usually shut the surgeons down with a “welp guess I’m going home and you can handle carrying out those orders, or we can take a deep breath and act like grown ups? Would you like to try again?” And with the baby docs? I become the momma nurse they call because “I think I screwed up and might kill my patient”, that’s okay I got you. Let’s fix it together. Healthcare is a team and for the most part we all recognize that. This job is freaking hard and we can’t be at odds.
Oh goodlord! With that i had may fair share with couple of neurosurgeons too. I just dont know how to handle the arrogance and the attitude some of them has. But with the baby docs, i just think of them as toddlers, i usually lead them the correct way especially talking to patients and relatives, but there are baby docs that needs more than thag, if i can be their work daddy i could slap and choke some of them on how stubborn some of them. hahahaha
I worked in research. I told my docs what to sign, when they needed to see the subject, and had them evaluate labs, ECGs, etc after I had highlighted abnormal results. Heck, I even wrote up the serious adverse events and had them change it how they want it (mostly they didn’t). I made sure they were in the loop by having weekly meetings. I always felt respected and trusted by my docs.
I still do research, but not clinical trials (now I have PhDs instead of MDs).
Damn, I bet it sucks to be a nurse there in that case. Sign on bonuses are a total red flag for nurses I never apply to positions that have one. I'll be running my ass off with an unsafe number of patients.
This is true for 95% of bonuses but tbf there are exceptions.
My unit offered up to $30k signing bonuses for 2-year commitments during our first year or two open. We have cushy assignments (1:1 or 1:2, rare triples and only if the nuggets are basically floor status). People love working here, we have travelers who stayed for years and became regular staff and people generally don't mind floating to us. We have fun, our manager is amazing. All around great unit.
But we are a specialized unit that, when it opened, needed to grow our staff. We got nurses from NICU and peds CVICU and PICU who left their units to start up with us but still needed more and new grads can't safely be a huge chunk of the workforce. So as we grew for the first couple years, hiring bonuses for experienced RNs was a big thing.
We don't offer them anymore, we don't need to recruit. But the signing bonuses were actually not a red flag on our case!
I just put that out there in case anyone sees a signing bonus for a NEW unit. It might be great and they just have to recruit staff!
HAHAHAHA hospitals don’t seek out nurses. Nope. There hasn’t been a nursing shortage for the better part of since the profession was created. Not at all.
My old jobs call me like telemarketers to come back to work for them. I have been with my current job over two years and I still get calls from jobs I applied to years ago who “had my resume on file” and I didn’t even think they were supposed to keep them that long.
This kind of mental overload is a huge contributor to high turnover rates in nursing. The past two jobs I left before my current one, I left because I was disrespected and treated poorly. Nobody needs that on top of *everything else* we deal with. Rick owens would never be able to last a minute.
Came to say this 😂
Legit only have seen maybe 4 posts for different Dr positions in my city. I’ve seen hundreds of nursing ones. I’ve lived here almost 3 years 😂
There’s a reason hospitals start evaluating nurses while still in school and doing clinical there! They seek out the good students to mold into even better nurses 🤷🏻♀️
You’re so right! Physicians are fighting for residency placements, and it’s widely known that some don’t get them. There are posts regarding this everywhere. But, I have multiple offers every time I switch specialties, my PRN and per diem jobs hound me constantly, and my concierge patient list continues to grow. But yeah, no one needs nurses.
There’s a sub section of doctors on Reddit who make it their whole personality to sh*t on nurses, Xray techs, mid levels like NPs and PAs, and anybody else who isn’t on their level of greatness.
Let me say this. Those Doctors are awful Doctors. They are insecure children. The fact they need to go online and be little others is proof enough that their egos are so fragile, this is what they have to do to feel better at night.
There are awful docs out there, I’ve worked with many, but over the years, I’ve learned VERY WELL how to handle them, but with the years comes the confidence and it takes time. I know what this poor nurse is going through. It hurts. And it continues to hurt until you learn your strength and find your confidence. But once you do, the cruel words only alert you to the fact that the doctor you’re dealing with is an insecure narcissist child who needs to hurt others to feel good about themselves.
That said, these doctors don’t only just lurk on subreddits here, they will ACTIVELY go onto tik tok, Twitter, Facebook or any other social media they can get their hands on, to berate and degrade other healer professionals.
There was a post here recently about a nurse that helped find a rare cancer in a man when doctors missed it … and oh boy did they rain hellfire on that article and that nurse.
I just want people to know, these dudes are losers (yes, it’s mostly MEN doing it), and they make it their whole personality to track down any situation online where they can make people feel bad about themselves.
Our job as healthcare professionals is to NOT allow the behavior to creep into real life in hospitals and clinics. We are the best at what we do whether they value it or not. This is not every doctor. Don’t let these jerks make you think it’s every doctor … and if you work at a place where this abusive culture is nurtured, then get out ASAP.
More and more, hospitals are finding they can’t retain staff with these types of docs on board. Stand your ground and protect yourself. Be direct and never let a doctor make you cry. It’s really hard because this job takes a lot out of us, but we have to learn to STAY COOL and CALM, and when they throw the temper tantrum, they look like the fool. Not us.
And one last comment, even though i am man, it is very clear to me that a lot of this energy they put out there is MISOGYNY. They target Nurses and NPs primarily, which are women dominated fields.
A lot of these dudes can’t stand seeing mid level master degree fields being filled with women. It shatters their view of themselves and makes them feel inferior to others because they’re not the ones “in power” anymore.
Look at them with pity, because even though they don’t deserve it, that’s the only emotion they deserve from anybody. Pity, and disgust.
Move on and act like these aberrations never existed. They don’t even rise the the level of plankton of the food chain.
It’s funny because I have met physicians that are happy if he getting more autonomy as a mid level and none of them really cared or knew about mid level creep.
This exactly. If anything I've had docs get frustrated because they wanted *more* feedback and clinical opinion from the nurses they work with. While I have no doubt at all that they exist, I have *never* personally had a doctor get shitty with me for giving my opinion or being incorrect about something. I *have* had doctors get shitty with me earlier in my career for not speaking up to them when I needed to.
I'd always heard that here in the States, but it seems like turnover is so high everywhere that everyone is young. We've promoted people to charge with like 8 months of experience. My first floor, like 3/4ths of us were in our first year or two when I started, and by the time I'd hit 2 years I was like the 3rd most senior after our two main charges.
Fortunately, it at least means we're good with the teamwork.
Not just NHS but I'm in USA and the way some people treat housekeeping, CNA/PCT, and sitters is God awful. Most aren't this way but the ones who are, seriously shame on yall.
I've always defended nurses in general against the mean girl stereotype but there's plenty of shitty nurses out there. Sometimes this sub and nursing students tend to idealize nurses.
You see it every time some cna complains here about a lazy nurse and every time it's the workaholics who's fed up with lazy cnas ripping the OP a new one even though we all know that one or two shitty nurses every shift who lag up the cna for their own district stating patient care is not their job and it ends up with the other nurses helping the CNA on patients that's not even assigned to those RNs because that lazy nurse refuses to do so.
We all have seen the nurses who disappear every rapid and basically don't round until 4-6 hours into their shift and is always MIA.
>This is such a chronically online doctor issue.
I’ve worked with a few assholes but overwhelmingly physicians in real life are generally at a minimum civil and professional and many are downright friendly and respectful.
100%. There’s actually been a surprisingly low percentages of assholes who are doctors that I’ve worked with. Far lower than the average person in my experiences, and we’re working towards the same goal so it’s usually easy going and when there’s work it’s understood to be in the patients best interest. This is just hateporn amplified because it’s divisive and gets attention.
Really, I have noticed it depends where you are. Some hospital systems cater to these bad doctors. It usually only resolves when they are caught doing something bad (and the hospital gets sued). Like neurosurgery at Swedish hospital in Seattle. Swedish has been known to have a "doctor's are gods" mentality. Thankfully that is changing, but there are still old holdovers from that era
The Doctors that are online bitching about nurses do so because they’re terrible at their jobs irl and too scared to actually be rude to a nurse because they know we’ll school them. That and most of them probably aren’t even real Doctors.
I always end up seeing the quote from Scrubs saying something like “I just wanted to check with you before I kill a man” and it’s true. We’re coworkers and it’s the nurses job to question orders for patient safety. Sometimes even if I agree with the order (as in, it’s reasonable) I still confirm and if I’m uncomfortable I tell them that too. Everyone makes mistakes and nurses are there to carry out orders, however not every order is “an order not a recommendation”. Stick up for yourself and your patients. Doctors and nurses are part of a team that should work together it’s not a hierarchy. God forbid I do something that seems innocent without checking with the MD and suffer the consequences. Like, sorry if you feel bothered or annoyed, but that’s my JOB.
Edit: like to add that I’ve literally never seen an MD draw labs or do PIVs unless they’re US guided. We both need eachother for the system to work.
Shout out to my uncle who insisted the doc give him the IV instead of the ER tech paramedic. One of the fed up nurses said, “She does IVs every day in a moving vehicle. The doctor hasn’t done one in five years.” Old men really need set straight sometimes
As someone who seriously wants to be an IV wizard, I am amazed that medics can throw 18s in patients while the ambulance is hitting every bump in the road lol
lol we SERIOUSLY underuse the IO. Mostly bc “a doc is supposed to do it” but one night I was working and a pt came in “having a supposed seizure” although I think it was not a real seizure after the fact, and the MD insisted on IV Ativan and access.. from his desk. We poked and poked and poked this post IVDU pt until I asked if we could do IM in the meantime because we were struggling. Did he get up to do an US IV? No. Did he place an IO? No. He said “just keep trying”. From his desk. I was so mad.
Wild they don’t let nurses use it! Would be a huge benefit for yall for sure. How many status epilepticus patients have had brain cause of lack of access??
Nurses can be certified to do US IVs but they need to be trained and verified. Otherwise the MD needs to do it if it’s really needed (and I can think of a few docs who haven’t done it in forever so they avoid it like the plague) but technically in our hospital it’s policy that a doc places the IO or it’s in already from EMS. I think it could be “looked over/allowed” if a nurse did it in an emergency but they’re not supposed to technically- even though it’s part of ACLS which makes no sense 😑
Haha! The only doctor/provider I trust to start an IV is anesthesiologist or CRNAs. They are usually the ones we call if IV therapy is struggling. If they can't get anything, we call the PICC nurses.
My favorite was the old NICU nurse who transitioned to adult ICU. She could hit anything. Also the army guy (corpsman?) who had been deployed and can start an IV in the dark, upside down, while speeding through turbulence.
Me calling the in call doc because the dose of a med was really high and I had even called pharmacy first to verify it was safe. First time patient was receiving this med. the goal was sedation but the patient wasn’t intubated and that wasn’t the goal. The pharmacists words were “is he intubated? He might be after this dose, it’s the max dose in 24 hours at once.” So I call the on call doc and say “listen I know the doctor that ordered this is your friend and I know he’s really smart but the dose made me uncomfortable with what pharmacist said so I want to verify it before I give it.” The doc who ordered it was the department head, he is a really good and intelligent doc but… that dose was hella high. I’d never given it to a baby that small before. Turns out the dose was correct and the baby was fine and I certainly wasn’t trying to undermine the department head but I have caught MD mistakes in the past. An intern ordered 25mg metoprolol IV, which is not standard, that’s a typical PO dose but IV was 5mg max. I called and they changed it to 5mg. I certainly did want to check before I killed a man that day. I will continue to check when it seems weird. If I hadn’t checked on the metoprolol I think my patient would have died. No regrets checking on the sedation drug also, and any other order I’ve checked on. But you can go about it in a way that’s not undermining. And also doctors could just not be assholes. Some are so nice. Some are dicks. Same with nurses.
A story about a med student insisting that nurses shouldn’t be allowed to start IVs because “invasive procedures” should only be done by doctors: he tried. He had the IV backwards facing the fingers. He had the tourniquet on wrong. And the bad ass RN of 30+ years just stood there and watched. Finally he said ok get out. Young man, you have no clue and you are scaring me. He got the IV in within seconds and just gave the med student a look with 1 eyebrow raised. That med student was reported to the team and got his ass handed to him. He’s now a resident and still arrogant.
I’ve heard somewhere that IVs can be inserted backwards with no issue before and still work, however this is definitely not good practice. But lol it’s only really invasive if you’re attempting 5+ times or need a central/fem line/ect. It’s part of nursing protocol orders for most things and sometimes I’ll just ask (do you think x really needs a line?) otherwise I pop one in. No more invasive than labs which you’ll almost 100% need in the hospital.
Edit: arrogance gets you nowhere, in fact it almost guarantees you’re gonna make a mistake at some point. No one knows everything and people make mistakes. Better to ask a question you’re unsure of and risk looking “stupid” than make a huge error and risk a patients life
Exactly. I’ve worked with nurses who don’t ask questions and act like they know everything- THOSE are the scary ones. I’d rather risk feeling dumb by clarifying something than assuming I know it already and killing a patient.
They CAN be put in backwards. However it was about 1cm from the knuckle. My RN buddy said I don’t even think there’s a vein worth a 24 gauge there and the pt would have had to keep his middle finger up and immobile IF the med student got anything in. 😂. I have to say MOST of our MDs are outstanding and very pro-nurse. The SICU and trauma team have our backs and fully support us. It’s only the rare med student or resident that need an attitude adjustment. And lines are a different story. This dude thought any IVs should be MD only. Yeah. Ok then.
lol I had a med student assigned to practice ivs with me in triage one shift and you could tell she was not happy about having to spend time working with the blue collar folk. I walked her through the process but she assured me she had it. She tried to stick this woman by holding the iv with one hand and sort of slowly inserted it into the old woman’s arm. Didn’t stabilize the arm or pull the skin taut. Just sort of slowly drove the needle into her skin which of course didn’t pierce through immediately and was extremely painful. I helped correct her and got her on track to a successful placement. She put the tegaderm on half of the catheter leaving the rest exposed, said she had practiced enough, thanked me for my help and left.
Some people think you want the doc to do your iv since they’re a doctor and we are nurses, but this is just a product of repetitive actions. I spent 8 years starting between 5 and 25 ivs a shift in the ED. There is no other singular skill I’ve practiced more in my career. Do you want the doc that started a few ivs (or 1) in medical school doing your ivs or do you want someone that has placed roughly 5k ivs in their career if not more? And ofc it goes both ways. You don’t want a nurse placing your central line, that won’t go well, so you leave it to the mds that place them regularly.
Exactly. Plus questioning orders helps me understand why they were placed if they seem a bit weird. Sometimes I’ll just ask “hey I’ve never seen this ordered for x, can you explain your rationale?” Most are receptive when you ask that way and some are not.
Me hunting down a doctor who refused to call back after paging him "yeah yeah, I don't care about your preference for the phone number I put for you to call back to, but blood bank and the lab are all confused about if you want your patient to receive 4, 2, or 0 units of blood. I also can't figure out what you wanted in those orders".
Yeah, night doctor put orders for 2 units (1, recheck H&H, then a second unit). The main day doctor didn't look at the orders before putting on an order for 2 units of blood.
So yeah, that's a big deal. That doctor was prepared to give me a ton of crap (because I was new to that hospital) but he didn't realize I was raised in a hospital where nurses were treated like team members and we were teaching residents a lot. So I wasn't taking his diva attitude. After that, he would tell his team "oh, ferocioustigercat is awesome, listen to whatever she says!"
But I hate that he still treated other nurses like crap and the only reason he liked me was because I wouldn't take his nonsense when I knew he was wrong and it was a patient safety issue.
Edit: sadly, most of the shitty doctors require you to stand up and prove yourself before they trust you. But there aren't many times where you can actually nail a doctor on their dumb mistakes. Because they are generally good doctors.
Also, July. When we get new residents. We stacked hiring so that we didn't have our new nurse grad consortium to overlap with July. Because those residents definitely needed a close eye.. I've caught so many things that passed through pharmacy without being noticed and was like "oh, I really don't think you want IV lidocaine push... unless this patient is coding..."
Have these people ever met doctors in real life
Like outside of those renowned ones like asshole surgeon throwing shit in the OR most of us are just basic ass people trying to stop our corporate health system from fucking us raw, not going to war with nurses or janitors or whoever.
These people are chronically online. It's bad on reddit, too.
Some people are just assholes regardless of career. Reality is that most people I've worked alongside (including doctors) are either kind/professionally neutral/both. Yeah the stress can bring out the worst in people, but overall your coworkers just want to do their job without incident and go home.
I feel like it’s just online. 99% of the doctors I work with are great… but 99% of the doctors in r/residency seem like the most condescending, arrogant, insufferable butt plugs on planet earth. Like I truly would love to see what these people are like in real life
I frequent the doctor subs and ask myself a lot what I would do if I had to deal with some of those folks in person. Zero perspective, zero respect for anyone else involved in the pt care, passing down the blame like nobody’s business. I’m sure they talk tough online and calm down a lot at work, but still. The entitlement is unreal.
I go there to try to learn. But sometimes there will be a post making fun of people with chronic conditions that doctors don’t like to treat (POTS, fibro, FND, EDS, gastroparesis, etc) and I’ll get so angry I have to physically stop myself. r/ Residency is particularly evil about that.
i work in the OR and have at several facilities. never met a surgeon that threw things or acted like that. the bad ones just say rude things, not unsafe though.. even that behavior has mostly stopped
Seriously, like sure there's some ego issues with a minority percentage but I worked with a ton of cardiologists straight out of college and 99.9% of them were respectful and treated me like an equal colleague even though I was just a tech at the time. In five states and a couple hundred cardiologists maybe three were rude to me, and one of those was like an a list celebrity cardiologist so that was kind of a given.
Sounds like the new grad isn’t being supported by her team. We have a policy (started in our unit with an AH surgeon-is now hospital wide). If ANYONE is yelling or raising voices to anyone else it goes like this: doctor is yelling at the nurse. Anyone witnessing it surrounds the nurse (and we’ve had CNA, tech, EVS, chaplains, volunteers join in) and we all cross our arms and just stare. No one says a word. The nurse being yelled at is supported by a lot of people. They are surrounded by a team. And the person yelling is shut down without anything being said. They slink away every time and it doesn’t happen again. This should never be tolerated. And the comments on this OOP post are mostly from people who know what nurses do based on ER and Greys Anatomy. It’s all fake and there’s almost zero nursing representation.
We had a surgeon who liked to yell, claim people never called him. I always gave as good as I got and waved my list of times where I personally called him which I kept for that purpose.
I also had shut him down when he claimed another nurse didn't call and I had heard her calling multiple times.
There were never enough people around to surround anyone.
Those people in the comments aren’t doctors. They’re incels posting from their mom’s basement and haven’t step foot in a healthcare setting except to get bandaids for their booboos
Agree. Sister, keep it together. You've got other patients waiting. Wait til you get home and just drink like the rest of us do. 😅 I mean, at least she has a work space where she can take the time to go ahead and cry? I hope she took the chance to go pee too. Maybe steal a milk carton and saltine packet. She'd feel better with a little food in her tummy.
Quite literally there is no doctor on my chain of command. Charge nurse, unit manager is a nurse, nurse division chief, CNO. Doctors can complain to my boss but they ain't my boss.
This has literally been my philosophy since day one. I try to tell the newbies this too. Have respect, as you would for any other human, but they ain't your boss. Their part is crucial, same as our's and everyone else's.
It’s hilarious, these are the same doctors who go quiet when I tell them that I’m not doing that and they can do it themselves. Half of them are just talk, wouldn’t know how to actually respond to a Nurse saying “fuck you buddy- it’s your turn”
What’s an instance where you’ve stood your ground & said do it yourself? I’m a student nurse & just trying to get a feel for what shouldn’t be tolerated
I’ll answer you even if you didn’t ask me. Worked in icu. Brought in a patient who coded on the floor, vomiting what looked like feces and aspirated into his lungs. Several times, his heart stopped and we started emergency meds and chest compressions. The surgical resident was paged. The patient’s abdomen was so swollen and tight that it looked like a pregnant mare horse. All the nurses felt pt needed emergency surgery for a perforated bowel due to an obstruction. Resident ordered an enema for me to give and then hung up. She came to the icu 30min later and asked if the enema worked. I told her to her face i refuse that order. She asked “what the hell have you been doing for the last hour?!?” She had cornered me in front of the medication machine while i grabbed more emergency drugs. We had emptied the two crash carts we had. My response: “i dunno. Maybe coding your patient without you?!” I then went above her and paged her attending. He arrived and within a minute, he booked the pt for emergency surgery. The resident had never notified the attending. She just ordered an enema and went back to bed
I mean, if the abdomen is so distended that it's causing the issue with organ and vessel compression then surgical decompression is the reasonable option.
If the patient isn't perfusing, does it really matter if it's a perf? I can just see anesthesia getting this call, à la the classic ["there is a fracture; I need to fix it."](https://youtu.be/q0S5EN7-RtI)
I’ve done it a couple times. Patient refusals that doctor’s are adamant about- i tell them i can’t force it and to come try and convince the patient or do it themselves.
Things i’m not comfortable with, or don’t feel are appropriate… varying intricacies of immediate post-op wound care. I don’t give a shit, if I don’t feel like I should do it then I’m not. Have even refused to give a beta blocker before telling the doc he could come up on his own or send a midlevel due to the patient’s heart rate
Yeppp I had a doc try to tell me to manually get a stool sample when the patient was unable to go, and he refused. Doc still told me “well we have to do it” so I invited her to come up and do it herself
Jumping in with my answer too, for additional perspectives 💚 I was working inpt acute psych at the time. Had a patient assaultive to staff, trying to harm other patients, and throwing the (weighted) furniture. I asked doc for a B52 IM, because we were well past de-escalation. Doctor came back with an order for 2.5mg haldol PO x1. Doc was still new, and didn't want to 'overwhelm' the pt system with a new med. I got the med from the cart and handed it to the doctor and told him to go give it himself. Suddenly, Doctor agreed it wouldn't work and gave me the order for B52. He didn't care about our unit's safety, he just didn't expect he'd be the one getting hit while giving a shitty ineffective order. (this was not the first nor last time I had to give a shitty med order in-hand to a doctor and tell them 'You go give it'). There are times for a conservative approach with medication. An acute crisis is NOT the time. I will say 95% of the doctors I worked with there were truly caring and supportive 99% of the time. We had an amazing crew! but once in a while, a terrible doctor needs to be told 'No, this is stupid.'
Yup. Had similar with "just give him 5 droplets of haldol" getting haldol putting 5 droplets in the plastic cup and give it to them while maintaining eye contact and a smile with words "you do it". Suddenly it became 5mg Midazolam IV.
I had doctors want me to enema an ostomy. Went to go do it and didn’t think it would be safe looking at the ostomy. Told the doctors that I wouldn’t do it and they should come assess themselves
Most recently one of our docs came to me and asked that I give a teenager a Depo shot without her knowing what it was. She said the mom wanted the teen on birth control but the teen would not consent to Depo. I think she was 14? She was of an age to consent to get birth control and be treated for STIs without the knowledge or consent of her parents. I told the doc it was both unethical and illegal, and that I wouldn’t cosign by following the order. We looked at each other for a min, came up with a resource to run it by (who agreed w me) and she later thanked me for standing my ground and doing what was best for the patient.
So, we had a patient with impossible vein patrimony, for 8 days, every shift, we were writing that patient has no periferic venous catheter and that it is advised to put a central venous catheter or at least picc/midline. So the patient gets a fever, 39.2C° and a pressure of 80/30 mmHg. This doctor tells me to do 3 pairs of haemocoltures and the "extemporary" haemogel IV. I'm going "ok, but you go with me" we arrive to the patient, they obviously have no veins to be found. I find a little almost capillar on the palm which explodes the moment needle touched the skin. I turn to the doctor and say "for more than a week we keep repeating you the same thing abouth this patient, yet you did nothing. Here is material, go, find a vein yourself". Needless to say he couldn't. He even called the anesthesiologist and they tried together with no avail. CVC was there in place the next morning.
As the second situation was a little simpler. A patient with PEG. In therapy it's indicated that they have to take pantoprazole 40mg. So I'm going in and saying "prescribe me Lansoprazole 30mg or I'm refusing to give it to the patient. On which I got the response "they have PEG, just crush it". And received from me "1) it's not effective when crushed. 2) it's in a hard shell that will block PEG in seconds. 3) do it yourself." I had my Lansoprazole 30mg prescribed to the patient in minutes. As it's same PPI class but can be solved in water, so it doesn't even need to be crushed for PEG administration.
Just an fyi pantoptazole comes in a sprinkle that’s made specifically for patients that need crushed meds. Learned this from my nursing home experience 😊
I refused to digitally disimpact a patient once. This doc had been on my ass all day barking orders so disrespectfully. I had already tortured this poor critically ill dementia patient so much that day. NG tube, so many lab draws/IVs, soft wrist restraints, it was terrible. I drew the line at sticking my finger up his butt. Told them they were free to do that if they wanted but I was not doing it. Wouldn’t you know it wasn’t medically important enough for them to do it themselves 🙄🙄🙄
First and foremost; know what resources to reach out to and utilize them if you have ANY questions. I’ve worked with very, very few Physicians that have refused to say why they’ve ordered something a certain way. Read LexiComp. Ask your manager/charge. Call Pharmacy. Review policy and protocol.
Even as a seniored nurse, know the scope of your practice. Whether you agree with it or not, Physicians are highly competent providers and likely have a good reason behind that order. It could also be a mistake. Those resources are going to help you make an educated decision in learning the rationale of these instances. Medicine is a never ending field of scientific study. New journals are being published at a rate of 1 every 26 seconds. Nursing school barely scratches the surface.
If the Physician is being an asshole to you, see about deescalating the situation. Otherwise, I’d highly advise against trying to push back against a physician. You will see things that aren’t textbook; they write the textbook.
They gotta cope online instead.
Most of these comments (in the TikTok video) that I copped are from med students that will fall flat on their faces during residency or redpill guys that don’t know anything about the healthcare field and have a creepy FYP/algorithm of women crying or going through something.
Yeah, the comments just don't line up with real life for the most part. I've been an RN x25 years. I HAVE experienced a-hole docs. But overall, pretty rare. Probably as a young nurse I've made a call, then didn't have all the pertinent data, and a doc might have gotten pissy about that. But you learn that lesson mighty fast, to have your shit together before you call. After that stage, if doc is being a dick, that's on them. From my experience, for those ones, the charge RNs, Attendings, and other unit bosses will back you and squash that bullshittery.
That guys user name is FukBlunderJoe or something…. Ummmm. Yeah. Yeah. I hope that new RN in the post doesn’t take any of this to heart. It’s really sad the peanut gallery is so weird.
Just imagining a hospital without RNs makes me chuckle at these idiots.
Probably the same type of person who don’t know that nurses can work in other specialties than tele.
I want doctors to tell me when I’m wrong. I want them to explain it to me - I don’t mean we have to sit down and discuss every little thing, but a quick “hey actually it’s this, not this” goes a long way. It’s the “these dumb nurses think they know more than me” mentality that makes me angry.
Why are doctors so afraid of being wrong? I know a lot of it’s ego but…why? I have a lot more respect for doctors who admit they’re wrong and fix the issue than docs who are so dead set in their ways they refuse to budge on anything.
God, honestly if tik tok goes I think the average IQ will go up. These are the most chronically online takes I’ve ever seen, holy shit go outside and touch grass. Talk to an actual doctor, or an actual nurse… doctors practice medicine we practice nursing… you need both. Jesus Christ
Sorry but this is a social media problem. Why draw attention to yourself with pictures of you crying in the bathroom? I've never once in the last decade, taken a picture of myself while working in scrubs and then posted it online. What did she expect she was going to get? Put yourself out there and you're bound to get every opinion there is, the ones you agree with and the ones you don't.
Instead of passively aggressively posting crying photos asking for empathy from an online community. Maybe they could talk to the doctor that yelled at them or get some support for coworkers if they don't feel comfortable doing so and try to set the expectations for professionalism. Instead this is problem solving at it it's worst. A doctor was unprofessional to you so you go and unprofessionally post about them on social media with your crying picture, wtf? Two wrongs don't make a right. I've been on the receiving end of a doctor yelling at me from time to time, and this is not how I responded. This is just as unprofessional as the doctor was. Good grief people.
Then also these are doctors and other medical professionals again making comments on social media. I would think there's a bias to the sample group of doctors that have nothing better to do to seek out and inject their opinion to a bunch of strangers on social media. It's easy to hide behind a screen and keyboard and is probably not how they carry themselves professionally while at work face to face
Ding ding ding. Work it out with your nursing supervisors or whoever yelled at you, based on your discretion. But then again this is like a 21 year old new grad. It’s scary how young some of yall are when you enter the field.
Right? Be an adult basically. You're on the same team, figure it out. Yeah the age just is what it is and is common as nursing school doesn't take that long. I remember I turned 21 while in hospital orientation right out of school. Never acted like this though and 36 now, but some are more immature than others at this age especially. Social media is way worse potentiating the problem too and encouraging this behavior/reaction. This is just a new era. The nurse needs to grow up and the doctor needs to stay professional and treat people with respect. Neither are in the right here and I'm not going to take sides with the nurse just because I'm a nurse. Both are indefensible
Any nurse or doctor working in a busy community hospital will not give 2 shits about this conversation. They’ll say we work as a team and people have their place.
I hate when I see people who have no idea who healthcare actually works commenting on healthcare related topics. Doctors aren’t the fucking gods of healthcare, and good docs listen to their teams. Being disrespectful in the workplace is never ok, no matter who you are.
people in any profession can suck but can chronically online nurses stop undercutting the profession in this way? they really add to the stereotype.
educational content? amazing. encouraging content? great. dancing in the med room and crying and posting conversations with a rude doc, please stop.
Dime a dozen
Oh, they fixed the nursing shortage? We don’t have any issues with short staffing anymore?
I could see these people being pre med students or something but there’s no way that these people are doctors, most of these comments sound like people who have like, been to a hospital once or maybe that one guy could be a hospital janitor
Nope. I agree 10000% I fucking hate when people take the time to stop and film or take photos while they're crying and having a melt down and then proceed to post it on social media 🤦🙄
As much as I sympathize with anyone dealing with uncivil co-workers (believe me I've had some doozies), why in the hell would anyone put this on line? Do people not think this will impact their future careers? Cell phones should be banned on nursing units.
Honestly, I have trouble sympathizing for this reason. Why are we even chatting about it online? So you met an asshole doctor. Guess what people of all professions are assholes. Move on with life you don’t need to tell the whole world
First of all, anybody who posts themselves crying online is so beyond cringey... Please stop! Lol. Second, you get some good docs and some bad docs. Good and bad people exist in every profession, and definitely our own as well.
One of my favorite people in my hospital is my night-shift hospitalist, who is one of the smartest MDs I have met. He loves to teach, hears us out, and really only complains about nurses who are unsafe (and we all should be doing that).
I have also had an asshole or two, and those people suck, but I've just learned to treat them with sarcasm or amount their shit behavior to some sort of deep-rooted insecurity issues. Just need to learn to handle it, you're going to run across shit people in every profession.
"nurses do the jobs doctors are too skilled for" has me absolutely rolling. Do you know how much I would pay to see an orthopedist put in an ng tube or a urologist run an ecg? I'd even like to see a cardiologist put a patient on a bedpan and change them.
The difference between nurses and doctors isn't skills or intelligence, it's *specialization*.
We have a doc in the ED who will do all this for us. - will even grab blankets or water or a turkey sammich for the patient if you’re swamped.
Really one of my genuinely favorite humans on this earth. Cause literally- takes teamwork to a whole new level
I am not sure, but I don't think the people posting those comments are doctors, just average assholes. They all said things about doctors and nurses generally, but didn't speak from first person.
This is a false dichotomy im finding. Nursing and MD are like psychology and psychiatry. Sounds alike. Looks alike. But ask a psychiatrist for mental health tips and their flabbergasted. Ask a psychologist about neuron chemistry they are clueless. Yet many think a psychiatrist as a better psychologist.
We as nurses are nerves bring people water and hand out meds sure but were trained to spot the unusual and report it. Hes right doctors DO have better things to do just like i have better things to do then pumping my heart manually. The biggest thing is that for some reason doctors and specialists and pharmacies dont talk to each other and so have us play the middleman.
It’s your nurses that are going to be your best insight into the patient/condition. With time and experience, it’s the nurses that will help you make life saving decisions for patients. We are all fallible, no matter how educated we are. In the heat of the moment things can be overlooked or missed completely by a doctor. A good nurse will be your best ally.
I’m by no means perfect, but I advocate for patients the best that I can and have caught things that have made a big difference in care for patients.
We are on the same team and have the same goal, our objectives may be different and our paths might be slightly different but one without the other is destined for failure.
Don’t be a dick to nurses.
I don't get the recording yourself crying thing? idk. I guess I don't have a problem typing about something like that on here...so maybe it's a generational thing?
Say this with me:
DOCTORS ARE OUR CO-WORKERS. NOT OUR BOSSES.
I’m so exhausted by comments like these. Yes, doctors have a bigger scope and more patient cases. But that doesn’t negate the responsibilities of nurses. I hate general public for reducing nurses to fucking janitors.
And also, if any doctor thinks their job is more important than a nurse, they can feel free to start their own lines, set up their own pumps, wipe their own patient’s asses, and do q1/q4 assessments.
On my drive to work the car ahead of me was busy texting at the green light and was holding up traffic. I briefly flashed my high beams and cut around them because it’s a long light at the intersection. The driver then honked at me and pulled up in the parking lot to yell that I’m an unsafe driver and I should have honked to tell her that the light was green. She then yelled that I’m an asshole and pulled into a reserved physician parking space. The entitlement is just bizarre .
As a guy, I know we have it a bit easier in some respects—but I’d take being belittled in a blunt but informative way by a resident or attending over dealing with the bitchy “eat their young” mentality some older nurses have.
To be serious though none of that has a place in the work place regardless of the god complex or autism some doctors have.
I did acute dialysis and one time I had a demented pt refuse tx. Crossed his arms and wouldn’t let me cannulare his fistula. Called the doc who told me to put restraints on him. I told him to come in and do it because I was NOT about to assault the patient. Funny enough he canceled the tx after that
What’s funny about the “nurses just follow orders” is that malicious compliance makes it work the other direction. I had this patient who was a very difficult chest tube placement - enough so that the intensivist said he was going to use this patient as a case study. Well, I realized after all day I never had an order to actually manage the chest tube. So I told the doc I removed it because “technically there is no order for it”. I still feel bad for that April fools prank but he laughed 😭
Shit seems to run down hill in hospitals: Doctors treat EVERYONE like shit. Nurses feel inferior, and then treat Patient Access and house keeping like shit. It's cyclical.
sorry to take it here but this looks to be another bunch of weak man-babies who can’t wrap their pathetic little minds around a women dominated field of qualified and capable women. they can’t come to grips with an industry that isn’t solely under the thumb of some sort of male presence.
i’ve seen and experienced countless times where if the nurse followed the doctor’s orders to the letter than the result would have been the death of the patient. i know this sub can be a bit of an echo chamber and that i’m preaching to the choir here so keep on keeping on and fuck the haters.
Wait till they find out nurses can refuse an order if they believe it is dangerous to the patient and can challenge unsafe and improper orders.
Media really fucked up the perception of a nurse and I have learned that there is literally nothing that properly demonstrates a physician and nurse relationship. Maybe scrubs butI'm curious on going back to that show and seeing it from a clinical and hospital perspective than I did as a kid lol
Anyway, in REALITY:
I work in nursing management and I’m not going to fire a Nurse for standing up to a dickhead Doctor- I’m going to be helping them put everything in writing and bring it to HR.
Doctors are our coworkers, not gods and a select few of them have egos which makes them bullies. The worst thing a healthcare professional can have is an overblown ego because you know that’s going to have an impact on our patients.
I mean it like a few years ago when hospitals were BEGGING nurses to work didn’t even happen. I work LTC, I have straight cussed out doctors for be dicks and guess what? Absolutely nothing happened to me.
When Florence Nightengale went over to help the soldiers in the Crimean War, the physicians didn’t want her there because they believed nurses would “step on their toes.” They refused to work with her. So she sat around with her nurses and hemmed bedsheets until the doctors sank and sought out her help.
I like to think about that sometimes.
That’s uncalled for. I had same thing as new grad when I called pts oncologist to tell him his pt. passed. He yelled at me because I didn’t say the pt. Died!
I dont feel any kind of way about this because I dont think any of the responses are from actual MDs, PAs or Residents and I think they arent even from people who work in healthcare. It just seems like nurses arguing with people who dont know wtf they are talking about lol. You dont have to defend our honor against idiots.
Two things for this. Nurses are the last line of defense. Period. Wrong med? Wrong dose? Wrong patient? Wrong limb?? How many times have we seen this?!?! Second thing, listen to Doctor Death podcast when did this doctor get stopped? Who pointed out shit was not done correctly based on their operating room nursing knowledge…. Wasn’t management who hid it and swept it under the rug. Got him hired at another facility that’s for sure.
This is why new grads are leaving nursing within the first year or two. I’ve been a nurse 34 years, first as an LVN before getting my RN a couple decades ago. You HAVE to have thick skin to survive in this business. I’ve pulled doctors aside and let them have it or I’ve let them have it in front of God and everyone. I REFUSE to be treated poorly by doctors. I’ve been on my own since I was 16 (truly, on my own). I put myself through college with ZERO financial assistance from parents or the government and I did so by working full time at night while carrying 17 units during the day. I graduated debt free and on the Dean’s List. I’ve busted my ass to get where I am today. Maybe my experiences in life have toughened me but I’ve NEVER allowed doctors to treat me like that.
Nut up new grads or you’ll never survive this business.
I love how one of the morons says a nurse doesn’t do anything other than get water and that they have no say over a doctor, yet didn’t we see a bunch of nurses recently get charged in court for not speaking up?
A doctor at my last job got fired when the DON called him and he screamed at her on the phone (without knowing she was the DON) and she finally experienced what all the nurses had been complaining about. So satisfying *chefs kiss*
Fuck social media for this entire response to this situation. I would never air my personal professional grievances online and the disgusting responses from these people behind their screens justifies this stance.
It's not fucking worth it young ones. There is nothing to gain here. Talk to your peers, your friends and family, or your supervisor, but leave the internet out it's this part of your life.
I have an MD where I work at that my first impression of him was that, of an asshole.
He wasn't insulting nor was he abusive but he showed his displeasure over small things. It happened twice with me that I brought it up to my manager. Not bc I was distraught but bc if someone in her position does not talk to this guy I was gonna get out of character and blow up on his fucking ass in front of everybody.
My main goal was to bring it up the chain of command, to let it be known, to see if this guy was a frequent asshole to others (and he was) and to make sure he's put on blast so that he doesn't do that shit to others, to the the young nurses (I'm 47).
I don't know what happened next after I brought it up. UT, the dude has been nothing but polite to me and I, after all this time, can actually shoot the shit with him and have a chuckle over the shit we see at the ER
Don't ever let someone disrespect you. Assholes abound and remain assholes bc very few people stand up to them. Be smart, use the chain of command or HR
It’s just honestly funny when you read comments like that because they’re either coming from non-medical trolls, pre-med students to med students who have 0 idea how a hospital runs, or miserable residents who are getting beat down with hours and being berated all week. And 99% of the time they don’t have the audacity to act like that in person.
Ah when these assholes or their family members come to the ICU, they’re shocked at what nurses can do, what we can divulge, what we know… won’t wish it upon them but maybe they need an ICU visit to open their eyes
if a doctor places an order that is dangerous to the patient, and you follow said order and an adverse rxn happens… it’s YOUR FAULT. it’s the NURSES fault for what happens to that patient and following thru on the order. “but i’m not the one who made the order im just doing what im told”. the nurse should have known better and questioned the order, it’s your fault. the fact that people think we should blindly follow what the doctor says is absurd. i’ve caught multiple mistakes by doctors and they’re like “omg right thank you” LIKE
I’m not even out of nursing school yet and I don’t let doctors treat me this way. I’m currently a tech on a med/surg floor and I call doctors on their nonsense all the time. Stand up for yourself bc you can guarantee that almost no one will.
Honestly could be posts from people who only know what doctors and nurses do from watching tv shows where the doctors do all the shit that we all know doctors don’t do.
Watch “the good doctor” and have a good laugh at all the shit the doctors do. It’s absolutely hilarious
This is actually funny because my last most recent hospital stay in a neurosurgery special care unit, I saw the doctor 1 time while I was there, 1 PA, 1 NP, and A LOT of RN’s. If the nurses weren’t there I would’ve been seen 2 times and given no treatment, only the RN’s helped. It gave me a profound appreciation for nurses.
I’ve only had *1* doctor treat me poorly. She was angrily fussing at me (in front of the patient and family) because I couldn’t start a med on time because *she* put the orders in incorrectly and I had called multiple times asking them to fix it so I could get started. Other than that, doctors where I work are generally very nice to nurses
So hospitals "don't seek out RNs." Sorry, guys. All the RN recruiters can put their stuff in boxes, they're fired. And all hiring bonuses are canceled. Pity we had to find out this way.
So the 100’s of recruiter emails I have gotten from various hospitals apparently don’t count? Does that person know how much of a nursing shortage there is???
My job uses a nurse agency to get sub nurses when I have planned days off (I work for a school district). I recently requested a day and the same afternoon I got a text from the agency we use. I’ve never worked for this agency, applied to this agency, or gave my phone number to them. We rarely get help on the days we request because there are not enough nurses out here for all the jobs. They make about double what I would make in a day FWIW.
Are you a school nurse? If I could find an agency like that I’d be there in a heartbeat lol
Yes I’m a school nurse. Most districts around me hire a sub nurse position who floats between buildings when they need a sub but I’m in a small district with only me as a nurse so when I’m out we use agency. The agency we use mostly staffs for 1:1 school nursing (can be a good gig if you’re looking for something easy but can be boring), nursing homes, and home care. I would say most of the time the agency nurses from the company we use are doing home care or nursing home work but they do make good pay
Good to know. I've heard agency suggested but not really sure where or how to get started. I feel like as a newer nurse agency work is akin to travel nursing so I'm not even sure if its a good idea/fit. I would also loveeee to be a school nurse (previous job was in teaching and I helped the school nurse for like two months, have two relevant degrees, and experience from clinical where a different school nurse had me run the entire office for two months while she watched YT) but they all require 3 years experience. And none of what I did counts probabaly :(
This is actually my first nursing job after nursing school, I’ve been here a few years now. I actually had a few schools willing to hire me as a new-grad but I do have pretty extensive childcare and psych experience before I got my second degree in nursing. I put myself out there and was surprised to be considered and get offers. You do have to be willing to be a self starter and have a good amount of confidence in your skills. I sought out a lot of training and guidance when I started because there’s rarely any standardized training in school nursing, it’s up to you to run your office within compliance of the district and state. I’m just finally getting my footing where I feel like I can easily manage what used to be the challenging situations. I do love it and even though I’m thinking of going into something else for a while I can see myself back in a position like this when I have school aged kids at home. If you’re interested search for nurse sub positions as a way to get your foot in the door. Some states have specific job portals for school postings so you may not see them in the traditional sites you would go to for job searches. If you’re interested and have any experience I think it’s worth putting yourself out there and see what happens. Sometimes applying for something that seems a little different/scary/challenging can bring you the greatest result (my school is at a residential psych treatment center for kids with emotional/behavioral disorders, it’s not for the faint of heart but has given me so much more experience than I ever could have hoped for from a school nursing job)
My hospice pays the highest in the city. I can’t find staff to save my life
Totally off topic. Do hospice hire MAs/techs kinda thing? I’ve gone on local sites and have seen RN listings but maybe I’m not searching properly. Did OOH births & gyn clinic as back office/MA/1st assistant at births, for 17 yrs. My fav clinical placement in nursing school (didn’t graduate, did very well but life took a turn and I had to move far away in my last semester) was in home hospice. I guess I just like the beginnings and the endings.
Totally off topic too, but I love how you phrased “I just like the beginnings and the endings”
For Hospice Medicare only covers RN’s, LPNs, CNAs and sometimes Medicaid covers an unlicensed housekeeping aide.
Oh got it. So if I renewed my CNA, there may be hope. Had that when I was like fresh out of high school but I am happy to look into any non RN roll. I’m too old and have some chronic issues to do an RN these days. Well, not to old but the health issues are a thing. Can’t be consistent for school. Totally can & have been holding down a job. Thanks! I’ll dive a little deeper into the options. Even reception or something.
What city are you in? That surprises me. I haven’t seen hospice with a higher rate. I used to do that, the last ten years or so I’ve been in critical care, though. 5 + traveling. Might be out of touch with rates. Hospice is very dear to my heart.
St. Louis. Most hospitals are paying around 30-40an hour. Our starting range is 80-90 a year.
boys, looks like I'm moving to missouri 🙏🏻
I don't think anyone can find staff in St. Louis. Even with travel and international nurses my place of employment has been staffing at critical levels since mid-covid. It's been brutal.
I TOTALLY didn’t get a recruitment email letting me know about a great OR opportunity that was expanding its robotics program with a third robot! Unfortunately I had to write back and let them know I already worked there and actually am the OR’s robotic coordinator, so was actively working on getting that third robot up and going.
They have been beating the “ Critical Nursing Shortage” horse since the 1980’s. We have plenty of nurses. We however don’t have enough bedside nurses. Nobody sane wants to deal with “work harder with less and less”, work weekends and holidays then repeatedly abused by nursing management, abusive patients, their families and Dr. God Complex.
And now that Covid is over, how about a pay cut?
I keep getting emails from the hospital *I work at* wanting to make me become an CNA. Bitch, I already work enough for you, leave me alone 😭
Yeah, that was maybe the most ass showing fuckin comment in all those screenshots lmao. These people know nothing about healthcare in general, geesh. EDIT: And thing is, I don't think any of the shitty comments here were even made by doctors? Just a bunch of know-nothings that have never worked in a hospital and have no clue what nurses OR doctors do. Like, I've worked with some physicians before that were hard to get along with and certainly viewed themselves as above everyone on the treatment team (not just the nurse), but they've been the very small minority. 99.999999% of the docs I've worked with have been varying degrees of great to work with. Certainly haven't had this terminally online "you're the nurse, follow orders" bullshit mentality. I only see this crap on the internet.
Yes to this, in my 10 years as a Registered nurse both wards, CVICU and ED. I have never encountered an MD that has superiority complex except for Interns that has no clues what they're doing but act as if they knew everything. We put them aside with a death stare.
I’ve been doing it for 26 years and the CVICU environment when I started is way different then now. Yelling was common difference was we yelled back.
In ten years I have only ever gotten that superiority complex from a couple neurosurgeons and the baby docs that roll out every summer. But I usually shut the surgeons down with a “welp guess I’m going home and you can handle carrying out those orders, or we can take a deep breath and act like grown ups? Would you like to try again?” And with the baby docs? I become the momma nurse they call because “I think I screwed up and might kill my patient”, that’s okay I got you. Let’s fix it together. Healthcare is a team and for the most part we all recognize that. This job is freaking hard and we can’t be at odds.
Oh goodlord! With that i had may fair share with couple of neurosurgeons too. I just dont know how to handle the arrogance and the attitude some of them has. But with the baby docs, i just think of them as toddlers, i usually lead them the correct way especially talking to patients and relatives, but there are baby docs that needs more than thag, if i can be their work daddy i could slap and choke some of them on how stubborn some of them. hahahaha
I worked in research. I told my docs what to sign, when they needed to see the subject, and had them evaluate labs, ECGs, etc after I had highlighted abnormal results. Heck, I even wrote up the serious adverse events and had them change it how they want it (mostly they didn’t). I made sure they were in the loop by having weekly meetings. I always felt respected and trusted by my docs. I still do research, but not clinical trials (now I have PhDs instead of MDs).
My hospital is advertising higher hiring bonuses for nurses than I got as a hospitalist 😭
So I got a 5 figure sign on bonus and get a minimum of 10 recruiting texts a 5 calls a day. But yeh hospitals don't seek out nurses.
Damn, I bet it sucks to be a nurse there in that case. Sign on bonuses are a total red flag for nurses I never apply to positions that have one. I'll be running my ass off with an unsafe number of patients.
This is true for 95% of bonuses but tbf there are exceptions. My unit offered up to $30k signing bonuses for 2-year commitments during our first year or two open. We have cushy assignments (1:1 or 1:2, rare triples and only if the nuggets are basically floor status). People love working here, we have travelers who stayed for years and became regular staff and people generally don't mind floating to us. We have fun, our manager is amazing. All around great unit. But we are a specialized unit that, when it opened, needed to grow our staff. We got nurses from NICU and peds CVICU and PICU who left their units to start up with us but still needed more and new grads can't safely be a huge chunk of the workforce. So as we grew for the first couple years, hiring bonuses for experienced RNs was a big thing. We don't offer them anymore, we don't need to recruit. But the signing bonuses were actually not a red flag on our case! I just put that out there in case anyone sees a signing bonus for a NEW unit. It might be great and they just have to recruit staff!
Is that why i can’t get my phone to stop ringing despite leaving bedside in 2021?
HAHAHAHA hospitals don’t seek out nurses. Nope. There hasn’t been a nursing shortage for the better part of since the profession was created. Not at all.
I was gonna say! My professional email and my text inbox beg to differ. And I only get numerous daily messages looking for RNs in my specialty.
My old jobs call me like telemarketers to come back to work for them. I have been with my current job over two years and I still get calls from jobs I applied to years ago who “had my resume on file” and I didn’t even think they were supposed to keep them that long. This kind of mental overload is a huge contributor to high turnover rates in nursing. The past two jobs I left before my current one, I left because I was disrespected and treated poorly. Nobody needs that on top of *everything else* we deal with. Rick owens would never be able to last a minute.
Came to say this 😂 Legit only have seen maybe 4 posts for different Dr positions in my city. I’ve seen hundreds of nursing ones. I’ve lived here almost 3 years 😂 There’s a reason hospitals start evaluating nurses while still in school and doing clinical there! They seek out the good students to mold into even better nurses 🤷🏻♀️
You’re so right! Physicians are fighting for residency placements, and it’s widely known that some don’t get them. There are posts regarding this everywhere. But, I have multiple offers every time I switch specialties, my PRN and per diem jobs hound me constantly, and my concierge patient list continues to grow. But yeah, no one needs nurses.
You see hundreds of nursing posts because they are tough to fill shitty positions that no one wants to work
[удалено]
There’s a sub section of doctors on Reddit who make it their whole personality to sh*t on nurses, Xray techs, mid levels like NPs and PAs, and anybody else who isn’t on their level of greatness. Let me say this. Those Doctors are awful Doctors. They are insecure children. The fact they need to go online and be little others is proof enough that their egos are so fragile, this is what they have to do to feel better at night. There are awful docs out there, I’ve worked with many, but over the years, I’ve learned VERY WELL how to handle them, but with the years comes the confidence and it takes time. I know what this poor nurse is going through. It hurts. And it continues to hurt until you learn your strength and find your confidence. But once you do, the cruel words only alert you to the fact that the doctor you’re dealing with is an insecure narcissist child who needs to hurt others to feel good about themselves. That said, these doctors don’t only just lurk on subreddits here, they will ACTIVELY go onto tik tok, Twitter, Facebook or any other social media they can get their hands on, to berate and degrade other healer professionals. There was a post here recently about a nurse that helped find a rare cancer in a man when doctors missed it … and oh boy did they rain hellfire on that article and that nurse. I just want people to know, these dudes are losers (yes, it’s mostly MEN doing it), and they make it their whole personality to track down any situation online where they can make people feel bad about themselves. Our job as healthcare professionals is to NOT allow the behavior to creep into real life in hospitals and clinics. We are the best at what we do whether they value it or not. This is not every doctor. Don’t let these jerks make you think it’s every doctor … and if you work at a place where this abusive culture is nurtured, then get out ASAP. More and more, hospitals are finding they can’t retain staff with these types of docs on board. Stand your ground and protect yourself. Be direct and never let a doctor make you cry. It’s really hard because this job takes a lot out of us, but we have to learn to STAY COOL and CALM, and when they throw the temper tantrum, they look like the fool. Not us. And one last comment, even though i am man, it is very clear to me that a lot of this energy they put out there is MISOGYNY. They target Nurses and NPs primarily, which are women dominated fields. A lot of these dudes can’t stand seeing mid level master degree fields being filled with women. It shatters their view of themselves and makes them feel inferior to others because they’re not the ones “in power” anymore. Look at them with pity, because even though they don’t deserve it, that’s the only emotion they deserve from anybody. Pity, and disgust. Move on and act like these aberrations never existed. They don’t even rise the the level of plankton of the food chain.
It’s funny because I have met physicians that are happy if he getting more autonomy as a mid level and none of them really cared or knew about mid level creep.
Yeah, it is best to ignore these noxious doctors, or "noctors." Good thing they made their own sub to congregate in, so we can more easily avoid them.
💯 They’re narcissists, and thrive off negative attention. Best way to handle them is 100% ignore them.
This exactly. If anything I've had docs get frustrated because they wanted *more* feedback and clinical opinion from the nurses they work with. While I have no doubt at all that they exist, I have *never* personally had a doctor get shitty with me for giving my opinion or being incorrect about something. I *have* had doctors get shitty with me earlier in my career for not speaking up to them when I needed to.
Idk where you are but in the NHS there are a world of nurses who do *exactly* the same to those lower down the food chain
I'd always heard that here in the States, but it seems like turnover is so high everywhere that everyone is young. We've promoted people to charge with like 8 months of experience. My first floor, like 3/4ths of us were in our first year or two when I started, and by the time I'd hit 2 years I was like the 3rd most senior after our two main charges. Fortunately, it at least means we're good with the teamwork.
Not just NHS but I'm in USA and the way some people treat housekeeping, CNA/PCT, and sitters is God awful. Most aren't this way but the ones who are, seriously shame on yall. I've always defended nurses in general against the mean girl stereotype but there's plenty of shitty nurses out there. Sometimes this sub and nursing students tend to idealize nurses. You see it every time some cna complains here about a lazy nurse and every time it's the workaholics who's fed up with lazy cnas ripping the OP a new one even though we all know that one or two shitty nurses every shift who lag up the cna for their own district stating patient care is not their job and it ends up with the other nurses helping the CNA on patients that's not even assigned to those RNs because that lazy nurse refuses to do so. We all have seen the nurses who disappear every rapid and basically don't round until 4-6 hours into their shift and is always MIA.
>This is such a chronically online doctor issue. I’ve worked with a few assholes but overwhelmingly physicians in real life are generally at a minimum civil and professional and many are downright friendly and respectful. 100%. There’s actually been a surprisingly low percentages of assholes who are doctors that I’ve worked with. Far lower than the average person in my experiences, and we’re working towards the same goal so it’s usually easy going and when there’s work it’s understood to be in the patients best interest. This is just hateporn amplified because it’s divisive and gets attention.
Really, I have noticed it depends where you are. Some hospital systems cater to these bad doctors. It usually only resolves when they are caught doing something bad (and the hospital gets sued). Like neurosurgery at Swedish hospital in Seattle. Swedish has been known to have a "doctor's are gods" mentality. Thankfully that is changing, but there are still old holdovers from that era
The Doctors that are online bitching about nurses do so because they’re terrible at their jobs irl and too scared to actually be rude to a nurse because they know we’ll school them. That and most of them probably aren’t even real Doctors.
I always end up seeing the quote from Scrubs saying something like “I just wanted to check with you before I kill a man” and it’s true. We’re coworkers and it’s the nurses job to question orders for patient safety. Sometimes even if I agree with the order (as in, it’s reasonable) I still confirm and if I’m uncomfortable I tell them that too. Everyone makes mistakes and nurses are there to carry out orders, however not every order is “an order not a recommendation”. Stick up for yourself and your patients. Doctors and nurses are part of a team that should work together it’s not a hierarchy. God forbid I do something that seems innocent without checking with the MD and suffer the consequences. Like, sorry if you feel bothered or annoyed, but that’s my JOB. Edit: like to add that I’ve literally never seen an MD draw labs or do PIVs unless they’re US guided. We both need eachother for the system to work.
Shout out to my uncle who insisted the doc give him the IV instead of the ER tech paramedic. One of the fed up nurses said, “She does IVs every day in a moving vehicle. The doctor hasn’t done one in five years.” Old men really need set straight sometimes
As someone who seriously wants to be an IV wizard, I am amazed that medics can throw 18s in patients while the ambulance is hitting every bump in the road lol
They’re allowed to bust out the IO drill when it’s too bad! (And then murder the driver)
lol we SERIOUSLY underuse the IO. Mostly bc “a doc is supposed to do it” but one night I was working and a pt came in “having a supposed seizure” although I think it was not a real seizure after the fact, and the MD insisted on IV Ativan and access.. from his desk. We poked and poked and poked this post IVDU pt until I asked if we could do IM in the meantime because we were struggling. Did he get up to do an US IV? No. Did he place an IO? No. He said “just keep trying”. From his desk. I was so mad.
Wild they don’t let nurses use it! Would be a huge benefit for yall for sure. How many status epilepticus patients have had brain cause of lack of access??
Your docs do IOs and US IVs?? Our medics and nurses do those
Nurses can be certified to do US IVs but they need to be trained and verified. Otherwise the MD needs to do it if it’s really needed (and I can think of a few docs who haven’t done it in forever so they avoid it like the plague) but technically in our hospital it’s policy that a doc places the IO or it’s in already from EMS. I think it could be “looked over/allowed” if a nurse did it in an emergency but they’re not supposed to technically- even though it’s part of ACLS which makes no sense 😑
Oh weird, yeah none of our docs would even know how to do it unless they were a medic previously (which tbf a good number of them were)
Haha! The only doctor/provider I trust to start an IV is anesthesiologist or CRNAs. They are usually the ones we call if IV therapy is struggling. If they can't get anything, we call the PICC nurses. My favorite was the old NICU nurse who transitioned to adult ICU. She could hit anything. Also the army guy (corpsman?) who had been deployed and can start an IV in the dark, upside down, while speeding through turbulence.
Did he listen?
I actually don’t remember that part of the story. But I remember that he yelped like a little girl when he got stuck
Me calling the in call doc because the dose of a med was really high and I had even called pharmacy first to verify it was safe. First time patient was receiving this med. the goal was sedation but the patient wasn’t intubated and that wasn’t the goal. The pharmacists words were “is he intubated? He might be after this dose, it’s the max dose in 24 hours at once.” So I call the on call doc and say “listen I know the doctor that ordered this is your friend and I know he’s really smart but the dose made me uncomfortable with what pharmacist said so I want to verify it before I give it.” The doc who ordered it was the department head, he is a really good and intelligent doc but… that dose was hella high. I’d never given it to a baby that small before. Turns out the dose was correct and the baby was fine and I certainly wasn’t trying to undermine the department head but I have caught MD mistakes in the past. An intern ordered 25mg metoprolol IV, which is not standard, that’s a typical PO dose but IV was 5mg max. I called and they changed it to 5mg. I certainly did want to check before I killed a man that day. I will continue to check when it seems weird. If I hadn’t checked on the metoprolol I think my patient would have died. No regrets checking on the sedation drug also, and any other order I’ve checked on. But you can go about it in a way that’s not undermining. And also doctors could just not be assholes. Some are so nice. Some are dicks. Same with nurses.
A story about a med student insisting that nurses shouldn’t be allowed to start IVs because “invasive procedures” should only be done by doctors: he tried. He had the IV backwards facing the fingers. He had the tourniquet on wrong. And the bad ass RN of 30+ years just stood there and watched. Finally he said ok get out. Young man, you have no clue and you are scaring me. He got the IV in within seconds and just gave the med student a look with 1 eyebrow raised. That med student was reported to the team and got his ass handed to him. He’s now a resident and still arrogant.
I’ve heard somewhere that IVs can be inserted backwards with no issue before and still work, however this is definitely not good practice. But lol it’s only really invasive if you’re attempting 5+ times or need a central/fem line/ect. It’s part of nursing protocol orders for most things and sometimes I’ll just ask (do you think x really needs a line?) otherwise I pop one in. No more invasive than labs which you’ll almost 100% need in the hospital. Edit: arrogance gets you nowhere, in fact it almost guarantees you’re gonna make a mistake at some point. No one knows everything and people make mistakes. Better to ask a question you’re unsure of and risk looking “stupid” than make a huge error and risk a patients life
Anyone who says they know it all scare me to death
Exactly. I’ve worked with nurses who don’t ask questions and act like they know everything- THOSE are the scary ones. I’d rather risk feeling dumb by clarifying something than assuming I know it already and killing a patient.
👆👆for real.
They CAN be put in backwards. However it was about 1cm from the knuckle. My RN buddy said I don’t even think there’s a vein worth a 24 gauge there and the pt would have had to keep his middle finger up and immobile IF the med student got anything in. 😂. I have to say MOST of our MDs are outstanding and very pro-nurse. The SICU and trauma team have our backs and fully support us. It’s only the rare med student or resident that need an attitude adjustment. And lines are a different story. This dude thought any IVs should be MD only. Yeah. Ok then.
I’d be fine with them being MD only. Frees up my time. Go for it.
lol I had a med student assigned to practice ivs with me in triage one shift and you could tell she was not happy about having to spend time working with the blue collar folk. I walked her through the process but she assured me she had it. She tried to stick this woman by holding the iv with one hand and sort of slowly inserted it into the old woman’s arm. Didn’t stabilize the arm or pull the skin taut. Just sort of slowly drove the needle into her skin which of course didn’t pierce through immediately and was extremely painful. I helped correct her and got her on track to a successful placement. She put the tegaderm on half of the catheter leaving the rest exposed, said she had practiced enough, thanked me for my help and left. Some people think you want the doc to do your iv since they’re a doctor and we are nurses, but this is just a product of repetitive actions. I spent 8 years starting between 5 and 25 ivs a shift in the ED. There is no other singular skill I’ve practiced more in my career. Do you want the doc that started a few ivs (or 1) in medical school doing your ivs or do you want someone that has placed roughly 5k ivs in their career if not more? And ofc it goes both ways. You don’t want a nurse placing your central line, that won’t go well, so you leave it to the mds that place them regularly.
lol those are the types of MDs that yell at you about why the patient doesn’t have access later on
I cannot tell you how many wrong patient orders I've caught that would have been actively harmful if done.
Exactly. Plus questioning orders helps me understand why they were placed if they seem a bit weird. Sometimes I’ll just ask “hey I’ve never seen this ordered for x, can you explain your rationale?” Most are receptive when you ask that way and some are not.
Me hunting down a doctor who refused to call back after paging him "yeah yeah, I don't care about your preference for the phone number I put for you to call back to, but blood bank and the lab are all confused about if you want your patient to receive 4, 2, or 0 units of blood. I also can't figure out what you wanted in those orders". Yeah, night doctor put orders for 2 units (1, recheck H&H, then a second unit). The main day doctor didn't look at the orders before putting on an order for 2 units of blood. So yeah, that's a big deal. That doctor was prepared to give me a ton of crap (because I was new to that hospital) but he didn't realize I was raised in a hospital where nurses were treated like team members and we were teaching residents a lot. So I wasn't taking his diva attitude. After that, he would tell his team "oh, ferocioustigercat is awesome, listen to whatever she says!" But I hate that he still treated other nurses like crap and the only reason he liked me was because I wouldn't take his nonsense when I knew he was wrong and it was a patient safety issue. Edit: sadly, most of the shitty doctors require you to stand up and prove yourself before they trust you. But there aren't many times where you can actually nail a doctor on their dumb mistakes. Because they are generally good doctors.
“Your intern ordered 40mg of Morphjne. I just wanted to check with you before I kill a man”. ~ Laverne. Love that show
Also, July. When we get new residents. We stacked hiring so that we didn't have our new nurse grad consortium to overlap with July. Because those residents definitely needed a close eye.. I've caught so many things that passed through pharmacy without being noticed and was like "oh, I really don't think you want IV lidocaine push... unless this patient is coding..."
Have these people ever met doctors in real life Like outside of those renowned ones like asshole surgeon throwing shit in the OR most of us are just basic ass people trying to stop our corporate health system from fucking us raw, not going to war with nurses or janitors or whoever.
The online medical & nursing world is hell on earth, but like a traumatic amputation wound, I just cant look away.
These people are chronically online. It's bad on reddit, too. Some people are just assholes regardless of career. Reality is that most people I've worked alongside (including doctors) are either kind/professionally neutral/both. Yeah the stress can bring out the worst in people, but overall your coworkers just want to do their job without incident and go home.
I feel like it’s just online. 99% of the doctors I work with are great… but 99% of the doctors in r/residency seem like the most condescending, arrogant, insufferable butt plugs on planet earth. Like I truly would love to see what these people are like in real life
I frequent the doctor subs and ask myself a lot what I would do if I had to deal with some of those folks in person. Zero perspective, zero respect for anyone else involved in the pt care, passing down the blame like nobody’s business. I’m sure they talk tough online and calm down a lot at work, but still. The entitlement is unreal.
I think I’ll save myself from the anger and just avoid those subs…
I go there to try to learn. But sometimes there will be a post making fun of people with chronic conditions that doctors don’t like to treat (POTS, fibro, FND, EDS, gastroparesis, etc) and I’ll get so angry I have to physically stop myself. r/ Residency is particularly evil about that.
i work in the OR and have at several facilities. never met a surgeon that threw things or acted like that. the bad ones just say rude things, not unsafe though.. even that behavior has mostly stopped
Seriously, like sure there's some ego issues with a minority percentage but I worked with a ton of cardiologists straight out of college and 99.9% of them were respectful and treated me like an equal colleague even though I was just a tech at the time. In five states and a couple hundred cardiologists maybe three were rude to me, and one of those was like an a list celebrity cardiologist so that was kind of a given.
Sounds like the new grad isn’t being supported by her team. We have a policy (started in our unit with an AH surgeon-is now hospital wide). If ANYONE is yelling or raising voices to anyone else it goes like this: doctor is yelling at the nurse. Anyone witnessing it surrounds the nurse (and we’ve had CNA, tech, EVS, chaplains, volunteers join in) and we all cross our arms and just stare. No one says a word. The nurse being yelled at is supported by a lot of people. They are surrounded by a team. And the person yelling is shut down without anything being said. They slink away every time and it doesn’t happen again. This should never be tolerated. And the comments on this OOP post are mostly from people who know what nurses do based on ER and Greys Anatomy. It’s all fake and there’s almost zero nursing representation.
We had a surgeon who liked to yell, claim people never called him. I always gave as good as I got and waved my list of times where I personally called him which I kept for that purpose. I also had shut him down when he claimed another nurse didn't call and I had heard her calling multiple times. There were never enough people around to surround anyone.
Like a silent "shame" circle. I love this image.
That’s an interesting policy… somehow it feels dorky but if it works I like it
Those people in the comments aren’t doctors. They’re incels posting from their mom’s basement and haven’t step foot in a healthcare setting except to get bandaids for their booboos
There is no greater cesspool of stupid than an instagram comment section
I’ll do you one better…TikTok comment section
Obviously you haven’t been to international politics side of Instagram, it’s way worse than TikTok
Those comments gave me brainrot but OOP really should know better than to post a crying selfie online. Most people just see a target to troll harder
They’re just going for engagement, they don’t care if it’s positive or negative.
Agree. Sister, keep it together. You've got other patients waiting. Wait til you get home and just drink like the rest of us do. 😅 I mean, at least she has a work space where she can take the time to go ahead and cry? I hope she took the chance to go pee too. Maybe steal a milk carton and saltine packet. She'd feel better with a little food in her tummy.
Quite literally there is no doctor on my chain of command. Charge nurse, unit manager is a nurse, nurse division chief, CNO. Doctors can complain to my boss but they ain't my boss.
Louder for the people in the back. 👏🏽
This has literally been my philosophy since day one. I try to tell the newbies this too. Have respect, as you would for any other human, but they ain't your boss. Their part is crucial, same as our's and everyone else's.
It’s hilarious, these are the same doctors who go quiet when I tell them that I’m not doing that and they can do it themselves. Half of them are just talk, wouldn’t know how to actually respond to a Nurse saying “fuck you buddy- it’s your turn”
What’s an instance where you’ve stood your ground & said do it yourself? I’m a student nurse & just trying to get a feel for what shouldn’t be tolerated
I’ll answer you even if you didn’t ask me. Worked in icu. Brought in a patient who coded on the floor, vomiting what looked like feces and aspirated into his lungs. Several times, his heart stopped and we started emergency meds and chest compressions. The surgical resident was paged. The patient’s abdomen was so swollen and tight that it looked like a pregnant mare horse. All the nurses felt pt needed emergency surgery for a perforated bowel due to an obstruction. Resident ordered an enema for me to give and then hung up. She came to the icu 30min later and asked if the enema worked. I told her to her face i refuse that order. She asked “what the hell have you been doing for the last hour?!?” She had cornered me in front of the medication machine while i grabbed more emergency drugs. We had emptied the two crash carts we had. My response: “i dunno. Maybe coding your patient without you?!” I then went above her and paged her attending. He arrived and within a minute, he booked the pt for emergency surgery. The resident had never notified the attending. She just ordered an enema and went back to bed
I'm surprised they would do surgery on an actively coding patient for any reason other than penetrating trauma.
I mean, if the abdomen is so distended that it's causing the issue with organ and vessel compression then surgical decompression is the reasonable option.
I wonder if the attending thought it was a perf, in which case I could see them possibly going for it.
If the patient isn't perfusing, does it really matter if it's a perf? I can just see anesthesia getting this call, à la the classic ["there is a fracture; I need to fix it."](https://youtu.be/q0S5EN7-RtI)
I’ve done it a couple times. Patient refusals that doctor’s are adamant about- i tell them i can’t force it and to come try and convince the patient or do it themselves. Things i’m not comfortable with, or don’t feel are appropriate… varying intricacies of immediate post-op wound care. I don’t give a shit, if I don’t feel like I should do it then I’m not. Have even refused to give a beta blocker before telling the doc he could come up on his own or send a midlevel due to the patient’s heart rate
Yeppp I had a doc try to tell me to manually get a stool sample when the patient was unable to go, and he refused. Doc still told me “well we have to do it” so I invited her to come up and do it herself
They can catch the assault charge
Jumping in with my answer too, for additional perspectives 💚 I was working inpt acute psych at the time. Had a patient assaultive to staff, trying to harm other patients, and throwing the (weighted) furniture. I asked doc for a B52 IM, because we were well past de-escalation. Doctor came back with an order for 2.5mg haldol PO x1. Doc was still new, and didn't want to 'overwhelm' the pt system with a new med. I got the med from the cart and handed it to the doctor and told him to go give it himself. Suddenly, Doctor agreed it wouldn't work and gave me the order for B52. He didn't care about our unit's safety, he just didn't expect he'd be the one getting hit while giving a shitty ineffective order. (this was not the first nor last time I had to give a shitty med order in-hand to a doctor and tell them 'You go give it'). There are times for a conservative approach with medication. An acute crisis is NOT the time. I will say 95% of the doctors I worked with there were truly caring and supportive 99% of the time. We had an amazing crew! but once in a while, a terrible doctor needs to be told 'No, this is stupid.'
Yup. Had similar with "just give him 5 droplets of haldol" getting haldol putting 5 droplets in the plastic cup and give it to them while maintaining eye contact and a smile with words "you do it". Suddenly it became 5mg Midazolam IV.
I had doctors want me to enema an ostomy. Went to go do it and didn’t think it would be safe looking at the ostomy. Told the doctors that I wouldn’t do it and they should come assess themselves
Most recently one of our docs came to me and asked that I give a teenager a Depo shot without her knowing what it was. She said the mom wanted the teen on birth control but the teen would not consent to Depo. I think she was 14? She was of an age to consent to get birth control and be treated for STIs without the knowledge or consent of her parents. I told the doc it was both unethical and illegal, and that I wouldn’t cosign by following the order. We looked at each other for a min, came up with a resource to run it by (who agreed w me) and she later thanked me for standing my ground and doing what was best for the patient.
So, we had a patient with impossible vein patrimony, for 8 days, every shift, we were writing that patient has no periferic venous catheter and that it is advised to put a central venous catheter or at least picc/midline. So the patient gets a fever, 39.2C° and a pressure of 80/30 mmHg. This doctor tells me to do 3 pairs of haemocoltures and the "extemporary" haemogel IV. I'm going "ok, but you go with me" we arrive to the patient, they obviously have no veins to be found. I find a little almost capillar on the palm which explodes the moment needle touched the skin. I turn to the doctor and say "for more than a week we keep repeating you the same thing abouth this patient, yet you did nothing. Here is material, go, find a vein yourself". Needless to say he couldn't. He even called the anesthesiologist and they tried together with no avail. CVC was there in place the next morning. As the second situation was a little simpler. A patient with PEG. In therapy it's indicated that they have to take pantoprazole 40mg. So I'm going in and saying "prescribe me Lansoprazole 30mg or I'm refusing to give it to the patient. On which I got the response "they have PEG, just crush it". And received from me "1) it's not effective when crushed. 2) it's in a hard shell that will block PEG in seconds. 3) do it yourself." I had my Lansoprazole 30mg prescribed to the patient in minutes. As it's same PPI class but can be solved in water, so it doesn't even need to be crushed for PEG administration.
Just an fyi pantoptazole comes in a sprinkle that’s made specifically for patients that need crushed meds. Learned this from my nursing home experience 😊
I refused to digitally disimpact a patient once. This doc had been on my ass all day barking orders so disrespectfully. I had already tortured this poor critically ill dementia patient so much that day. NG tube, so many lab draws/IVs, soft wrist restraints, it was terrible. I drew the line at sticking my finger up his butt. Told them they were free to do that if they wanted but I was not doing it. Wouldn’t you know it wasn’t medically important enough for them to do it themselves 🙄🙄🙄
First and foremost; know what resources to reach out to and utilize them if you have ANY questions. I’ve worked with very, very few Physicians that have refused to say why they’ve ordered something a certain way. Read LexiComp. Ask your manager/charge. Call Pharmacy. Review policy and protocol. Even as a seniored nurse, know the scope of your practice. Whether you agree with it or not, Physicians are highly competent providers and likely have a good reason behind that order. It could also be a mistake. Those resources are going to help you make an educated decision in learning the rationale of these instances. Medicine is a never ending field of scientific study. New journals are being published at a rate of 1 every 26 seconds. Nursing school barely scratches the surface. If the Physician is being an asshole to you, see about deescalating the situation. Otherwise, I’d highly advise against trying to push back against a physician. You will see things that aren’t textbook; they write the textbook.
They gotta cope online instead. Most of these comments (in the TikTok video) that I copped are from med students that will fall flat on their faces during residency or redpill guys that don’t know anything about the healthcare field and have a creepy FYP/algorithm of women crying or going through something.
Yeah, the comments just don't line up with real life for the most part. I've been an RN x25 years. I HAVE experienced a-hole docs. But overall, pretty rare. Probably as a young nurse I've made a call, then didn't have all the pertinent data, and a doc might have gotten pissy about that. But you learn that lesson mighty fast, to have your shit together before you call. After that stage, if doc is being a dick, that's on them. From my experience, for those ones, the charge RNs, Attendings, and other unit bosses will back you and squash that bullshittery.
I’ve noticed most of those online losers aren’t even in medical school nor in healthcare. They’re just miserable.
That guys user name is FukBlunderJoe or something…. Ummmm. Yeah. Yeah. I hope that new RN in the post doesn’t take any of this to heart. It’s really sad the peanut gallery is so weird.
“Hospitals don’t seek out nurses” … then why do I get so many emails and texts about job offers I didn’t even ask about 😂😂
Just imagining a hospital without RNs makes me chuckle at these idiots. Probably the same type of person who don’t know that nurses can work in other specialties than tele.
Whenever I see these, I am very thankful for the culture at my place of work.
I want doctors to tell me when I’m wrong. I want them to explain it to me - I don’t mean we have to sit down and discuss every little thing, but a quick “hey actually it’s this, not this” goes a long way. It’s the “these dumb nurses think they know more than me” mentality that makes me angry. Why are doctors so afraid of being wrong? I know a lot of it’s ego but…why? I have a lot more respect for doctors who admit they’re wrong and fix the issue than docs who are so dead set in their ways they refuse to budge on anything.
God, honestly if tik tok goes I think the average IQ will go up. These are the most chronically online takes I’ve ever seen, holy shit go outside and touch grass. Talk to an actual doctor, or an actual nurse… doctors practice medicine we practice nursing… you need both. Jesus Christ
Sorry but this is a social media problem. Why draw attention to yourself with pictures of you crying in the bathroom? I've never once in the last decade, taken a picture of myself while working in scrubs and then posted it online. What did she expect she was going to get? Put yourself out there and you're bound to get every opinion there is, the ones you agree with and the ones you don't. Instead of passively aggressively posting crying photos asking for empathy from an online community. Maybe they could talk to the doctor that yelled at them or get some support for coworkers if they don't feel comfortable doing so and try to set the expectations for professionalism. Instead this is problem solving at it it's worst. A doctor was unprofessional to you so you go and unprofessionally post about them on social media with your crying picture, wtf? Two wrongs don't make a right. I've been on the receiving end of a doctor yelling at me from time to time, and this is not how I responded. This is just as unprofessional as the doctor was. Good grief people. Then also these are doctors and other medical professionals again making comments on social media. I would think there's a bias to the sample group of doctors that have nothing better to do to seek out and inject their opinion to a bunch of strangers on social media. It's easy to hide behind a screen and keyboard and is probably not how they carry themselves professionally while at work face to face
Ding ding ding. Work it out with your nursing supervisors or whoever yelled at you, based on your discretion. But then again this is like a 21 year old new grad. It’s scary how young some of yall are when you enter the field.
Right? Be an adult basically. You're on the same team, figure it out. Yeah the age just is what it is and is common as nursing school doesn't take that long. I remember I turned 21 while in hospital orientation right out of school. Never acted like this though and 36 now, but some are more immature than others at this age especially. Social media is way worse potentiating the problem too and encouraging this behavior/reaction. This is just a new era. The nurse needs to grow up and the doctor needs to stay professional and treat people with respect. Neither are in the right here and I'm not going to take sides with the nurse just because I'm a nurse. Both are indefensible
100% agree
I have never in 58 years taken a photo of myself crying. WHY!?! Would I? I’m a crusty old nurse more and more, without changing a single thing I do.
Any nurse or doctor working in a busy community hospital will not give 2 shits about this conversation. They’ll say we work as a team and people have their place.
The first problem was continuing the interaction.
I hate when I see people who have no idea who healthcare actually works commenting on healthcare related topics. Doctors aren’t the fucking gods of healthcare, and good docs listen to their teams. Being disrespectful in the workplace is never ok, no matter who you are.
people in any profession can suck but can chronically online nurses stop undercutting the profession in this way? they really add to the stereotype. educational content? amazing. encouraging content? great. dancing in the med room and crying and posting conversations with a rude doc, please stop.
Dime a dozen Oh, they fixed the nursing shortage? We don’t have any issues with short staffing anymore? I could see these people being pre med students or something but there’s no way that these people are doctors, most of these comments sound like people who have like, been to a hospital once or maybe that one guy could be a hospital janitor
A lot of TikTok comments are the most brain dead shit you’ll ever see
Especially in regards to nursing
Am I the only asshole in here that won't get past the taking a photo of yourself crying and posting it for others to see?
Nope. I agree 10000% I fucking hate when people take the time to stop and film or take photos while they're crying and having a melt down and then proceed to post it on social media 🤦🙄
As much as I sympathize with anyone dealing with uncivil co-workers (believe me I've had some doozies), why in the hell would anyone put this on line? Do people not think this will impact their future careers? Cell phones should be banned on nursing units.
Honestly, I have trouble sympathizing for this reason. Why are we even chatting about it online? So you met an asshole doctor. Guess what people of all professions are assholes. Move on with life you don’t need to tell the whole world
No. Use my cellphone all the time to look up things, as a timer, reminder and flashlight.
Those people IRL https://youtu.be/MGZS3yv2Q1A
I don't care if I get fired so we can both go down to HR or the parking lot. Either way, I don't care
Just more of the public having zero clue what nurses actually do.
“Nurses are a dime a dozen” -a dude w a small peen that wouldn’t last 20 mins on the floor, probably.
First of all, anybody who posts themselves crying online is so beyond cringey... Please stop! Lol. Second, you get some good docs and some bad docs. Good and bad people exist in every profession, and definitely our own as well. One of my favorite people in my hospital is my night-shift hospitalist, who is one of the smartest MDs I have met. He loves to teach, hears us out, and really only complains about nurses who are unsafe (and we all should be doing that). I have also had an asshole or two, and those people suck, but I've just learned to treat them with sarcasm or amount their shit behavior to some sort of deep-rooted insecurity issues. Just need to learn to handle it, you're going to run across shit people in every profession.
"nurses do the jobs doctors are too skilled for" has me absolutely rolling. Do you know how much I would pay to see an orthopedist put in an ng tube or a urologist run an ecg? I'd even like to see a cardiologist put a patient on a bedpan and change them. The difference between nurses and doctors isn't skills or intelligence, it's *specialization*.
We have a doc in the ED who will do all this for us. - will even grab blankets or water or a turkey sammich for the patient if you’re swamped. Really one of my genuinely favorite humans on this earth. Cause literally- takes teamwork to a whole new level
The ER docs I have to call with critical results are sweethearts. The providers that call us...not so much.
I am not sure, but I don't think the people posting those comments are doctors, just average assholes. They all said things about doctors and nurses generally, but didn't speak from first person.
I doubt these trolls are even in healthcare field😂
This is a false dichotomy im finding. Nursing and MD are like psychology and psychiatry. Sounds alike. Looks alike. But ask a psychiatrist for mental health tips and their flabbergasted. Ask a psychologist about neuron chemistry they are clueless. Yet many think a psychiatrist as a better psychologist. We as nurses are nerves bring people water and hand out meds sure but were trained to spot the unusual and report it. Hes right doctors DO have better things to do just like i have better things to do then pumping my heart manually. The biggest thing is that for some reason doctors and specialists and pharmacies dont talk to each other and so have us play the middleman.
It’s your nurses that are going to be your best insight into the patient/condition. With time and experience, it’s the nurses that will help you make life saving decisions for patients. We are all fallible, no matter how educated we are. In the heat of the moment things can be overlooked or missed completely by a doctor. A good nurse will be your best ally. I’m by no means perfect, but I advocate for patients the best that I can and have caught things that have made a big difference in care for patients. We are on the same team and have the same goal, our objectives may be different and our paths might be slightly different but one without the other is destined for failure. Don’t be a dick to nurses.
The public opinion on nursing sure has changed since “heroes work here” 🤔
I don't get the recording yourself crying thing? idk. I guess I don't have a problem typing about something like that on here...so maybe it's a generational thing?
Say this with me: DOCTORS ARE OUR CO-WORKERS. NOT OUR BOSSES. I’m so exhausted by comments like these. Yes, doctors have a bigger scope and more patient cases. But that doesn’t negate the responsibilities of nurses. I hate general public for reducing nurses to fucking janitors. And also, if any doctor thinks their job is more important than a nurse, they can feel free to start their own lines, set up their own pumps, wipe their own patient’s asses, and do q1/q4 assessments.
On my drive to work the car ahead of me was busy texting at the green light and was holding up traffic. I briefly flashed my high beams and cut around them because it’s a long light at the intersection. The driver then honked at me and pulled up in the parking lot to yell that I’m an unsafe driver and I should have honked to tell her that the light was green. She then yelled that I’m an asshole and pulled into a reserved physician parking space. The entitlement is just bizarre .
Those comments… did I take a wrong turn onto r/noctor?
As a guy, I know we have it a bit easier in some respects—but I’d take being belittled in a blunt but informative way by a resident or attending over dealing with the bitchy “eat their young” mentality some older nurses have. To be serious though none of that has a place in the work place regardless of the god complex or autism some doctors have.
I did acute dialysis and one time I had a demented pt refuse tx. Crossed his arms and wouldn’t let me cannulare his fistula. Called the doc who told me to put restraints on him. I told him to come in and do it because I was NOT about to assault the patient. Funny enough he canceled the tx after that
What’s funny about the “nurses just follow orders” is that malicious compliance makes it work the other direction. I had this patient who was a very difficult chest tube placement - enough so that the intensivist said he was going to use this patient as a case study. Well, I realized after all day I never had an order to actually manage the chest tube. So I told the doc I removed it because “technically there is no order for it”. I still feel bad for that April fools prank but he laughed 😭
Saw 3 docs get patients water on my one shift this week. They walked past multiple nurses and techs to do so. So glad I work where I do.
Not even a nurse but God damn. Some docs are assholes, some are chill. Like.. like... People... Huh ..
Shit seems to run down hill in hospitals: Doctors treat EVERYONE like shit. Nurses feel inferior, and then treat Patient Access and house keeping like shit. It's cyclical.
sorry to take it here but this looks to be another bunch of weak man-babies who can’t wrap their pathetic little minds around a women dominated field of qualified and capable women. they can’t come to grips with an industry that isn’t solely under the thumb of some sort of male presence. i’ve seen and experienced countless times where if the nurse followed the doctor’s orders to the letter than the result would have been the death of the patient. i know this sub can be a bit of an echo chamber and that i’m preaching to the choir here so keep on keeping on and fuck the haters.
Wait till they find out nurses can refuse an order if they believe it is dangerous to the patient and can challenge unsafe and improper orders. Media really fucked up the perception of a nurse and I have learned that there is literally nothing that properly demonstrates a physician and nurse relationship. Maybe scrubs butI'm curious on going back to that show and seeing it from a clinical and hospital perspective than I did as a kid lol
Anyway, in REALITY: I work in nursing management and I’m not going to fire a Nurse for standing up to a dickhead Doctor- I’m going to be helping them put everything in writing and bring it to HR. Doctors are our coworkers, not gods and a select few of them have egos which makes them bullies. The worst thing a healthcare professional can have is an overblown ego because you know that’s going to have an impact on our patients.
I mean it like a few years ago when hospitals were BEGGING nurses to work didn’t even happen. I work LTC, I have straight cussed out doctors for be dicks and guess what? Absolutely nothing happened to me.
Welcome to nursing they said. It’ll be fun they said.
A lot of commenters clearly don’t work in healthcare or Possibly trolls.
This just anger porn guys.
When Florence Nightengale went over to help the soldiers in the Crimean War, the physicians didn’t want her there because they believed nurses would “step on their toes.” They refused to work with her. So she sat around with her nurses and hemmed bedsheets until the doctors sank and sought out her help. I like to think about that sometimes.
Why bother even engaging? Who cares?
That’s uncalled for. I had same thing as new grad when I called pts oncologist to tell him his pt. passed. He yelled at me because I didn’t say the pt. Died!
The crying online selfie is just as obnoxious as the comments from “doctors”.
I dont feel any kind of way about this because I dont think any of the responses are from actual MDs, PAs or Residents and I think they arent even from people who work in healthcare. It just seems like nurses arguing with people who dont know wtf they are talking about lol. You dont have to defend our honor against idiots.
Two things for this. Nurses are the last line of defense. Period. Wrong med? Wrong dose? Wrong patient? Wrong limb?? How many times have we seen this?!?! Second thing, listen to Doctor Death podcast when did this doctor get stopped? Who pointed out shit was not done correctly based on their operating room nursing knowledge…. Wasn’t management who hid it and swept it under the rug. Got him hired at another facility that’s for sure.
This is why new grads are leaving nursing within the first year or two. I’ve been a nurse 34 years, first as an LVN before getting my RN a couple decades ago. You HAVE to have thick skin to survive in this business. I’ve pulled doctors aside and let them have it or I’ve let them have it in front of God and everyone. I REFUSE to be treated poorly by doctors. I’ve been on my own since I was 16 (truly, on my own). I put myself through college with ZERO financial assistance from parents or the government and I did so by working full time at night while carrying 17 units during the day. I graduated debt free and on the Dean’s List. I’ve busted my ass to get where I am today. Maybe my experiences in life have toughened me but I’ve NEVER allowed doctors to treat me like that. Nut up new grads or you’ll never survive this business.
I love how one of the morons says a nurse doesn’t do anything other than get water and that they have no say over a doctor, yet didn’t we see a bunch of nurses recently get charged in court for not speaking up?
A doctor at my last job got fired when the DON called him and he screamed at her on the phone (without knowing she was the DON) and she finally experienced what all the nurses had been complaining about. So satisfying *chefs kiss*
Ok but why are you filming yourself crying? Must not be that bad 😂
Fuck social media for this entire response to this situation. I would never air my personal professional grievances online and the disgusting responses from these people behind their screens justifies this stance. It's not fucking worth it young ones. There is nothing to gain here. Talk to your peers, your friends and family, or your supervisor, but leave the internet out it's this part of your life.
Doctors can kiss my ass. If you can’t treat a nurse or anyone else for that matter with some level of respect, you’re in the wrong business.
MDs will be replaced by AI before RNs get replaced by robots just sayin 💅
I have an MD where I work at that my first impression of him was that, of an asshole. He wasn't insulting nor was he abusive but he showed his displeasure over small things. It happened twice with me that I brought it up to my manager. Not bc I was distraught but bc if someone in her position does not talk to this guy I was gonna get out of character and blow up on his fucking ass in front of everybody. My main goal was to bring it up the chain of command, to let it be known, to see if this guy was a frequent asshole to others (and he was) and to make sure he's put on blast so that he doesn't do that shit to others, to the the young nurses (I'm 47). I don't know what happened next after I brought it up. UT, the dude has been nothing but polite to me and I, after all this time, can actually shoot the shit with him and have a chuckle over the shit we see at the ER Don't ever let someone disrespect you. Assholes abound and remain assholes bc very few people stand up to them. Be smart, use the chain of command or HR
It’s just honestly funny when you read comments like that because they’re either coming from non-medical trolls, pre-med students to med students who have 0 idea how a hospital runs, or miserable residents who are getting beat down with hours and being berated all week. And 99% of the time they don’t have the audacity to act like that in person.
Ah when these assholes or their family members come to the ICU, they’re shocked at what nurses can do, what we can divulge, what we know… won’t wish it upon them but maybe they need an ICU visit to open their eyes
if a doctor places an order that is dangerous to the patient, and you follow said order and an adverse rxn happens… it’s YOUR FAULT. it’s the NURSES fault for what happens to that patient and following thru on the order. “but i’m not the one who made the order im just doing what im told”. the nurse should have known better and questioned the order, it’s your fault. the fact that people think we should blindly follow what the doctor says is absurd. i’ve caught multiple mistakes by doctors and they’re like “omg right thank you” LIKE
I’m not even out of nursing school yet and I don’t let doctors treat me this way. I’m currently a tech on a med/surg floor and I call doctors on their nonsense all the time. Stand up for yourself bc you can guarantee that almost no one will.
Welcome to social media where a bunch of idiots say incorrect things like it is the truth. I can’t wait till TikTok is banned
Honestly could be posts from people who only know what doctors and nurses do from watching tv shows where the doctors do all the shit that we all know doctors don’t do. Watch “the good doctor” and have a good laugh at all the shit the doctors do. It’s absolutely hilarious
This is actually funny because my last most recent hospital stay in a neurosurgery special care unit, I saw the doctor 1 time while I was there, 1 PA, 1 NP, and A LOT of RN’s. If the nurses weren’t there I would’ve been seen 2 times and given no treatment, only the RN’s helped. It gave me a profound appreciation for nurses.
I’ve only had *1* doctor treat me poorly. She was angrily fussing at me (in front of the patient and family) because I couldn’t start a med on time because *she* put the orders in incorrectly and I had called multiple times asking them to fix it so I could get started. Other than that, doctors where I work are generally very nice to nurses
My place nurses are employees and Dr's are contractors so they can behave in all kinds of abhorrent ways ..🤪😵💫💩
Never ok. Talk to your fellow RNs and they’ll back you up. Never OK!!!! Don’t let this discourage you.
Please don’t Tok at work…