My big peeve "know it alls" is with unlicensed care givers who talk to patients about their lab results, their condition, procedures, diagnoses, disease processes etc! And no, I'm not talking about providing 'comfort/support' (i.e. "Oh, a CAT scan is just like an xray. It looks like a giant donut and you go in and out, quick as can. Hardly takes 10 minutes." Or "Hey, I see Dr. XYZ for a similar problem too. Don't be so alarmed, it happens to people. If I see your nurse or Dr. ED, I'll let 'em know you have more questions/concerns about your condition".)
My 'peeve' elevates to "****** off" if said unlicensed personnel do this nonsense blatantly in my presence
... and what's more? Contradict me while in the presence of the patient
... (as if that alone wasn't bad enough
) ... with false/incorrect/INCOMPLETE information!
"Oh you're allergic to shellfish? Well you can't
have a contrast cat scan then..."
"But the doctor said that I needed to drink some..."
*interrupting* "Did you tell the Doctor you were allergic to shellfish? Trust me, if you're allergic, you can't have
a CAT scan with IV dye..." All this, while I'm standing right there!
Getting ready to medicate the pt. with our standard cocktail for 'allergies' because the docs (plural - it was both the ER MD and pts. PMD) were confident that pts. allergy wasn't true (and they were covering it anyway) and besides pt. needed
the CT - the differential depended on it.
Can you imagine the explaining I had to do afterword?
Yeah, I'm not "denying" that some folks have dealt with a medical condition long enough (or have suffered through it and read enough) to have quite a decent handle on the disease process. BUT there's differences involved here!
1. Unless you went to med school - just because you're an expert in a certain disease doesn't necessarily mean you'll be an expert in treating
2. Don't forget - despite your expert opinion, it may not be your disease - no matter how many signs/symptoms you share. This is why there are Doctors and why we pay them good money.
3. If you want to act-like/be a PA/NP/RN/MD - go through school and qualify yourself. Until then, please don't presume to be something you are not. I don't presume to "tell my Cardiologist" how to manage my SVT - even though I'm fairly well read up on SVT and other cardiac-arrhythmia.
4. Lastly - unless it's a question of life or limb (for example - Intubating a pt.: "Doc, I couldn't hear you - 20 of Etomidate and what? Sux or Vecc?") - don't pull the stunt of disagreeing with pt. procedure while the provider is right there!
If you got a problem, come talk to ME! You know, the dude whose license you're working under?
In PRIVATE! I mean, if you want to pretend to be a professional - at least learn to act like one and give your fellow workers some common courtesy!