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" 😂
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!
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...
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!
😂 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.
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.
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.
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.
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 😂!
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
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
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?
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!
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.
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!
These insights into the medical field really demystify and humanize the different people and positions that us lay people meet-besides being super entertaining!
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.
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 feel like along all the moving parts of health care…from the labs to the doctors to the nurses…we all have this slight contempt for the other groups 😂😂😂 we work together and all but we’re all convinced we know best.
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 👌👏
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.
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.
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.
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 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.
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.
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 💖
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.
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!😇
Or, doctors and nurses could just get on the same page and subvert the tactic of pitting different levels of staff against each other as all hospitals and medical centers do!
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 😂
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.
So true!!! I remember this one time a doctor came down and yelled at nurse in front of everyone for that keep she calling, and she told him that he was the one who put in the note. And he told her to stop calling and say he was going to write her up… either way we are wrong! Lol.
As a nurse, this is one of the most accurate things I've ever seen.
i’m sorry
🤣🤣🤣 Nurse here too and you are right!
Same here… definitely spot on! Eye rolls on both sides
..
Sometimes that happens even when there isn't a threshold noted so it goes both ways.
This is why when I contact a physician for nonsense like this I always start with: "hey, sorry but according to the chart orders I'm..."
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.
i'll definitely use this when the time comes, thank you
p much all you can do. and if they wanna up the threshold they can
Hell no. I’m never going to say sorry for that. Hey Dr Doe. I’m calling per order’s request to let you know pt‘s bp is above xxx/yy.
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" 😂
yeah, but these are interns...
I hope to clear your doubts here, it is a common theme
Nah some nurses are mean and scare some doctors.
That’s pretty ridiculous that a doctor should care at all what a nurse thinks lol but ig the video wouldn’t make much sense otherwise
@@jackpokrywka542 It isn't ridiculous at all, a nurse can make a doctors life hell with a pager if they get on their bad side
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!
As a nurse, you spoke to me on a spiritual level
As a nurse, I completely agree.
Maybe a good conversation between adults and some changes in policies would help to sort it out? 🤔
You are welcome 😌
@@robertasliutas2903 change of policies with risk averse management? Nope.
@@robertasliutas2903 you’re talking like they can do that
As someone who works with nurses and knows nothing about medicine, I also agree.
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.
Good one 👍
Hahaha... I always do this...
Facts! I constantly...per your orders... and I chart the hell out of it!
Yep!
That's a great idea lol. Sometimes we forget the most basic things exactly because just how basic they are
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...
yup. our protocol is 350. and they get so PISSY about it. like listen, i didnt wanna have to make this call either.
@@Thenarratorofsecrets exactly!! Like I have soooo much time to call an annoyed doctor to just hear “just give 10 units and monitor”
I always just say. “Per orders, notifying you BP is....”
I’m a nurse and I approve this message.
PSA lol
Maybe a good conversation between adults and some changes in policies would help to sort it out? 🤔
You are welcome 😌
Thank you for all you do!
😂😂😂
I’m a message and I approve this nurse.
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.
Yup. This is why many places do quick rounds towards the start of night shift - make sure all the orders are in.
I was a new grad at night on a med-surge floor and had to call the doctor 'cuz patient wanted a suppository at 2am....
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.
@@imbookedandverybusyhoney i don't think the other doctors would report you...but the other nurses will...
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!
😂 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.
What came of it? He/she should of been the one getting into trouble. I would have wanted an apology.
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.
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.
Yup, the worst part of the job is paging and then waiting, and waiting, and waiting....
Most experienced people do the smart thing and cover their asses, unfortunately that may cause inconveniences haha
I don't mind anymore. Night shift eventually thickens skin.
“Notified MD, will continue to monitor”
😌 not getting in trouble today.
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.
To be fair this scenario seems fine but I would actually take solace that these people are following the letter of thier code
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.
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.
Accurate! The moral of the story, is that if you don’t want the nurse to call for marginally OK vital signs, don’t set margins that force us to do so😂
I'm a nurse. 99% of the things I do are to cover my ass lol.
40 years a nurse. Yep, too true. ESP. True for new docs, it was helpful to have a discussion about parameters for calling. Stupid limits = 2am calls.
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...
Amen
As a nurse. I always start off those convos as “I have to report this to you because of the protocol… Doctor notified. We good?”.
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.
Facts!!
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.
What's SBAR?
@@limiv5272 Situation Background Action/Assessment Recommendation
Ask to have notification parameter changed. It’s usually auto populates in an order set. The patients care should be personalized
@@limiv5272 It's a communication method used by the military and adopted by the nursing profession which allows for clear, efficient, and accurate communication.
@@charity5394 Interesting
Im a nurse working on a unit where nurses and docs have a great working relationship, but this is definitely true with some of our surgeons
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 😂!
Maybe a good conversation between adults and some changes in policies would help to sort it out? 🤔
You are welcome 😌
You called it!! I see this in doctors too but surgeons 😬
@@robertasliutas2903 not one one party has a God complex.
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
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
I really hope I get along with the doctors when I become a nurse
Good communication goes a long way.
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?
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 retired nurse, I absolutely LOVE this skit!!!!!! Thank you doctor, for presenting both sides. 👍👍👍
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.
welp. sorry not sorry doc…Your orders. 🤷🏻♀️
This is an excellent teaching point for ALL providers about the utility of mandatory reporting of values...
This is too real! I’m dying 😂 The accuracy.
LOL!! Speaking as an RN who worked 41 years full time night shift, this is too true! Entirely spot on!
Lol, that is why i always add there is a order stating.....
ya lol, gotta end it with 'notifying per order' if I don't want or expect them to do anything.
@@abdelnajjar8191 that is a better way to put it. I'll start saying it that way
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 love how he's got you totally sympathising with both sides, it's sorcery!
Worked as an MA for 2 months, this is more accurate than anything I've ever seen.
Omg 😂😂 this was me today! As a nurse I paged the doctor to follow his parameters only to be told not to do nothing 😂
double negative...... edit: "not to do anything"
Oh how I wish more doctors were that kind when returning pages for “updates” lol 😝
These insights into the medical field really demystify and humanize the different people and positions that us lay people meet-besides being super entertaining!
everyone: talking that their nurses and its accurate
me: IS THAT AN IPHONE 2G???
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.
That’s what I do. “FYI, orders to notify for hr over ___ and bp over ____, hr is currently ___ and bp ___”
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.
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.
What?!?!?! Insane
😮
Did anyone take a tally? How many calls did that end up being?
@@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've totally done this. Also before hanging up, we set some parameters for the shift to prevent unnecessary calls.
What I find most entertaining about these shorts is the 15 year old iPhone 1 used as the prop phone.
Calling when blood glucose was 69 and I already gave the patient juice and they’re asymptomatic because of orders
Nice
I'm so worried for M. Jones! 🤣🤣🤣 He's having a very bad year.
"Per you're instructions I'm notifying you about your patient"
I love this so much!! You hit the nail on the head in every video!! Thank you for the true candor of the struggles of the medical field!
As a patient, the more you know the more frightened you get
Omg, I'm just a nursing student and I already feel this! We see this in icu more than once. Like, bruh you put in the order remember? Lmao
I love how you acknowledge both sides!
I feel like along all the moving parts of health care…from the labs to the doctors to the nurses…we all have this slight contempt for the other groups 😂😂😂 we work together and all but we’re all convinced we know best.
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 👌👏
I can’t even with this one…I can’t…this is downright triggering
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.
This is so true. Different doctors leave communication orders and even though inactive they never removed them from the system. Then, this happens.
such borderline vitals I would repeat them before notifying the doc.
THANKYOU officially signed doctors everywhere
@@monday3664 or you could just put in a order that is more specific, like "if sustained over ___" or.... not such strict parameters.
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 nurse this is just “yes”
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.
So true!!! Ego of doctors OMG .... be thankful for your support staff
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.
The fact that this concerns you means you won’t have this issue.
@@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.
I needed this laugh today, thank you!
This level of communication is… unsettling.
That’s when I say, “hi order said to notify doc if vitals are so and so” and they’ll usually change the order lol
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.
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.
Doctors nail nurses to the wall?
@@sushilbhandari4068 metaphorically, dude
@@cherylcarlson3315 most of the times, yes
@@sushilbhandari4068 support staff more likely to do that
@@saikawa2024 ... most .. of the time?
As a nurse, you finally have given me reason to continue existence.
Man, you are spot on ON EVERYTHING. Thanks for a putting a humorous spin on 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.
You are your pts advocate at all times ! Remind yourself and that you have a job to do just as doctors do .
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!
@@breezy30153 Good advice!
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 💖
As someone who's worked as an nurse and is currently an resident I can confirm both sides.
The misunderstanding we have amongst each other is surreal
Naw, it’s calling for a diet order after a procedure where they were NPO after midnight for me. Why? Whyyyyyyyyyyyyyuuuhhhhhhh
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.
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!😇
Wish we had such dedicated nurses
Eventually the doctor will get tired of the pages and learn how to write more reasonable orders 😂 nurse gotta do her job 🤷♀️
Or, doctors and nurses could just get on the same page and subvert the tactic of pitting different levels of staff against each other as all hospitals and medical centers do!
What exactly does the hospital do to encourage division between doctors and nurses?
This is spot on. We can blame the auto populated orders in the EMR for this. MEANINGFUL USE!! MEANINGFUL USE!!
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 😂
I hit em with the "hey i was told in report to let you know if"...
This is freakishly accurate.
I’d call out the doctor and tell him ‘it’s in your order set!’
As a nurse, I found this tooooo relatable....
SAAAAAME THOOOOO ugh well, guess it’s better to be too careful than not careful enough
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.
I am loving these new doctor shorts. Informative and amusing!
Every nurse that I know has shared this exact story.
So TRUE, Some DOCS even yell at you, and when you tell them they put in the orders for parameters to call about they just laugh at you
The accuracy of this…but make it night shift😩😩😩
My mom is an rn and from what I’ve eavesdropped in on this is one of the most relatable things
I truly enjoy these shorts! I know I’m more on the BH/addictions side of the field but it’s all still so relatable!
So true!!! I remember this one time a doctor came down and yelled at nurse in front of everyone for that keep she calling, and she told him that he was the one who put in the note. And he told her to stop calling and say he was going to write her up… either way we are wrong! Lol.
Terrible attitude, I hope she didn't take that BS
While all this is happening there's a patient needing to be checked on.😂
"per chart orders" is a magic phrase to say you didn't want to but you need to CYA so you're doing it anyway.
This is beyond accurate
I love these double p.o.v. videos. They make you re-evaluate every time you've been irritated with someone.
This is actually spot on!
Thats why after years at the same job, you start having your own decisions due to experience.
I love.how accurate this seems to be, and I'm not even a medical professional.