I don’t apologize because the doctors put those orders specifically for CYA. It is protect them from litigation. But then put pressure on nurses to not report those findings but hold the bag if something goes wrong. I am heartless when reporting. If it in in THEIR orders, I call. And if they give me any sort of flak, I put their orders right in their face. And if they try any sort of horizontal violence, I write them up immediately. Too many docs bully nurses.
As a RN for 27yrs this is very relatable, however I doubt most doctors have ever worried about not calling a nurse back, in order to "not make her mad" 😂
Usually I'd just preface it with "there's a written order to inform the doctor about such and such that's why I'm calling you." That way they know the reason why, and that's to cover our butts from possible litigation.
As a nurse, I felt this. Deep. Especially with blood sugars. "Notify physician is BG >400" *pt eats a bag of chips and drinks regular coke snuck in after 15 units of insulin* BG is 401...
Sometimes I legitimately forget it is him with the wig on. Also the comedic timing in these shorts are great. I'm not a medical professional but they are still hilarious. I've probably watched all of them at least 4 times and I cant stop! They are great!
Hahahaha!!!! I can't blame the nurse preventing from getting written up. I'm a nurse and trust me, nurses don't want to call doctors but that's our job.
My favorite is calling a doctor at midnight for something dumb like tylenol. I feel bad but hey....they could have put in a few PRNs when they had the chance.
this is actually super helpful in teaching doc's to have any necessary PRN's ordered! call them and wake them up, soon we learn to make our job/ life easier is to make the nurse's job easier.
Feel this, I had to contact a provider about pain management when the Pt had a kidney stone. Not even Tylenol was ordered and the pt started to experience flank pain at 1am sorry not sorry. If there was an order for literally anything I would’ve rather done that than call you at 2am.
Been in and out of the hospital for a couple days due to surgery complications with my heart. I’ve been watching your videos for a while and I found it so amusing following along with these situations (more or less the small talk situations outside my room etc), and wanted to thank you for not only helping me learn some of these medical situations, but also laugh with some of the ridiculous things that happen with them too. Hope you have a great New Year.
Wow that’s really cool that his videos give you some insight to what’s happening around you in the hospital. As a patient now you can Understand a little more about what’s happening around you and get a little humor out of it!
So true. If the MD puts parameters for notification, we HAVE to notify them, even when we know nothing will change. I’ve said something to that effect, too; “just have to let you know about such-and-such so it can be documented.” I like the ones that allow us to just send text messages.
Yep. Some doctors are extremely touchy about this stuff. Cardiac surgeons will rip you a new one if you don't do EXACTLY as ordered. Medicine? Much more lenient.
Or for a critical lab that’s actually an improvement…docs get so pissed, but I literally am just following the rules. I’m like “sorry, it’s considered critical, I had to call, but it’s trending well”. Hang up in all of 10 seconds.
😂 I remember getting cursed out by a doctor for this so when i told him that maybe he should check his notes and his tone i found myself getting called into the administrators office moments later.
I had an infectious disease doctor tell at me in the phone at 2am for calling him about a patient. the patient has a fever 101.8. no blood cultures for 4 days, and the order to call for a fever above 100.3. "can't you call a resident? this patient always has a fever." "no doctor, this is not a teaching patient, so no residents are assigned. and with all respect you are the infectious disease doctor consulted. " "but I do not need calls at 2am about this patient that has a fever most days. " "I have standing orders to call you if the fever is 100.4 or above, would you like me to put an order NOT to call you for any more fevers?" ".......... um, no, I can't do that. " "then we will continue to call for these fevers, any new orders?" "no." next day, my clinical director calls me in, tells me that the ID doctor came and spoke with him, told him about that conversation, then said, "that Australian nurse was absolutely right" (I'm English, you yanks mix us up way more often than is reasonable) I can't convey his tone over the text, but he was bloody angry when he called me back at 2am. Gave me such an earful. at the end of the day, even if he had not admitted I was in the right, I followed protocol and orders, protecting my arse.
It was quickly made apparent to me that my new shift nurse was from surgery. They are typically not use to patients responding to pain. But she was dang determined to find an artery 😂!
As a nurse this is one of the most accurate things I’ve ever seen. I felt this video validate all the stupid calls to the poor doctor (albeit dumbass for writing the stupid order)
It's probably an order set. Most are departmental sets that new docs don't actually mediate. We actually had to specifically address with the attending and others to change them and mention in notes why we deviated from unit policy.
there's the lesson of malicious compliance to training that one. my favorite was waking a physician who was a patient with pneumonia for midnight vitals, he was pissed. I told him "Orders Q4 vitals" next night he had "vitals Q4 while awake if stable" but what impressed me from then on he wrote it on all his patients...
We have a "nurse schedule" at our office and see patients by ourselves those days. I always ask my triage provider for suggestions. Because why? Because I've seen terrible mistakes and lives ended abruptly from things missed outside my scope of knowledge. Id rather be safe and annoying than fast and lose my job.
Just use SBAR to avoid personalizing any interaction. Situation-most recent vitals X; Background-standing order to notify MD when X happens; Action-notified MD as per order; Recommendation-text me back "no new orders" so I can chart it. Holds up in court, work, and every other absurd construct people share with each other.
@@limiv5272 It's a communication method used by the military and adopted by the nursing profession which allows for clear, efficient, and accurate communication.
As an L&D nurse, I always call early in the night shift to clarify preprinted parameters and get additional orders, so I don't have to constantly call when there are minor and normal fluctuations in fetal heart rate!
I've been in hospitals for treatment throughout my life and honestly, I'm wowed at ur communication level. My nurses and doctors often find shit out from me about the other lmao
This is my fave video of yours! As a nurse this is 100% accurate. I shared this with a couple of my dr friends and we appreciate it equally! You need to do another one!
As a nurse I find many doctors are great. We have a committee in my hospital to facilitate good communication between the nurses and the doctors. The doctors who really need the input don’t come to the meetings. Learn to communicate concisely, they will appreciate that. Also, make sure you notify surgeons about surgical stuff and if it’s a medical issue contact the hospitalist. That will save you time and energy.
Your job as a nurse is, above all else, to advocate for your patients, not get along with doctors. There will be times you must clash with docs if their orders are bad for the patient. Your license is on the line if you follow bad orders.
i have been working with the same nurses for about 21 years now. it's a team work , i'm not their boss they are not my underlings i rely on them for god knows how many things and they are bros in and out of the clinic. you will hear stories of both extremes just focus on your skills and let your body of work speak for you.
@Hulda's Journey • Did I say to have a bad relationship with doctors? No. The primary function of a nurse is not to be besties with doctors, it's to advocate for the patient and that will put the nurse at odds with doctors at times. The patient comes first, not your relationship with THEIR doctor. Are you a nurse? Worked in a teaching hospital? Worked with med students, interns, residents, fellows and attendings all writing orders? You seem very naive about nursing. You a new grad? Student?
I'm a methadone patient and this seems totally accurate 😆 they were monitoring my drinking for a while by breathalyzer everyday and doc gave a limit of .035 so if it was close or even a fraction of a point over she would text doc who would seemingly get annoyed. But he was the one who set the rule lol
It would probably improve communication if the nurse explained that she is providing those just slightly out of range VS because there is a note to notify the provider if he is out of range.
Please do! I'm still a med student, but when I was on hospitalist rotations, the setting for nurse updates when vitals are *enter number here* thing was an default-filled line, and buried within the order settings on the EMR. The intern resident I was with didn't even know it was there, and was SO confused why the nurses kept calling her.
@@lynnthomas8457 That's very interesting and I didn't know that. I think in some ways I am at an advantage with communication because I became a nurse after doing social work and advocacy, and have a psych degree.
Nurses are the eyes, ears and hands for doctors. Over time, with continued education and experience they are invaluable to the doctors and should be valued and treated as such. Treat all nurses with respect and teach nurses whenever possible.
And I as a CNA took those vitals. BTW I super appreciate the recognition of the power difference between the Dr and nurse in their reasoning to call back.
These insights into the medical field really demystify and humanize the different people and positions that us lay people meet-besides being super entertaining!
There was a Dr (who was not on call that night) who ordered the nurse to call every single time vasopressor is titrated for patient in ICU....... I wonder if the day time Dr was pranking the on-call Dr.
@@Jrez Since the 1st call of the night to whoever was on-call, the on-call physician gave an order of "do not need to call me every time vasopressor is titrated." I remember that there were still a few calls because the patient was quite unstable on top of the hemodynamic issues.
@@seapinkoyster hahaha some doctors like pranking there other friend doctor on call lol.. I had one doctor ask me “who ordered these orders to call me” and when I informed him who the doctor was, he just laughed. The on call doctor just made different orders and we didn’t have to bother him anymore.
I hope I show everyone I work with respect. I am terrified that a nurse or PA or tech or SOMEONE will feel I am disrespecting them or belittling them. I am constantly saying how important respect is and I sincerely hope I will continue to show that through my words and actions.
You sound like a really good person; you'll be fine! Most people can tell if you have good intentions, and appreciate that. If someone ever feels you disrespected them, it will most likely be their problem, not yours. Some people look for reasons to be offended.
@@neoncherry3070 This! I think showing respect is the only important part here, people notice very well how you treat them and if you have a good attitude.
As a chronic kidney disease patient I’ve met a whole lot of nurses with various hospital stays. I can’t ever remember thinking to myself that a nurse doesn’t know what they are doing.
Oh my! Can't believe we have the same scenario here from the philippines as well! As a nurse, this is totally spot on! 🤣 Been binging on your videos for days dr schmidt! Your humor (& acting) is 👌👏
As a patient, I appreciate y’all double checking though, because I’ve had an incident because my doctor didn’t pay attention to my naturally low blood pressure of 90/60 and gave me meds that crashed my blood pressure 😿
Pretty sure most of us already do. But if the standing order doesn’t change and the patient is stable and I’m busy, i will just notify and notify until they finally modify the order.
As a frequent hospital patient I've seen this happen. I always feel for the nurses because they're just doing their job. Doctors shouldn't feel annoyed when the nurses are only following orders. Also they could save everyone some time by clearing basics like tylenol for those who can take it.
I always bring up the wording on the order. Can't expect the docs to know exactly what was ordered a week ago on all of the patients. Plus, it'll give them the opportunity to update if need be.
Man I wish all Drs were as charismatic as him. Im in nursing school and i feel like I'm in the principals office when I have to interact! Any advice from the veteran nurses out there on how to get over this?
You just keep doing it and with experience you start to learn what you gotta ask for and what the dr. Your talking to might want. You also learn when you need to call right away and when it can wait till morning or whatever.
I try to never take it personally if a doctor is short with me or is rude. Their day is probably going as crazy as mine is. Also, your patients health is more important than any doctors bad attitude. Let it roll off you. Dont take it personally. All you need to worry about is keeping your patient safe, and advocating for them. On the other hand, doctors are people too! Treat them like a fellow human (say hello or good morning just like you would to another nurse). Try to be considerate of their time and help them if you can. A lot of doctors are awesome, and will teach you a lot!
I'm a medical social worker, and fresh out of grad school, I was terrified of doctors. I got over it though with time and confidence in my role. We put our pants on the same way.. never let anyone make you believe they are superior to you 💖
Weeellll...perhaps the orders should be audited, you know...by a doctor, since they're the only ones who can give orders. Everyone rolls their eyes about parameters until someone gets vindictive, and nails a nurse to the wall for practicing outside of their scope of practice.
Can you please share this with all of your doctor friends? Lol A lot of doctors either don’t seem to be aware of this issue or forget. I always hate being yelled at for this even though I’m legally required to notify you.
The procedure is doing it’s job, this just really speaks to the training theses people go thru. I’m a safety at a demo company, getting grown people to follow procedure at work in this industry is a nightmare.
This doctor dude is killing the game! ⭐️⭐️⭐️⭐️⭐️ for entertainment value. We patients suspected things are a bit chaotic, so it’s nice to have it confirmed. Just don’t kill us… thanks - we love you guys!😇
I used to work in a residential treatment facility and i had to call 911 so many times for blood pressure of like 160/90 because the resident’s MAR said call emergency services for anything over 150/80 and i legally had to call 911. The resident had almost always just had a triple shot espresso and literally never wanted to have an ambulance called, and the EMTs always gave me attitude and tried to refuse to give us the “didn’t want to go to the hospital” waiver that management required.
As an ICU nurse I was about to defend my people, but then the second part of the video started and I was like oh ok there we go, stole the words outta my mouth 😂
