I am a Board cert. Mental health RN on a hospital based psychiatric unit. We have a new psychiatrist who not only belittles,degrades,& humiliates staff (mostly the females-not males) but also expects us to do some things I don't feel are legal such as when he is on call for admissions.....we are NOT to call him to discuss the possible admission, but to use our discretion as to if they meet unit admitting criteria & if so, bring them on unit for him to see the next A.m , do admission process to include giving registration an admitting diagnosis, AND documenting which Dr was called, the date,time, decision to admit or refer elsewhere. As I see it, this is falsifying documentation, as well as practicing out of our scope of practice by signing admission standing orders as a verbal order with diagnosis filled in. Our policy & procedure states ONLY the MD can determine whether to admit a patient.
I spoke up about our concerns regarding the legality of these issues (everyone else was to fearful to say anything & just go along with it), and was told by supervisor that thre is nothing wrong with doing it his way, but if I was that uncomfortable with it, then I would no longer be placed in the charge nurse role (we rotate), would not be allowed to do the preliminary inquiry/eval to determine if patient does meet criteria to be admitted (our screening process to gather info to relay to MD to determine if he chooses to admit or not) nor am I to speak to or call this MD as he says I am "hostile" towards him for not wanting to do things his way. Our other Psychiatrist follows the process to a tee & follows all policy & procedures.
Now after having spoken up, I not only have the above listed restrictions, but the last 2 schedules has had me doing rotating shifts weekly ( 7A-7P, & 7p-7A) instead of my previous schedule of strictly 7P-7A that I have been on for the past year---although no one elses has changed any at all. My supervisor denies that these issues are any type of retaliation for speaking up but it sure seems like that to me. Any input on this will be appreciated --such as opinions of the legality of his practices.
P.S- his reason for not wanting to be called is that if he dont get adequate 8.5-9 hrs of sleep, he cant function well---(maybe he should've considered a different profession) and the few times I did call him regarding admission possibilites-I was told "You are not supposed to call me for admissions! If you are too incompetant to decide if they meet criteria, then let someone else decide!"