When you get a hospital step-in surgeon suddenly

Was it a teaching hospital? If so, you will see more than one doctor. There is the Staff Physician, the top doctor who is responsible for teaching and for the patient's care. (S)He directs a team of doctors, usually in different stages of training, i.e., first year intern, second year resident, third year resident, and so on, depending on what service (ortho, cardiology, ophthalmology, etc.). The residents in training for that service may write orders for meds, procedures, etc., and the Staff Physician should be reviewing everything. Look at it as a team.

While the Staff Physician (assuming a surgeon) is performing a surgical procedure, usually with the senior resident assisting, the first year intern or one of the other residents who is "on call" for that team may do "rounds" or respond to calls from the nurses during that time.

This is when the nurse becomes very important! If a doctor orders something questionable, it is the nurse's responsibility to protect the patient. The nurse is considered the patient's representative. There were a few times in my 15 years of hospital nursing (ICU and OR) when I knew what the doctor-in-training had ordered was questionable and when I asked about it, they insisted. I went over their head to the Staff Physician and one time, the Department Head. Yes, I was chewed out now and then but that was okay with me. And a couple of times, I was thanked.

I had one doctor threaten to take me before the Board of Directors. My response was, "Go right ahead. I'll be there." That ended the conversation, lol.

It makes me sad to hear what others on here are experiencing.
 
Back
Top