Tips for New Interns: How To Get Along With The Nurse

Nurses Relations

Published

I taught an ACLS class this afternoon, and all the participants were 4th year medical students. They're scared and excited about being real DOCTORS in a few months! One of the topics that came up was how to be on good terms with the nurses. I came up with a few ideas right off the top of my head, but what do you guys think? What would you tell them?

The first few things I thought of were:

Don't ever tell a nurse your first name is "doctor." Your mother gave you a first name, and although I have known a few MDs with the LAST name of "Docter", I haven't ever met anyone with a FIRST name of "Docter." And nothing irritates an experienced nurse MORE than being asked to call some kid 30 years younger than herself "Doctor Smith." I'm likely to say "then you can call me "Mrs. Vee." You don't want that.

When you come to see my patient, tell me who you are. And don't ever tell me "I'm his doctor." We have a lot of those in most hospitals. Are you the psych consult, the cardiologist who admitted him, or the nephrology resident coming by to evaluate him for dialysis? It would be nice of you to say "Hi, I'm Althea. I'm the pulmonology resident here for a consult."

Bring us chocolate. We like chocolate!

So what would you guys like to tell the new residents who come to work with us?

...there was this one doctor that said nurses are just glorified maids...

I have to say, one of the associate Dean's my hospital is associated with is the head of the physician escalation commitee, and he is well known to be "the nurse's advocate" at the hospital. Interns and residents, we really don't have a problem with...the attendings, especially some surgeons...well they can bit tetchy.

Or maybe it's because it's a completely different atmosphere on evening/nights? Or maybe it's because my floor is near the call room We don't mind having the interns hang out on the floor, and being tele, heck they are right next to the a lot of the codes.

~~~~~~~~~

My nightmare every July...

When I call and a pt with CHF/pneumnonia has an elevated BP 190/110, increasing tachypnea, and I say her lungs sounds are "crackles and rales, increasing from her prior assessment". This pt does not need a neb treatment. She needs lasix NOW, and she needs you to come and see her. Also, I'm going to call RT and have them bring a BIPAP just in case, and I'm going to have the order form clipped to the front of the chart. Now I'm not going to say this all mean and demanding...I'm just going to ask for lasix, and kindly remind you that we can do nitro gtt's on this floor if your upper level agrees.Oh, BTW, do you think we can have a foley, for strict I/O's too?

Why this happen every July I don't know, but it does...usually on the first weekend....I hate acute pulmonary edema...I hate July

Specializes in student; help!.
If you are going to bring us chocolate, remember that just not any chocolate will do. I am totally addicted to See's Chocolates. Any of the See's chocolates will do. See's is just so totally awesome.

OMnomnomnom. See's dark box, 2#, please!

+ Add a Comment