You did screw up. When the fellow told you to talk to the intern, you should have just nodded and taken care of it. The intern sounds unpleasant, but you need to deal with it to be succesful. Always be courteous and respectful. Get all your work done. Probably not the best idea to bring up rare side effects unless you think something life threatening is going on. Trust that the physicians above you are well trained, more experienced, and don't want to discuss the validity of their orders with a medical student.Visiting student. I can't put in orders.
While in the ICU, I ask my intern a question about a possible SE a pt could be having while on a certain medication, and he/she acts all annoyed, then I attempt to tell him/her that TFs have not been started because nurse told me orders have not been put in (pt has now been 2 days w/o TFs, should have been started yesterday but wasn't), I get yelled at. So, pt has not had anything that was discussed in our plan. Intern is "too busy" with another pt.
Fellows round, they ask me if TF has started, I said no it has not and they ask me why and to tell the intern to put in the orders for it. I asked if they could tell the intern since the intern appears caught up with another pt, and the fellows told me to just tell the intern and that I should not hesitate since I'm part of the team. I end up not trying to confront the intern again because the intern starts talking about me to the other visiting student from the intern's med school and another resident (who's been in favor of me and a huge proponent of my work ethic). The resident says nothing to me, but I did not bother to confront the resident to see what was said about me or to correct the situation.
During PM check out, intern does not allow me to present pt at checkout, so fellows ask intern of status and if certain orders done, intern claims TF started which had not been. The other fellow shakes his head, makes a note on his card, and we just move on to the next pt during check-out.
I know I'm not perfect, but I am a hard worker and I try my best every time. I usually don't care about negative comments, but it's just been eating me up .. Did I screw up? If I did, how could I have handled it better?
Please don't quote this in your replies - I plan to delete this when I receive answers.
I can follow directions. I chose not to. The thread becomes effectively useless to anyone who comes along later when you delete the OP. Don't waste our time. If you don't want it published for everyone's benefit, don't post. If I'm going to respond, I want the context there.Obviously you can't follow directions. I said not to quote me and you did. Please edit your post.
Anyways, it wasnt a rare SE, it was something that seemed odd from pt presentation stand-point to me and I simply approached the intern about it. I ended up simply looking it up myself and then figured I'd want to see how it plays out clinically and look at the lab values for later in the day.The lab value was fine and the pt was fine so I let it go. I tried to even talk to the intern and try to clear the air and apologize but I was scolded. Yes, I probably should've addressed the TF issue with the intern but by that time I was pretty much not wanting to deal with another scolding. Everything is EMR, yes, I don't have access to orders. I am trying my best to keep open communication with intern but it's just not working out. Usually with other interns or residents I write a note and we go over it, and I present my plan of action and whether or not it's agreed upon we discuss and the resident or intern puts in the order (or if AM rounds start soon we go over that with attending and the intern/resident puts in orders as discussed, etc).
At this point, whenever the intern doesn't know something about the pt and the primary or a consult comes to the intern and I know the answer it's deferred to me, then the intern puts in whatever they want. I just keep my interactions limited, simply telling said intern that my note is in, along with my suggested orders, then I work with another resident on one of their pts ... I still keep tabs on the original pt of course, but I just don't interact more than I have to with the intern. Oh, and I update the intern about any recommendations that a consultant or the primary made and if I was there with the pt and the intern was with another pt (I tell the intern this when the intern's not busy unless the changes need to be made STAT, at which point the intern's likely to be asked for anyway). I never get updates from the intern but I shrug it off as the intern being busy. It's just difficult because the line of communication isn't mutual.
Wanna_be_DO, I will work on learning how to put in orders, I'll just talk to one of the residents and see if I can have them run through that with me, but I'm not sure how I'd go about it consistently when my access ID doesn't have allow for me to even go in and put in orders.