Nurses don't know the lab

Nurses General Nursing

Published

It is extremely frustrating as a lab tech to hear nurses talk about the lab like we just press buttons. In fact it is appalling, especially when we go through many of the same, and many more, college courses.

They even go so far as to refer to our profession as one where you don't have to think. Wow. I couldn't imagine someone not thinking when they are identifying antibodies your patient has, then trying to type the corresponding antigen negative blood so your patient doesn't have a transfusion reaction. Or when we are performing a differential that lets the doctor know the patient has CLL.

Not to mention that we have to look at previous labs and document why there has been a significant change. Or worse yet, figure out that the results are not consistent, and the nurse or CNA has mislabeled specimens.

We bust our butts, and when we are not actively testing specimens, we are calibrating, running QC, and doing maintenance on the machines.

All while getting paid much less for being just as essential and having just as much education.

Also, we do not cause your specimens to be hemolyzed. We are not shaking them up, I assure you. They cannot become that way from sitting around, even though specimens don't sit around in the lab when tests are ordered. On that note, clots occur from not inverting the tubes once they are drawn. Also not us, generally the phlebotomist is drawing the specimen, but the only clotted tubes we get are from nurses and CNAs. We don't want to give you the bad news either.

We need to be recognized as essential medical professionals as well as nurses. We know plenty that nurses don't, and vice versa. It's just hard to listen to people on their pedestals with no respect or understanding about the profession they bash.

I wouldn't even call this a rant, because it is only addressing the misconceptions that I hear repeatedly.

Specializes in Hospice.

It sounds like a major inferiority complex.

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.
Most nurses do not have a master's... so there?

I haven't been illiterate or stupid.

I've been reasonable and given the benefit of the doubt numerous times.

I just end up repeating myself because the points I try to communicate get overlooked to attack semantics.

I never said nurses are stupid, I've repeatedly said that they are educated and I treat them with respect as I work with them.

And yes, I have nurse stories too, and you have doctor stories I'm sure. And I repeat, I'm talking about things I've read, not the people I work with directly.

If you treat them in the same manner you have spoken to us here they may have a different opinion about your "respect". Also, I don't recall any place on this forum where lab techs were being "bashed" so why come here and rant in such a rude manner about something you read somewhere else? If you wanted sympathy you shouldn't have come here ham-fisted with guns blazing.

Specializes in NICU, ICU, PICU, Academia.

Well that escalated quickly......

Specializes in ICU, LTACH, Internal Medicine.

Lab specialists know as much as an RN? Okay...

then WHY do the said lab calls me or other unfortunate RN EVERY. SINGLE. SHIFT. with catastrophic value which was recognized as "normal" for that particular case a month ago?

You, Mr. Clever Guy, were told a month ago and a hundred times after that it is false positive value due to meds. You do not know it is possible...how comes?

then why the said lab makes a holy mess out of labels put "incorrectly" (quater of an inch to the right, the last time)?

why lab works with samples drawn God only knows under which conditions and I had to explain you, Mr. Clever Guy, that every sample for lipid panel drawn after 6 AM (the time kitchen opens) is, by definition, wrong??

In my life experience, people who claim out and loud to be smarter and cooler than someone else and worth high recognition for this particular reason alone, and then throwing up hysterics because things are not always done precisely the way they want them should really sit down and think why they are not getting that respect.

Specializes in Acute Care.
Yes, it was a poor choice to come to a nursing forum to speak about how they disrespect laboratory professionals. I should have known better than to think any thick skulls could be cracked.

I literally just laughed out loud reading this... Holy chip on shoulder!!!!

Specializes in Medical Oncology, ER.

ok i think the rant is done and we should all stop posting on this particular thread. it's like expecting someone on moviprep to stop pooping, just when you think its over "but wait! theres moreee!"

I thought is was a simple vent with a hint of truth.....I think many nurses look down on lab techs....(the responses seem to prove my point).

I do appreciate lab techs; everybody should get an occasional "free" vent/rant day on Allnurses without being attacked.

I don't care if your a GED housekeeper or a MD we are all equally important to the patient's well being, we all should respect each others jobs. We all know co-workers can be idiots that is why we come here to vent.

Specializes in Education, FP, LNC, Forensics, ED, OB.

Please everyone.

Please do not make this a personal back and forth.

Please respect each other.

OP, some of what you describe could just be in your hospital/work environment.

Nurse, Physicians, Lab Techs/Analysts, Physical Therapists, etc. .. we all work to provide the best care possible.

So, please again, let's all try and get along and let the discussion be civil.

Thank you.

Specializes in Hospice.
I thought is was a simple vent with a hint of truth.....I think many nurses look down on lab techs....(the responses seem to prove my point).

I do appreciate lab techs; everybody should get an occasional "free" vent/rant day on Allnurses without being attacked.

I don't care if your a GED housekeeper or a MD we are all equally important to the patient's well being, we all should respect each others jobs. We all know co-workers can be idiots that is why we come here to vent.

Yes, but when we vent, we come HERE. To a Nursing forum. We don't go to a Lab Tech forum and rave on about how awful and thick headed they are.

OP's choice of language and tone was incredibly inflammatory, and left no room for rational discourse. If s/he had said something like "What do Nurses learn in school about how a lab works? Because I'm finding several Nurses who don't seem to know what goes into my job." That could have been an interesting and informative thread.

Instead, we get a hit and run poster who probably didn't want any information, and we're wasting our time on nothing.

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.
I thought is was a simple vent with a hint of truth.....I think many nurses look down on lab techs....(the responses seem to prove my point).

I do appreciate lab techs; everybody should get an occasional "free" vent/rant day on Allnurses without being attacked.

I don't care if your a GED housekeeper or a MD we are all equally important to the patient's well being, we all should respect each others jobs. We all know co-workers can be idiots that is why we come here to vent.

There's ranting and then there's all out verbal assaults followed by snark. If he wanted sympathy his approach was all wrong.

Specializes in kids.
Yes, but when we vent, we come HERE. To a Nursing forum. We don't go to a Lab Tech forum and rave on about how awful and thick headed they are.

OP's choice of language and tone was incredibly inflammatory, and left no room for rational discourse. If s/he had said something like "What do Nurses learn in school about how a lab works? Because I'm finding several Nurses who don't seem to know what goes into my job." That could have been an interesting and informative thread.

Instead, we get a hit and run poster who probably didn't want any information, and we're wasting our time on nothing.

This!

I admit to not knowing much about the different roles in lab. I honestly never thought about it. I call them all "lab".

Some of the lab who come to draw blood are a bit strange. They can be unreasonable. The "blood bank", on the other hand, seem like mad scientists concerned with absolute perfection.

The phone calls about changing labs drive me crazy, so thankfully, that's not protocol at my current hospital. It always seemed like the person calling didn't really understand the information they were asking for, and I found it to be a huge waste of time to take those calls. I don't believe the lab enjoyed making them, either. Example:

Lab: The patient's potassium level was critically low yesterday, and now it's normal. Did something happen?

Me: We gave the patient potassium.

Lab: OK. Thanks.

Those calls are beyond irritating for nurses and most likely for the lab staff, too.

Hi,

I'm was a lab tech for 15 years before deciding to obtain my BSN. I really enjoyed being a lab tech but becoming a nurse was my passion. I can somewhat understand what the OP was stating although I could've been expressed a little differently. The lab is known as the "forgotten staff". They along with nurses and other staff play a vital role in saving patients lives. My reason for this posting is to explain some of those "strange phlebs, mad scientist, and irritating calls".

1) the phlebs may seem a bit unreasonable because usually they have assigned floors to cover and one phleb may have to draw up to 50 patients in an allotted amount of time.

2) the blood bankers have one of the most important roles in the lab. So you're absolutely right, we would want them to be like mad scientist. Because as we all know, one mistake could potentially end a life.

3) Lab tech have to make those annoying calls just to verify that this is indeed that patient's blood. Unfortunately we've heard of mislabeled specimens.

So although it can be a little irritating on both sides, we much remember who's most important..the patient!

I appreciate the lab and nursing personnel....

Thank you for listening!

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