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nurses are the eyes and ears of the doctors
i guess we didnt go into nursing to get the credit or glory...its kinda like that silent pat on the back from yourself when you see that patient get the treatment they need because of something you caught
its kinda nice to pick up on something the doc didnt...."told ya so" is nice :)
The doc would look bad if he told the family, "the nurses alerted me to a problem, so I ordered a consult......"
Reminds me of a story was reading about a former patient in the newspaper. The mom was telling the reporter how one night she almost died from sepsis, no blood pressure, etc. She was quoted as saying "I almost lost her, but the NURSES saved her". I almost jumped for you.
Remember the book from the 70s called "Nurse". The main line on the cover was "Doctors don't save you, I do!". Or something like that. It's so true.
More than ever, doctors have too many patients to care for.
If we nurses do not communicate the patients status and needs to the doctors, the doctors will never know.
I leave notes taped onto the doctors progress sheet every day....info I know they need to know.
No one has ever complained.
When they walk onto the unit, I tell them the urine output, chest tube output , intake...temp...for the last 24 hrs.
When a doc asks, "how is the patient?" they aren't asking for a social response.....e.g., "fine" or "he's doing okay." The doc is asking the nurse HOW is he doing? e.g., "what's the temp, v/s, wound status, activity status, i and o , pain status, ......
It amazes me to hear the docs ask a nurse, "How is he doing?" and the nurse says, "fine, he's been asleep all day." Nurse doesn't have a clue, hasn't looked at any v/s or lab results, doesn't have a clue if patient is eating, peeing, pooping, nothing .....
Happy to hear those Pittsburgh nurses are keeping up to their usual standards., Oramar...
I have always heard the nurses in that city are very professional and top notch.
Please I must defend some of the docs where I work,they often give credit to the nurses, I have had a few experiences where the doc has said to the pt, " thanks to your nurse for alerting me to a problem" or the doc leaving a patients room ( new admit) telling the nurse -its more important that you are in here right now, and leaving until I am finished starting an IV, antibiotics etc. before he does his assessment.Most of our docs are pretty grateful and value nursing observations-judgement, lets face it we are the ones that spend the most time with the patients. Most depend on us.
Originally posted by 3rdShiftGuyThe doc would look bad if he told the family, "the nurses alerted me to a problem, so I ordered a consult......"
That doc would look WONDERFUL in this nurse's eyes. I must say I've often been given credit by docs for a "good catch." It really depends on the trust the doc has in the nurse and vice versa.
oramar
5,758 Posts
Nurses on the floor where I worked hounded a doc about a patient who looked a little too thin and had a distended tummy. He was in for rehab after fractured pubic ramus. They got a stool quiac on him that was pos.+. Attending finally ordered GI consult on guy. Patient is back on med/surg because he has bowel cancer and impending obstruction. Family stopped me in hall and said "isn't that doc so and so wonderful because he discovered that cancer". I said, "I think some of the nurses helped things along in this case". They looked at me like I had maggots crawling outa my eyes.