Quote from cardiacRN2006
I have doctors asking me all the time what I think we should do! I used to be terrified at the thought of talking to them, but now I just come right on up to them and ask for what I need.
Amen to that. I love the physicians where I work because they value my recommendations and more often than not will implement them.
To the original poster, Think of talking to a physician in the SBAR format. In other words, be prepared. I'll use a few examples...
Example 1: Situation-Describe what the patient is there for. Most of the time, the physician will already know. Unless it is an oncall physician, at which point you'll have to be a bit more detailed and have the information very handy. Don't be afraid to ask them to hang on for a second while you look it up.
Background- Any pertinent things to what you are about to say (this patient has a history of MI!)
Assessment- What's going on(This patient is in vtach!!!)
Recommendation- What you think needs to be done ("Can we send this patient to a cardiac unit?")
Example 2: Hi Doc, my patient is here with pneumonia, she has an upset stomach, she's been feeling nauseous for the past few hours and vomited 100 ccs of clear fluid a few minutes ago, can she have an anti-emetic?
Example 3: Hi Doc, I have a patient here that got admitted after being in a car accident. The patient is a diabetic and the blood sugar is 300. They're flushed and peeing a lot. I was wondering if you'd like to put this person on insulin?
And of course, there is the other example if you don't even know what the heck is going on...
Example 4: "hi Doc, this patient got admitted after being in a car accident and they are bleeding from the ears...WHAT THE HECK DO I DO!?!!!!"
And depending on the physician, you will have a lot of questions out of the blue. Once you know the physicians, you will know what they will ask/order before it even comes out of their mouths and be prepared before you even talk to them.