I'm not the doctor!

As a patient family member (who is also a nurse), I recently encountered an interesting situation. The nurse corrected the assumption she was the doctor by saying "Oh I'm not the doctor, I don't want that much responsibility"! Attitudes such as this one perpetuate the subservient mentality of many nurses today. We MUST start acting like the educated, experienced, capable professionals we are! Nurses Announcements Archive Article

  1. What is your mindset regarding the nurse-physician relationship?

    • 55
      "I'm not the doctor, I don't want that much responsibility!"
    • 1213
      "Physicians and nurses are colleagues who should engage in respectful communication and exchange of ideas for the good of the patient."
    • 4
      "It is not necessary for nurses and doctors to interact."
    • 35
      "I don't have a problem with the way nurses are percieved in society"
    • 421
      "I wish I got more credit for the knowledge I have and the lives I've saved."

219 members have participated

Recently my husband's grandmother was a patient in the ICU. I am frequently used as the medical translator in the family, this time wasn't any different. I had the opportunity to make a couple of observations I would like to share with you.

Before I continue, let me tell you a little about myself. I have worked in many areas of the hospital. L&D (as and OB tech), Ortho/Neuron MedSurg, ER, Trauma ICU, CVICU (all as an RN). I recently started graduate school in hopes of gaining more autonomy and advancing my education. I LOVE being a nurse. I love the way it blends science and compassion. I am PROUD to be a nurse. Except for one thing.....

I have always had a problem with the societal perception of nurses. I love the show Grey's Anatomy (despite its medical inaccuracies), but can't help noticing that there are no nurses in major roles. I see nurses as a whole represented as coffee-fetching secretaries. My family even says to me "I know you're not the doctor, but what do you think about this....?".

This perception, of course, does not jive with the fact that many nurses have a Bachelor's or Master's Degree in Science, multiple additional certifications, years of experience, and have saved multiple patients from incompetent physicians.

This week, while observing the nurse caring for my family member, I realized a MAJOR part of the problem with the way nurses are perceived. My confused family member mistakenly called the nurse DOCTOR. The nurse replied...

"Oh, I'm not the doctor I couldn't handle that much responsibility".

EXCUSE ME?! Throughout our visit, she repeatedly dodged conversations, referred the family to the doctor with any questions, and generally made me feel ashamed about our profession. I realized that I have encountered that same attitude so many times in my fellow nurses. But WHY?? I once heard a nurse tell a physician who offered to help her clean a patient...

"Oh I'm sure you have more important things to do! This isn't your job."

This is just as much the physician's patient as yours, and if the job needs to be done for the good of the patient, why would you assume this meek, butt wiping maid position to the ALMIGHTY DOCTOR??

Let me start out by saying that I know all nurses are not created equally, but I think this is a mindset bred into many nurses from the beginning of our education. Instead of thinking "I am an educated, experienced caregiver who is more than capable of answering your questions. I shoulder a TON of responsibility every day I come to work." We are taught this...

"The doctor is GOD. The doctor is KING. You are JUST THE NURSE."

This thought is reaffirmed every time we allow a colleague's ideas to be dismissed by a rude attending, or when we don't speak up in family conferences, or when we say things like "Oh I'm not the doctor, that's too much responsibility". This inaccurate perception of the "pecking order" is not only offensive, but unsafe. This mindset is what makes you second guess yourself before calling that mean physician to report a critical value, or bring up an important concern. NO MORE!!!

I'm calling all nurses to WAKE UP!

Empower yourselves through education and experiences. Realize that you are not the secretary, the butt wiper, or the maid. You are smart, you are important, you are educated! Quit it with the subservient attitude and be the powerful PROFESSIONALS you should be. We are separate professionals, MDs are not your boss, they are your colleagues. Quit demeaning our own profession with your engrained lowly mindsets.

OK, rant over... feel free to comment, tell me what you think!!!

This is not how the vast, vast majority of NPs practice. I would check your sources.

There are no sources to check, nor do I "need" to do anything. This is the experience that my friends shared with me, which I shared with the forum.

Specializes in Adult Internal Medicine.
There are no sources to check, nor do I "need" to do anything. This is the experience that my friends shared with me, which I shared with the forum.

Wow, you mad? No need to take things so personal and no one said you "need" to do anything.

Are your "friends" practicing NPs?

Are your "friends" practicing NPs?

Obviously.

Specializes in ER, Trauma ICU, CVICU.
There are no sources to check, nor do I "need" to do anything. This is the experience that my friends shared with me, which I shared with the forum.

Melissa,

As I'm sure you will learn while you are "pursuing your MSN in education" the "he said she said" argument really doesn't fly. I will echo what BostonFNP said: most NPs don't work with someone always over their shoulder, simply for the fact that it just isn't cost-effective, and that MOST NPs are fully qualified to handle routine patient issues. I'm sorry a few of your friends have had a bad experience, but that just isn't a large enough sample size for me to use as the basis of my opinion. Hopefully you will reexamine your's as well.

Anyway, that isn't even the point of the thread. But, I just wanted to add my 2 cents.

Thanks for the comments.

Melissa,

As I'm sure you will learn while you are "pursuing your MSN in education" the "he said she said" argument really doesn't fly. I will echo what BostonFNP said: most NPs don't work with someone always over their shoulder, simply for the fact that it just isn't cost-effective, and that MOST NPs are fully qualified to handle routine patient issues. I'm sorry a few of your friends have had a bad experience, but that just isn't a large enough sample size for me to use as the basis of my opinion. Hopefully you will reexamine your's as well.

Anyway, that isn't even the point of the thread. But, I just wanted to add my 2 cents.

Thanks for the comments.

Eh. I don't really care.

Specializes in Emergency/Trauma/Critical Care Nursing.

Well you're pleasant... Lol

Specializes in ER, Addictions, Geriatrics.
Nothing infuriates me more than a know-it all nurse who feels the need to prove herself against those "stupid" Residents, "stupid"NP, etc. Oh, and same goes for LPN's, CNA's - you are not the nurse, just as the nurse is not the doctor. Pretty simple.

Sorry, what? The LPN isn't the nurse?

Why can't we all just have respect for each other and the roles we play in providing for patients?

Specializes in Emergency/Trauma/Critical Care Nursing.
Sorry, what? The LPN isn't the nurse?

Why can't we all just have respect for each other and the roles we play in providing for patients?

Yeah last time I checked LPNs WERE nurses... Lol

Specializes in Pediatrics, Emergency, Trauma.
Yeah last time I checked LPNs WERE nurses... Lol

Last time I checked, I was one-I sure worked as a licensed nurse as a LPN!

Specializes in Maternal Child Health, GYN.

Yep...I've worked with LPNs who could run circles around the RNs. As a new nurse I appreciated the LPNs because they were hard working and great role models.

I don't have a problem with what she saimd, though I would have phrased differently I am not the doctor. Admitting that does not make me less smart or less important to the patients care. Yes I have a brain and I can and will challenge the doctors when stupid-ass decisions are being made. That's part of my job. And I'm no less a professional because I don't pretend to be something that I'm not.

As a nurse, who has actually been a medical student, I have to say that medical school is much more difficult than nursing school. That said, both nurses and physician who practice to limits of their profession, deserve respect. Physicians see patients for a few minutes in the day, nurses keep patients alive. We have to be able read lab reports and read people for how they doing medically, physically, psychologically and be there for them in that moment. I would rather be a physician if I could because keeping residents from making mistakes and having them take credit over and over again gets on my nerves.:coffee: