tag:blogger.com,1999:blog-4363800465522177101.post7353329753296323383..comments2023-10-29T13:53:06.712-04:00Comments on Call bells make me nervous: Going Beyond Scope of PracticeMahahttp://www.blogger.com/profile/04860979377398925052noreply@blogger.comBlogger34125tag:blogger.com,1999:blog-4363800465522177101.post-65286563141076397222011-12-24T14:20:34.964-05:002011-12-24T14:20:34.964-05:00To my mind everybody have to glance at this.
see t...To my mind everybody have to glance at this.<br /><a href="http://teethbrilliance.com" rel="nofollow">see that</a>Dominicnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-80931492410804801132011-03-09T12:43:56.310-05:002011-03-09T12:43:56.310-05:00wow Maha I've got nothing to say but again...W...wow Maha I've got nothing to say but again...WOW. Just had a similiar experience except the outcome was let's say poor. Frequent flyer with that ghastly candle color and minimal paplpable pulses..dissecting aorta. She died on the table.<br />Good for you!midwest womanhttps://www.blogger.com/profile/06268025836070370725noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-71233923952958087972011-02-19T19:32:41.158-05:002011-02-19T19:32:41.158-05:00Maha, this is my first time to ever read your blog...Maha, this is my first time to ever read your blog, which I found via Dr. Grumpy's blog. This post really touched me and I wanted to thank you for advocating for your patient, especially at such a high cost. I have many chronic problems that land me in the ER more often than I would like (read 67 kidney stones in 5 years) and have been accused of drug seeking even when the stone shows up on imaging. Doctors can be jerks, no two ways about it. A good nurse is worth their weight in gold! Thank you for putting your patients needs above all else.Teehttps://www.blogger.com/profile/17129283674618952945noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-89366429690830702112010-12-18T02:15:33.732-05:002010-12-18T02:15:33.732-05:00I applaud you for sticking to your gut feeling! I ...I applaud you for sticking to your gut feeling! I (and my CT tech buddy and PACU nurses)have had to deal with many a doctors doing this exact SAME THING. 9 times out of 10 we where right. This is what nursing is: being a Patient advocate. I as a future nursing student and as a patient to many a ER would want a nurse just like you fighting for me.Hospital Volunteerhttps://www.blogger.com/profile/11176728914868285713noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-16728479224702833942010-12-14T10:44:35.373-05:002010-12-14T10:44:35.373-05:00It seems unfortunately that people who want to dem...It seems unfortunately that people who want to demand respect are not willing to give it in return. Respect is earned not forced and that physician should have the respect to take a second look if your experience nag gut suggests it's merit. Sometimes those years of experience can be a hindrance and let us never forget that once we stop learning we become truly dangerous. <br />Someone needs to make that particular physician a cross-stitch sample with that phrase for Christmas!The Nerdy Nursehttps://www.blogger.com/profile/06412019126640110248noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-8714861620730687252010-11-08T23:17:18.690-05:002010-11-08T23:17:18.690-05:00Lost a patient once from just such a scenario. It...Lost a patient once from just such a scenario. It became the big to-do at our hospital's next ethics panel meeting...but I still got in trouble.ANichols.Toohttps://www.blogger.com/profile/12523886386623581199noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-64684464181843994692010-11-02T17:58:55.329-04:002010-11-02T17:58:55.329-04:00I know a doc like that - only from the mother of t...I know a doc like that - only from the mother of the patient's perspective. I've told my husband that if I'm ever in the ER . . . and he's the only doc available . . . to let me die rather than have that pompous prick lay hands on me!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-83413509265487240792010-10-28T17:01:59.322-04:002010-10-28T17:01:59.322-04:00Thank God it was you on that night, Maha. A stunni...Thank God it was you on that night, Maha. A stunning story of courage, that is what this is!Kimhttp://www.emergiblog.comnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-14402648063025250222010-10-26T11:50:07.747-04:002010-10-26T11:50:07.747-04:00Late to the party, but Maha, you rock.Late to the party, but Maha, you rock.Roberthttps://www.blogger.com/profile/00243748655669695310noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-79703947849489227112010-10-25T00:46:01.724-04:002010-10-25T00:46:01.724-04:00good for you.
i absolutely hate it when people us...good for you.<br /><br />i absolutely hate it when people use the "i've been doing this for a long time" excuse, no matter what profession.<br /><br />well, he was wrong. fat lot of good all those years of experience did him.burned-out medichttp://burnedoutmedic.comnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-91346717236053806512010-10-22T12:15:52.008-04:002010-10-22T12:15:52.008-04:00Way to go, Lady. Glad you were on that night and ...Way to go, Lady. Glad you were on that night and persisted in your beliefs and communication to get things accomplished. The lady was glad to have you around. <br /><br />I too would like to know the doctor's response and your nurse manager's response to your action. Did they give you kudos?<br /><br />My thought is that the junior docs may be more receptive to backing you up in future.Fordohttps://www.blogger.com/profile/12375331228482241067noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-6616451319120229642010-10-22T11:31:16.171-04:002010-10-22T11:31:16.171-04:00First let me say you did a fantastic job with the ...First let me say you did a fantastic job with the patient. But in defense of the good MDs out there let me describe a bit of our side of the story ...<br /><br />I'm a resident and I have had the same experience with nurses - nurses that don't trust my judgement as a junior physician. <br /><br />I've had many a night on call in community hospitals (even in tertiary care hospitals) with multiple patients crashing at the same time - sick patients that need stat labs drawn or fluids hung or cardio-protective agents immediately - and when I return from yet another page these labs, etc have yet to be done. Not all nurses are like this but the ones that say "Sorry, I'm on my break. You'll have to find someone else." or "Can't the labs wait until the next shift?" really make me mad. I don't order tests, fluids, meds for the fun of it. Trust me - I would much prefer sleeping to looking up drug dosages. In fact, I would be happy to draw the labs myself or hang the fluids ... but when my pager goes off every five minutes it is hard for me to be in three places at once. Yes, I realise there are far more patients per nurse than there should be but also think of it from my prospective - sometimes I am managing a ward of 15-30 acutely ill patients at any given time and in the case of some community hospitals, covering another few hundred. Often, I am the only physician in house with only phone call back-up. And ... if we, as the MD, express our frustration, we aren't team players or don't know what we are talking about. I'm just saying it goes both ways ...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-4770967040276989232010-10-22T10:16:48.711-04:002010-10-22T10:16:48.711-04:00Really good story, Maha. This is something I stru...Really good story, Maha. This is something I struggle with too, going outside the scope of practice. I feel like I'm constantly getting the message of "follow orders follow orders follow orders, you're just a nurse"... until suddenly, I'm not, and I should do whatever it takes to get something done. Stressful and frustrating. <br />Very good on you for doing what you did. I'm also curious if the doc had anything to say for himself afterwards?Heidinoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-75790512299840432242010-10-21T21:12:01.593-04:002010-10-21T21:12:01.593-04:00Rock on, girl. You did good!Rock on, girl. You did good!woolywomanhttps://www.blogger.com/profile/14798060848062776281noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-6052949146134764592010-10-20T23:27:02.782-04:002010-10-20T23:27:02.782-04:00I know it seems like cold comfort, but what you *d...I know it seems like cold comfort, but what you *did* was not just save this patient's gut and very possibly her life, but you also saved that doctor's ass.<br /><br />Cold comfort, like I said.<br /><br />Any doctor who doesn't listen when a nurse tells him that the patient looks sick is a farking moron.gabbianahttps://www.blogger.com/profile/10355832713590932664noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-12361247113627724462010-10-20T14:13:50.406-04:002010-10-20T14:13:50.406-04:00Good for you, sticking to your guns and saving a p...Good for you, sticking to your guns and saving a patients life!<br /><br />I actually found the scenario you described to be one of my main frustrations with nursing, and what eventually caused me to jump ship.<br /><br />I really hope that doctor either apologized or acknowledged your save. Hopefully he did both. Thank God for smart nurses!!!!!!!Albinoblackbearhttps://www.blogger.com/profile/15222730484450544498noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-24468782783953186762010-10-20T12:08:05.761-04:002010-10-20T12:08:05.761-04:00That MD sounds like he needs to get out of the bus...That MD sounds like he needs to get out of the business; he clearly no longer cares. I also think it was cowardly of the other doc to not back you up; a nurse's clinical instinct is worth its weight in gold! You absolutely did the right thing, and someone is alive thanks to you. Just because he had MD appended after his name doesn't mean he actually knows what he's doing--and this is coming from someone who has MD appended after hers.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-19729442428109872722010-10-20T10:18:01.340-04:002010-10-20T10:18:01.340-04:00Good for you - at least you are in a system that p...Good for you - at least you are in a system that provides the scope for you to do what you did. My daughter, also a nurse, has this sixth sense about patients about to go seriously "off" but where she works it is impossible to do what you did. However, a bit back she was sure a patient's trach tube was "NOT RIGHT" (no-one had seen one like it before as the patient had been transferred from another hospital) and eventually bypassed her superior (who will do anything to get out of actually doing something useful) to get a doc to come by. She was right, it had shifted and he was not getting air despite reasonable sats. What happened? Her superior suddenly wanted to work and take over the patient - and the glory of saving his life.<br /><br />But both of you have the comfort that your patient lived to tell the tale.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-84818662492097224412010-10-20T07:48:39.303-04:002010-10-20T07:48:39.303-04:00maha:
I'm with you, girl. Do whatever you can...maha:<br /><br />I'm with you, girl. Do whatever you can within your scope of practice and document, document, document.<br /><br />Whatever happens you have a paper trail that says you did everything you possibly could in the event something goes south and happens to the patient.<br /><br />I'm protecting my patient and my own license, Mr/Ms/Mrs MD. If you decline my opinion and won't order a lab to confirm it, you do so at your peril.<br /><br />Just another reason you need your own liability insurance--because of the idiots we're often forced to work with.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-80383675912882390102010-10-19T21:25:23.829-04:002010-10-19T21:25:23.829-04:00ugh there is nothing worse than a jerk MD who won...ugh there is nothing worse than a jerk MD who won't listen. ive had a few of these moments in my ICU this summer and its been hell. good for you for following your instincts!Anonymoushttps://www.blogger.com/profile/03497289912197443753noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-48529231399907971682010-10-19T18:18:40.125-04:002010-10-19T18:18:40.125-04:00What did this doc have to say after all was said a...What did this doc have to say after all was said and done? Or did I miss that part? I really would love to hear exactly what he had to say for his sorry self and what he has had to say since then.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-28606218723229529902010-10-19T16:09:15.018-04:002010-10-19T16:09:15.018-04:00Maha- Good for you. I am just beginning my school...Maha- Good for you. I am just beginning my schooling again and hope I can tap into that same instinct when I eventually become a nurse. My 6 year old son recently had a 10 day hospital stay for cellulitis of the skin on top of his foot. Pediatrician sent us for xrays and thought it was a sprain (due to the swelling). The old Babydaddy thought it was an injury being exaggerated for sympathy. My gut said different. Two days later I took him to the ED despite them telling me to wait and the infection had spread to his bone. 4 weeks of antibiotics 1/2 IV 1/2 orally required. That Gut instinct cant be ignored no matter who tells you to. Congrats on being in tune with your Gut Girl!!!MadMomhttps://www.blogger.com/profile/12068660729045426128noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-39373847948101921402010-10-19T16:07:24.169-04:002010-10-19T16:07:24.169-04:00Awesome work! Your intuition saved this woman'...Awesome work! Your intuition saved this woman's life :)<br /><br />I hope I'll be able to stick to my guns like that once I graduate!Laneyhttp://nursingstudentchronicles.comnoreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-3234524325882068472010-10-19T14:38:33.490-04:002010-10-19T14:38:33.490-04:00Good work.
The doc didn't personally assess t...Good work.<br /><br />The doc didn't personally assess the woman's abdomen? You saved him from a malpractice case. You may need to remind him of that once in a while.shrimplatehttps://www.blogger.com/profile/08347542266047278227noreply@blogger.comtag:blogger.com,1999:blog-4363800465522177101.post-23397610065194852422010-10-19T13:29:54.811-04:002010-10-19T13:29:54.811-04:00What a fine line we sometimes have to cross! A vo...What a fine line we sometimes have to cross! A volvulus no less. Wow. Your persistence saved that woman's life, without a doubt.<br /><br />Two thumbs down to the doc. He obviously didn't do a full assessment to have missed the massively distended abdomen.<br /><br />I can only imagine the outcomes and repercussions if you had d/c'd the woman home and she died.AtYourCervixhttps://www.blogger.com/profile/08238926588944507794noreply@blogger.com