The July Effect

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    Blog post in yesterday's Sunday NYT from a local hospital nurse about the "July effect" and how it affects patient care.


    http://opinionator.blogs.nytimes.com/2012/07/14/dont-get-sick-in-july/
    Anxious Patient likes this.
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  3. 4 Comments so far...

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    The doctors responses in the comments section were so unfair to Nurse Brown. What a great advocate she is to her patients.
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    Quote from Anxious Patient
    The doctors responses in the comments section were so unfair to Nurse Brown. What a great advocate she is to her patients.
    Par for the course.

    Most physicans even wet behind the ears post grads assume nurses know nothing more than pillow plumping, cleaning up BMs and passing meds. When in fact a seasoned RN on top of her game probably could run rings around a post grad and perhaps give even a physican a run for his money.

    Thought the article was great and yes, Ms. Brown was an excellent advocate for her patient which is job number one for a professional nurse.
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    This pretty much sums up the attitude of doctors posting comments on the piece:

    "MarcNew York
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    I'm a training resident and I feel that the author has overblown this issue. There are many safeguards in place that provide for a safe delivery of health care to patients in teaching hospitals. The truth is that nurses do nursing and physicians practice medicine. Nurses are great at knowing the layout of a department and some technical aspects of their scope of practice but they should never be involved in directing the care (read: practicing medicine) of patients. Indeed, within a few months of orientation I have more than surpassed the RN's that work with me in provider patient care. That's not a knock against nurses - they do an important and fabulous job at nursing. However, they were never educated in the basic sciences or knowledge provided in medical school to work as an autonomous decision making provider. Hence, often times they suggest treatment plans to me that they have learned from experience that are often times inappropriate to patient care. This is a hallmark of a trained professional reliant on pattern recognition rather than an educated professional who has a deep knowledge of all the intricacies involved with practicing medicine.

    Nurses should be thanked and celebrated for their role; but, lets not confuse technical skills gained through experience with professional decision making that took 8 years of pure education to reach."

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    reading the young resident's message above: They do teach these young residents to be politically correct and diplomatic don't they. I remember an older RN at a University hopsitl telling me a long time ago about this July effect. She also told me "it is the nurses that teach these young residents medicine". I remember seeing this for myself in it's full glory that summer- all it takes is the first time these young residents make their first mistake and it happens to each and every one of them- then they are the BFF of the old experienced nurse forever Why, because the old experienced nurse is usually the one who find the problem, corrects/reverses it and gets their butt out the sling.


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