questions about dealing with docs...

Nurses General Nursing

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I'm a new nurse... although have spent my past 30 yrs. around the nursing profession and in the medical field.. have seen a lot, done a lot...now I need some clarification. Perhaps this comes as a result of having served in the military where the docs carried the rank, and therefore we all submitted to their say... but somehow, I still carry around this "outdated" concept of feeling that I must "obey" the docs.

It was a real eyeopener in school to learn about nursing autonomy and the nursing profession's view on this. But somehow, this past concept still lingers and I need some help in shaking it. I still find myself being intimidated by the docs (or at least FEELING like I SHOULD be) and like who am I to question them in ANY regard, or on ANY subject when it comes to patient care. I still allow them to make me feel like it's THEIR patient more than MY patient, and I struggle with knowing where I stand, where the line is, when do I question them, when do I make judgement calls on my own, do I have the right, and WHEN to do so, etc., etc.

Guess it's the old-school thing where the doc makes the decisions and the nurses implement his "orders" without question.

WHEN is it appropriate do do otherwise, how do I know, how do I stand up to it when it DOES occur.. are they "my boss" or not, can "they" have you fired.. etc. etc......... really need some help on this, some real clarification. I want to be a competent and responsible nurse, but I need further guidelines in working out

this issue to enable me to perform to my best abilities and know what I MAY and/or may NOT do concerning the docs. Thanx everyone, in advance. :)

Originally posted by Dr. Lynn

. Regarding male nurses, I think that they are treated differently, but I think the reason for this is in THEIR attitude. They tend to be very confident and are quick to both give and demand respect. If everyone behaved that way, we'd all get along great. Oh well...thanks for letting me vent.

In a male it is considered self confidence and they are quick to give and demand respect. In a female the same behavior is considered...what?

Specializes in Hemodialysis, Home Health.

Very nice... very nice indeed ! Love hearing both sides ! Welcome to the BB, Dr. Lynn !

DR. LYNN, welcome to the board, hope you hang around for a while. I have no real answer for you, but can tell you i have felt the cut throat nature of some nurses. I used to be treated the same way by some female nurses. me being male and working in a "female " area and all. the only advice i can give is be professional do your job and do it well, never give in to the naye sayers. they will come around and if they don't the hell with them:).

I really enjoy working with the female docs we have most are terrific some are not but again that has nothing to do with gender. I do seem to think that some of it may be related to some of the old stereo typing you know men are docs, and women are nurses,HAHAHA.\

I treat all the docs the same if you treat me with respect i will treat yoi with respect if you belittle me watch out:)

good luck, let us know how it goes for you:)

buy the way got any advice for someone considering becoming a doctor. my son just decided to transfer from nursing to premed!

Originally posted by Dr. Lynn

Yes, Lynn is my first name. I am on a first name basis with many of the nurses I work with (although THEIR supervisor reprimanded them for using my first name.

I find that addressing physicians with a title and last name while physicians address nurses by first name only is part of the problem (superior-to-inferior communication as opposed to one-professional-to-another communication).

There are very few physicians like you, Lynn (and the ones that are like you are almost ALWAYS superior physicians and great to work with). :)

My personal solution is that every physician who insists on title+last-name gets the first name of "Doc"...which then becomes the only way I address them...unless they call me by MY title and last name.

So far no objections and it puts our communication on an equal footing...and I find I get a lot of respect from the "Docs" I work with.

I have been a nurse for 1.5 years. I have just recently gone to day shift.

So many doctors are different during the day. Call them at noc, even before they are asleep, and you might get the third degree.

There was one dr. who brought his son in while he did round one evening during this past summer. His son was in the nsg station asking questions while we were trying to pass meds and do general nsg responsibilities. (none of which include babysitting) Well his son asked if we like nursing, of course we said yes. Then while dr. dad was in pts. room he said, "Are you the nurses that call in the middle of the noc." We said, of course we don't like to and we only called when our pts were sick and needed him. He proceded to say that when he hangs up the phone his dad always says, (and I quote) "Stupid nurses, they always want something." This from a 8 year old son. He told his dad what he said- like he was proud and like his dad should be proud of him for following in his footstep. I promise the look on his pompous face was priceless!!!! And I was the only one that saw it!! Of course he completely denied it and proceded to march his son out the car. :rotfl: From the mouth of babes - maybe he should watch what he says.

This is the same doc who will ask questions about what happened on the last shift, like what time a foley was placed, while HE is holding the chart. So now i tell him if he looks in the nsg notes the time is noted. He believes that there are nothing in nsg notes worth reading. Since I've gone to days I found he has a sense of humor and at times can be nice. I still don't like him and treat him with a professional manor, but I don't pucker-up for anyone.:nono: He obviously treats the "day girls" (which I am now part of) with more respect. And now treats me better than ever before. (even when I picked up an occ. day shift) It's not right, but never going to change. Even the nicest docs trust alot of the dayshifters more, and I believe it is because they know them and have more of personal/professional relationship with them. (there are exceptions to EVERY rule, I know. Some people deserve the trust and some don't!) Anyway. I wanted to tell you all about my "favorite doc".

Now all over the hospital if someone has a "blonde" moment we just look at each other, shake our heads and say, "Stupid Nurses" Someday the doc will hear someone say it. And he will know where we got the saying!!!:D

To Everyone,

Thanks for you input. I appreciate your responses and do believe that I'm probably just too sensitive. I'm just tired.

To Mark,

I can't honestly say I'd recommend a career in medicine. It is just too expensive (both literally and figuratively). After 4 yrs of college, 4 yrs of med school and 2 yrs of residency (with 2 more yrs to go), I am physically and emotionally exhausted. Just when I think it can't get any worse, it does. I routinely put in 80-90 hr weeks and am expected to read in my "spare time"! Friday was an especially bad day. I worked from 7 am to 4 am the next morning then had to go back in at 8 am to round. I no longer have a life outside of medicine. I know things will get a little better when I finish residency and have my own practice, but I'll never have a "normal life".

I am up to my eyeballs in debt...$225,000 and growing daily. Sure, I'll be able to pay off my loans, but I'll never make nearly as much money as the generation before me. Patients, insurers and employers are more demanding than ever. We are expected to care for twice as many patients, for half the reimbursement. I view medicine as a calling and truly felt called to the profession but even I sometimes feel the demands are too great...it's simply not worth it. We have the highest divorce rate, suicide rate and substance abuse rate of any profession...I'm not surprised. Being a doctor is not what it used to be.:o

sorry to hear that DR.LYNN, thanks for the input! it looks like he is reconsidering going to med school and may stick with his original plan of being a CRNA. I had him talk with one today and i think he likes what he has heard so far. go luck hope things get better for you. we need more good, compassionate young docs around. :)

Sounds like medicine has changed as much as nursing! I am always hearing the more experienced nurses talking about the good old days and how times have changed.

I actually considered medicine, but chose nursing because of what you described Dr Lynn. Basically, I wanted a life outside of my career and I wanted to finish school before I hit 30. When a CRNA or CNM can make an excellent living and enjoy a high level of autonomy, I can't imagine pickng medicine.

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