List Archives

Tue Dec 30 13:14:27 GMT 2008

Ken's right of course.  This is a simple and discrete human resources
issue, and should be referred to the Program Director, in writing and in
detail, as guided by hospital policy.  

Such would actually be the SECOND step in the process, immediately after
careful verbal de-escalation in real time ("Doctor, let's work on
accomplishing your objectives less dramatically.") -- and hopefully some
days before publishing one's concerns complete with hospital identifiers
on an international list server.  Surely the List has not contributed
substantially to any local solutions; if anything, we're perpetuating
the drama.

That said, the lesson for all of us is that the best trauma providers
(at every level) engage in a subtle and constant competition to be the
coolest player in the room.  It's a game that always serves the patient
and the process.  

Pret Bjorn, RN
EMMC Trauma Program
Bangor, ME USA

	-----Original Message-----
	From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ken Harrison
	Sent: Tuesday, December 30, 2008 7:11 AM
	To: trauma-list at trauma.org
	Subject: is yelling acceptable?

	Dear Angela,

	Yelling at anyone, unless your safety is threatened is not going
to achieve anything in the long term.

	Yelling at staff is called bullying and here is Australia
results in formal warnings, and then dismissal.

	It also is a sure sign of an immature and insecure man

	Ken Harrison

	Message: 2
	Date: Tue, 30 Dec 2008 00:06:07 -0500
	From: Angela <angie504 at hotmail.com>
	Subject: is yelling accepatable?? ever??
	To: <trauma-list at trauma.org>
	Message-ID: <COL104-W421BAD4C4B863279D871279AE70 at phx.gbl>
	Content-Type: text/plain; charset="iso-8859-1"

	I work with a pariticular trauma surgeon and he loses his temper
easily and resorts to yelling and screaming at all staff until hiis
orders are done and things go his way overall .  My trauma team are no
amateurs and have a good flow when it' s gets busy.  Your walking on egg
shells around him because no one  knows what will upset him.  And he
never says ," sorry for acting out of line." Thouhghts?

	JMH hospital , MIami

	Message: 3
	Date: Mon, 29 Dec 2008 23:15:57 -0600
	From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
	Subject: RE: is yelling accepatable?? ever??
	To: "Trauma &amp" <trauma-list at trauma.org>
	Message-ID:

<B79C02DCC4FA074DB02381DF1C5D60BA01D2814E at EX07.ad.tulane.edu>
	Content-Type: text/plain; charset="iso-8859-1"

	Personal opinion .............taught to me by my first surgeon
mentor:

	"A surgeon never yells or throws instruments. It is a sign of
one who has lost control. When you lose control of your self, you have
lost control of the operating room and your patient's welfare"

	Take for what it is worth. I  have lived that as my motto and
have never regretted it.

	Norman

	Norman McSwain MD
	Trauma Director, Charity Hospital
	Professor of Surgery, Tulane University
	New Orleans LA
	504 988 5111
	norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>

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is yelling acceptable?