Quote from JKL33
. Nurses have been sold a load of crap that is still being perpetuated in nursing academia to this very day, that we are The Ones who have patients' best interests at heart or feel a sense of obligation related to proper patient care.
OP, your preceptor was also undoubtedly pressured by Business of Healthcare stuff; specifically, how quickly everything in the ED needs to get done, emergent or not
Omg you are so, so right!
I love this forum! It's so amazing to talk to nursing colleagues who really get it!
In residency, I absolutely loved critical care. I spent my days off listening to critical care podcasts, reading more about critical illnesses, etc. When I got a patient that I was worried about, I felt like I burst into action, and maybe I rubbed people the wrong way, plus I'm a female which complicates things, but I literally got a nursing evaluation saying that I seemed "frazzled" when a sick patient was in. In my mind, I was focused, aggressive with medical intervention, passionate, and determined to save lives. Honestly, nurses ( especially those that have been in the ED a long time) are really scary to residents, we don't want to offend you, we don't want to bother you, we know that you're busy. It's just all about communication. I learned through that very difficult experience in residency to tell people why I want this, why I need this, why the patient needs whatever. But it doesn't happen overnight, it's a process.
I don't know a single doctor that would ever think anything negative about a nurse that earnestly asked more questions to understand the reasoning behind a particular order, be it medication, imaging or lab studies, or any other decision, in order to better understand what was happening. I LOVE it when nurses do that. Through those conversations, I've learned much more about why this or that couldn't happen the way I wanted it to. You're teaching them, too.