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Old 09-11-2009, 10:52 PM
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Default How to deal with a difficult doctor

First, we need to define what we mean by “difficult.” If we’re talking about a physician with a rough bedside manner, but who is still doing his or her job, and isn’t causing too much uproar in the nursing station or on the floor, I don’t think I’d call that difficult. If the patients are happy with the care, and you’re getting what you need in terms of orders and support when you need it, I’d probably let that pass.
Second, we need to separate “difficult” from difficult for us as colleagues or difficult with the patients. When a physician is difficult with the patients, then we have an obligation to step in; we are the patients’ advocates, and we can’t allow less than professional behavior from the physicians towards our patients. When we have a physician who is difficult to work with, we have to decide how and when to deal with the situation.

5 Tips for working with a difficult physician:
? Own your reaction: How you react to the physician is your own action. You can choose to react calmly or angrily; you can choose to walk away or confront. Which ever you do choose, it is your choice.

? Examine why the actions of the physician are difficult for you: Is it because he or she reminds you of something; is he or she being difficult to just you or to the whole floor?

? Refuse to accept bad treatment: You can choose to do this in a few different ways:

o Say calmly, “I don’t appreciate you speaking to me like that."
o Walk away without saying a word.
o Walk away while saying, “Please come speak to me when you can speak to me respectfully.”
o Stand there and don’t say a word.

? Document: You have to document bad behavior. If you have a paper trail of the behavior, you can back up your claims if you choose to go on to the next step.

? Report the behavior: Often, a physician with a bad attitude or who behaves badly gets away with it because he or she is not reported. When someone does get fed up and does report it, the administration says that they can’t do anything because there haven’t been any previous complaints.
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Old 09-13-2009, 02:41 AM
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You would document a doctors bad behaviour in the patients notes?

I must admit, I had a doctor who claimed I went against his treatment. I went through the notes, worked out what happened, and documented the situation. And then told my Clinical Nurse Manager.
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Old 09-13-2009, 09:40 AM
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NO, I would never document it in a patients chart but I would fill out an SOE in a heartbeat and I have done that several times over the past 33 years. I think 3 times total.
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Old 09-13-2009, 05:03 PM
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Whats an SOE?
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Old 09-13-2009, 07:16 PM
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Statement of Event - a written statement which goes to administration but does not go on the patients chart and is not ever mentioned in the patients chart.
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Old 09-15-2009, 07:58 AM
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We don't have those. We have incident forms and doctor's behaviour unfortunately doesn't go under that label
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