Published
This is only governed by the preference of the individuals involved and the "culture" of the facility.
I'm on a first-name basis with all of the docs I work with everyday and many of those I see occasionally, though there are 2 who I sometimes address as Dr. X. They are both older and more "old school." I do it because it seems most comfortable, not out of subservience. Most of our docs also introduce themselves to patients/families as "John Smith" not Dr. Smith.
This the culture where I work ... it may be very different where you work. Though, in principle, I'm a little leery of a culture that dictates that all MDs are Dr. X while I'm (first name) ... seems inherently unequal. I'm perfectly happy to address any MD as Dr. X - it is the title they have earned. But if I'm truly not on a first name basis with a co-worker, then I'll need to be called Mrs. X. I've earned that too ...
Make sense?
As far as documentation ... conversations regarding patient care should certainly be part of the nursing documentation for a specific patient, i.e., "Per dept. charge RN, pt. to be transported to Doppler lab by Escort." It's not assessment info, but is still pertinent to the care of the patient.
For administrative/personnel issues -- see your facility's policies regarding use of incident reports or other reporting tools.
In front of a patient or patient's family, it should always be kept professional and the physician should be addresses as Doctor ________>
What you do the rest of the time is dependent upon what you feel comfortable with. I have worked with physicians that have insisited they they be called by their first names, and again I do that. But in the presence of a patient, then their professional title is used, if they need to be addressed.
Common courtesy, nothing more. It also helps the patient identify that it is a Dr. Even a resident gets the courtesy in front of a patient.
One word,YES. In order to be respected, you must respect.
As the previous posters have indicated there are some times
when it is appropriate depending on the situation.
As an aside-
I can say that I was disappointed this week in a personal
appointment when a MA introduced herself as the "nurse".
I inquired an RN, and she replied MA.(No nametag which is
required by law in my state)
In todays medical marketplace we need to be clear who is treating
us
so yes, each member of the team should be addressed properly
and respected for their contribution.
In my world, an LVN is an enlisted Soldier, RN is an officer and an MD is an officer, and not always does an MD officer out rank an RN officer. Sir & ma'am is the common address for both RNs & MDs.
However, I agree with others that have posted for the sake of the patient it is best to say Dr. --- in front of the patient.
i only worked in one teaching hospital but i have found that the interns are more likely to want to be called dr. soand so while the older mds are more comfortable in their own skins and they are less likely to want outward signs of respect
however they worked to get where they are at and they deserve to be called what they wish not a deciding factor in the amt of respect that is given [earned]
kmokay
9 Posts
we're all co-workers afterall. just like the guy that mops the floors doesn't call me "ms.--" or "nurse --" nor does the lady that cleans the toilets on our unit. we're coworkers, on the same level. so why must we address docs as "dr.---". Even if they were viewed as our superiors, I don't call my supervisors "ms.--" or "mr.---" I call them by their name, just like they call me by mine. Do docs get offended if you do this. I think its a nice gesture as nurses, but i think it also seperates us as healthcare providers. I mean to me there's an underlying connotation of superiority I think. I usually address them as Dr. so and so unless they ask me not to, but I just don't know the rationale behind this. Also what does it mean to document things aside from patient related info. Like if for a conversation between a nurse and a charge took place regarding the care of a patient that proves to later be critical. or if a staff is abusive, instances like that. Where would one document these things.