Published Apr 7, 2009
FireStarterRN, BSN, RN
3,824 Posts
I worked with a medical resident yesterday, needed to get orders on a patient who was having issues. He was from a foreign country. His English language skills were poor. I had trouble understanding his rather broken English. I had to clarify several times, he didn't even seem to be aware of the fact that it was very difficult to understand him, both because of his heavy accent and the fact that his grammar was poor and his vocabulary seemed limited. He sounded like he had just gotten off the boat, frankly.
How is it that this is somehow acceptable? I find this to be a detriment to the good communication required for safe care. How is it that someone can be accepted into a medical residency program in the United States who hasn't mastered English? We have many residents from foreign countries who do appear to have a good command of English and are easy to communicate with.
Good Communication is the foundation of everything else we do in healthcare. Healthcare workers in America should all have a good command of English in order to communicate well with one another.
jjensen
149 Posts
This is such an issue... Half the time, I don't even know what Dr. I am talking to... Thankfully at my hospital we are all computerized, so the Dr's put in their own orders... I call and give my info, the Dr. tells me something and I say you are going to put that order in, correct? Thank goodness for that...
On a side note, I was in surgery working as a circulating Rn and the Dr was not easy to understand and put a mask on him and well, you know... I asked him what he said and I told him that I could not understand him, so he SHOUTED at me... I just kind of laughed and said that he was loud enough, but I could not understand what he was saying... Just keep asking questions until you know what they want...
morte, LPN, LVN
7,015 Posts
hmmm ..yet, foreign born NURSES have to take English language testing......something appears to be missing here....
Pauligirl
37 Posts
I agree. And I've noticed that this problem also occurs when communicating with health care workers who are american born. As a patient I recently decided to see a new rehab doctor. After giving the receptionist all my paper work she asked me "has you seen him before?" . I initially gave her a blank stare because I seriously did not understand her.
SuesquatchRN, BSN, RN
10,263 Posts
I generally manage to understand people and make myself understood. It's in the trying.
chijon512
23 Posts
:yeahthat:
I've managed to communicate with deaf, blind, foreign accents, speech impediments, etc.
If you have the aptitude, try using it. If not, I would like to suggest a job where communicating with people of different capabilities is not required.
sbyramRN
304 Posts
How about the foreign born nurses...I can't understand a world half of them say. Is that ok?
Nascar nurse, ASN, RN
2,218 Posts
:yeahthat:I've managed to communicate with deaf, blind, foreign accents, speech impediments, etc. If you have the aptitude, try using it. If not, I would like to suggest a job where communicating with people of different capabilities is not required.
All I can say to this is.. WOW! Little harsh maybe and certainly not helpful to the OP. And now that I have gone back to look at your profile, I see you are a student. So, how many foreign Doctors have you actually had to deal with?
yup, the post you quoted was just plain rude.......and how much "effort" can you put forth in a code? everyone needs to understand what the heck is going on and what has been ordered......not the time to be saying, "could you repeat that please?.....
~Mi Vida Loca~RN, ASN, RN
5,259 Posts
I get beyond frustrated trying to decipher what the customer service person is trying to say that the company outsourced. I can't imagine trying to decipher something that can be a matter of life or death. I have the aptitude to try and communicate with tons of different disabilities. It takes a patience and so on. In a hospital setting though it shouldn't take someone having to spend 20 mins to establish communication. Their has been a few times when I was in WA and was being seen at Naval hospital that I could not understand what the Nurses were telling me. Very frustrating as a patient to not understand what I am being told.
Koyaanisqatsi-RN
218 Posts
This is the second time in two days that I have seen someone on AN assume that someone's life must literally not exist outside of being a nursing student. Do you believe that the person to whom you're speaking has never dealt with someone with bad English skills before now?
Nursing isn't a vacuum!
I agree with Sue; you have to honestly try sometimes, but it pays off. There have been a few doctors I've had issues understanding, but between body language and attitude, it's doable. But then again I'm only a student also.
This is the second time in two days that I have seen someone on AN assume that someone's life must literally not exist outside of being a nursing student. Do you believe that the person to whom you're speaking has never dealt with someone with bad English skills before now? Nursing isn't a vacuum! I agree with Sue; you have to honestly try sometimes, but it pays off. There have been a few doctors I've had issues understanding, but between body language and attitude, it's doable. But then again I'm only a student also.
AND WHEN THERE IS TIME, THIS IS COOL........but not all communications in healthcare have that possibility.these persons need to take responsibity for learning the language, if i were to practice in another country i wouldn't dream of expecting them to understand me if i didnt learn THEIR language, and well.