Don't get sick in July

[bullard]

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http://opinionator.blogs.nytimes.com/2012/07/14/dont-get-sick-in-july/?hp

 

[doctor712]

It was funny, I was in the hospital on July 1-3, getting seen by ALLLLLLLLLllll the FIRST DAY residents.

At least they had nice Attendings with them always.

: )

D712

 

[gasblaster]

I think an article like this comes up every year. Last year I distinctly remember a NYT and CNN one.

 

[pgg]

Why no articles about the danger of going to the hospital in June, when the attending-->resident leash is the longest?

 

[yappy]

I get so sick of RN's reminding everyone of how they need to be at the table and collaborated with. Although medical students need an attending as they lack experience and training - RN's do not even have the basic knowledge necessary to make their experience work towards the ability to make independent decisions.

 

[geauxg8rs]

With nurses like this there should never be a "July" effect. She would just order whatever tests and meds were truly needed. Nobody would ever die, nobody would ever lack real care since they have a super nurse watching over and coordinating care. Her only krytonite is that she cares too much.

 

[okayplayer]

What a patronizing article. Some ICU RNs still feel they know better than R3/4 residents or even very junior faculty. When they act on that I think it is dangerous for patients.

As an example, I've ordered a 1L bolus on a pt who was hypotensive with a wide PPV, oliguria and new increased pressor requirement while prerounding and then on rounds 2h later been informed in front of the whole team by the bedside RN that they did not give the order because the pt is 10L up LOS. I kindly pulled the RN aside and reminded him that filling my order is not optional, and that I need to be called immediately if he is not going to fill it with an explanation. Thankfully the further along I get the less they question me and the more they do what they are told.

 

[yappy]

Once I saw an old school trauma surgeon use this line:

"I am the doctor. You are the nurse. OK!?". Then he stared her down for 30 seconds.

You should give that a shot sometime 😉 I think it worked for him because everyone feared him and he was chief.

What a patronizing article. Some ICU RNs still feel they know better than R3/4 residents or even very junior faculty. When they act on that I think it is dangerous for patients.

As an example, I've ordered a 1L bolus on a pt who was hypotensive with a wide PPV, oliguria and new increased pressor requirement while prerounding and then on rounds 2h later been informed in front of the whole team by the bedside RN that they did not give the order because the pt is 10L up LOS. I kindly pulled the RN aside and reminded him that filling my order is not optional, and that I need to be called immediately if he is not going to fill it with an explanation. Thankfully the further along I get the less they question me and the more they do what they are told.

 

[HollywdAnesth]

Have any of you read the comments?

There is one woman who suggests that everyone who desires to be a doctor go through nursing school and work a year as a nurse. Wow.

Typical doctors are a-holes, nurses make the hospital run and walk on water.

There are never stories about doctors getting woken up in the middle of the night by pages for constipation or normal vital signs.

 

[Doctor4Life1769]

Have any of you read the comments?

There is one woman who suggests that everyone who desires to be a doctor go through nursing school and work a year as a nurse. Wow.

Typical doctors are a-holes, nurses make the hospital run and walk on water.

There are never stories about doctors getting woken up in the middle of the night by pages for constipation or normal vital signs.

Yeah, I saw that.

Idiots exist everywhere in this world, including Melbourne, Australia.

 

[ssmallz]

Slander at its best.....I love how the nurse is described as courageous for "jumping the chain of command"......really? This is pretty much nursing 101, when you disagree with the intern, call the senior and get it figured out, especially in July. This is a no big deal situation and crap like this happens day in and day out, nothing to see here, no need to write an article. I also love how they think interns, fresh out of medical school are providing any sort of important care. Most of the important medical decisions on actual sick pts are made by the senior residents and/or attendings. The interns are really just there to write the notes, learn, and deal w/the bs