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Doctors not assessing COVID patients?

Disasters   (650 Views | 6 Replies)
by orchidflower orchidflower (New) New

349 Profile Views; 3 Posts

Doctors at my hospital are not physically assessing the COVID patients. They are asking nurses to enter the room and ask them what they have assessed. I am working at a teaching hospital. We were told residents weren't allowed to enter the patients rooms and just attendings and fellows. Well, no physicians are entering the patients rooms. It's so bad, we had a patient code and the physician asked the respiratory therapist to assess the patient from outside the room to confirm death. Is this happening at any of your hospitals? I feel as if the doctors feel as if we "nurses" are expendable and they aren't.

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MunoRN has 10 years experience as a RN and specializes in Critical Care.

5 Followers; 6,611 Posts; 69,134 Profile Views

There are certainly reasons for the physician to go into the room, but they also shouldn't be going in just for the heck of it. With COVID there isn't actually much purpose to a direct Physician assessment. It's reasonable to limit the number of staff entering the room and not have multiple staff members doing different tasks that could be done by a single staff member instead.

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CMSrn2009 has 11 years experience as a ASN, BSN, MSN and specializes in Critical Care, Public Health, Addiction.

12 Posts; 1,668 Profile Views

I think docs not going into rooms has regularly been a trend prior to this but is more prevalent now that its literally hazardous for anyone to go in due to the current environment (lack of PPE etc..). Where I work they only go in if its an emergency, to place a line etc but do not go in for rounding (some consultants do). Interesting only fellows and attendings can go in where OP is at, though. Where I'm at plus at another health system nearby- the attendings do not go in the room, but residents do.. so its like they're throwing their young to the wolves. I feel bad for THOSE residents. I've confirmed death before so that's not surprising.. However I do feel your sentiment. Nurses are literally up in peoples business more than anyone else, and are probably the most exposed just because of the nature of the job. More PPE and adequate staffing would make me feel less expendable...

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theoneandonly has 4 years experience and specializes in RN.

16 Posts; 272 Profile Views

This is correct. Physicians are smart. They don't want to expose themselves, so they use you instead. It's sad, but yeah they should be rounding on their patients. Patients want to see their physician, they have questions that a nurse cannot usually answer. They are using the PPE shortage as an excsuse.

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13 Posts; 1,013 Profile Views

Ya, same in my hospital, doctors not physically assessing coivid patients. nurses main health care worker attending/seeing patient

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Dhooy7 has 4 years experience.

26 Posts; 209 Profile Views

We do not have COVID patients on our units but the doctors are still seeing patients.

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GSDlvrRN has 4 years experience as a BSN and specializes in Telemetry.

97 Posts; 1,657 Profile Views

On 4/10/2020 at 1:35 AM, theoneandonly said:

This is correct. Physicians are smart. They don't want to expose themselves, so they use you instead. It's sad, but yeah they should be rounding on their patients. Patients want to see their physician, they have questions that a nurse cannot usually answer. They are using the PPE shortage as an excsuse.

The doctors I work with have no shortage of PPE. They call the patient’s room phone and talk to them that way, they can also see the patient through the window next to the door. I have seen doctors go in for an initial assessment like if they are new from the ED, but not usually for daily rounding.

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