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Will doctors and nurses ever bury the hatchet?

Posted
opensesame opensesame (Member)

Specializes in acute/critical care. Has 11 years experience.

Probably not, it is the every man for himself mentality.

My career has been in psych, where collaborative interdisciplinary teams are the norm (and have been for decades), and I've always had v. positive professional relationships and interactions with psychiatrists (inc. psychiatrists being welcoming and respectful of APNs). In my experience in psych, there hasn't been any "hatchet" to "bury" (of course, I realize that other individuals may have had different experiences).

opensesame

Specializes in acute/critical care. Has 11 years experience.

There has been a lot of controversy over expanding the role/practice privileges of the NP as the DNP degree is now being pushed as entry into practice, and there has been a lot of recent news regarding CRNAs and their ability in some states to work unsupervised.

I would like to know more about this "care team" model but I don't subscribe to the required journal to read the article. I don't think it is anything I am familiar with.

paganoid

Specializes in Quality Management. Has 5 years experience.

I know a few docs I'd like to bury a hatchet. Oh, you mean reconcile. Sorry.

ascnbe, ADN, RN

Specializes in ER, ICU, Hyperbarics/Wound Care, Psych. Has 25 years experience.

I have found a very big difference in nurse/doctor relationships depending on the unit you are working. ICU and ER, I had a close relationship with the doctors. Working the floors, CCU, and Psych it was more distant. In the ER of a teaching hospital every July First, you get their first day with a long coat and the inevitable "what do you usually do about this kind of thing?" It tends to be humbling and level the floor. It usually takes a few years after residency for the inner ego to surface. I have always felt that people work as nurses, but they "become" doctors. I give the benefit of the doubt to most because of that transition. You know you are going to have a problem when they introduce themselves to the nurses not as John, but as Dr. Smith. When you stop having a first name, your feet start leaving the ground. It's hard to see "people" from that altitude. The sad part is that they are merely a micososm of society. There are good and bad people in society, about the same percentages follow the smaller groupings of society. Good nurses, bad nurses/good doctors, bad doctors, I really try to not to generalize. I guess after some folks work real hard to accomplish something, they feel like if they don't ring their own bell, no one will hear it. I don't mind them ringing their bell, just don't put it next to my ear.

you know i would love to-right in the center of their forehead. i never had a prob with doctors, i know a lot of doctors thought nurses were inferior once they got their sealegs of course, and we helped them on everything from a-z. but over the past couple of years, month after month it has increased: coming to work, and not working hard, etc, but busting my butt to stop incompetant doctors from making mistake after mistake, bad decision after the next--i spend so much time going over their heads to get a correct order given--ie TREAT THE DAMN 7.22 PH! these doctors either are good fakers or they have no idea HOW incompetant they are--and i'm growing sofa king tired of saving patients AMA! these are NOT all new doctors! one resident had a patient w/low bp-the nurse just followed along the negligent care, and when i poked my nose in to see if they needed levo mixed i was rudely dismissed by both 'we got it' when clarified, 'we got it' didn't mean they had the levo already, it meant 'they had it under control' b/c despite the fact that she was in trendelenberg and ns bolus being given, bp was 60s--what they 'had' was res was trying to put a line in, so they then could order blood and after the blood was in, the bp would be better---i am NOT kidding. so i called the attending. mind you, this was not my patient, but i am not going to stand by and watch someone code b/c of idiots (this incidence happened to have a daft nurse involved-most do not) i know the attending well, she was in-house, and i told her she needed to get down here and stop the res from 'killing the patient'--and she did. she came down and asked if we could get some levo started and i wheeled it in, already on the pump and ready to go--hooked it up and badda bing-in a few minutes bp wnl. so who was watching MY patients while i'm doing all this? no one. we have to aides. this is why i'd like to launch that hatchet---arrogant, smug little pricks--know your stuff or get the hell out of medicine!

Cabbagehead

Specializes in Cardiovascular. Has 7 years experience.

I've found that Physicians Assistants are far worse than MD's.... or any other credentialed individual

RN1980

Specializes in icu/er.

as long as doc's precieve there is a chance of losing money to nurses there will be a divide.

azhiker96, BSN, RN

Specializes in PACU. Has 10 years experience.

The medical association and nurses associations all have a vested interest in advocating for their constituents. I think it will take Federal pressure to allow more autonomy for advanced practice RNs in states where it's needed.