PSA: DON'T Look Down on Nurses

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caramelbear

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Hey SDNers,
I was leading a talk at my UG , and there were a lot of comments from freshman, sophomores, and juniors that were really insulting to nurses. A lot of them seemed to think they were "too smart for nursing" and above it. They didn't really understand the roles and responsibility. They certainly don't yet grasp how vital nurses are to the healthcare system.

This mindset at such a young point in your career can only hurt you, especially since you aren't a part of the healthcare system yet. Best case scenario: You get into med school and work closely with nurses for your entire career. Worst case scenario: You don't get into med school and end up looking for other professions in the healthcare field. Don't count out nursing just because of some misconceptions that get spread around. The roles of physician and nurse are completely different and both very important.

One of my strongest opinions about the pre-med process is that you should have experience learning about many different roles in the healthcare system. If you "love science and want to help people," med school isn't the only way to do that. Maybe you will find out that you would rather be a PT, PA, nurse, perfusionist, etc instead. Otherwise, it will solidify the reasons you want to go to med school and maybe even increase your chance of getting in. Learn to respect other members of the healthcare team now. I'm learning more and more that being friendly with the nurses helps you in rotations. They have a lot of knowledge that can be really useful to you.

Also, don't say nurses don't help people as much as doctors in your interviews no matter how much you may think it is true when asked why you want to become a physician and not another profession in the healthcare system. It just shows that you don't know much and lack social skills.

TL;DR Don't hate on nurses, especially if you're pre-med. It can only hurt you.

Sorry for being preachy. I'm super frustrated. My UG has been doing terribly in admissions lately. 🙁

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I respect RNs for what they do and the role that they play in the healthcare system, but there is no way in the world that I would EVER become one. I would not work in healthcare if it came down to that... and I am OK with that. Nurses are the bedside "medium" between the patient and physician. They carry out the orders given BY the physician, not the ones they make up (unless they are asking for trouble and do whatever they want, which there are some that do... most do not).

I don't want to ask permission to flush an IV line, insert a foley cath, draw blood, etc. I want to be the one thinking of the underlying problem, ordering the tests, performing the advanced procedures. I want to have the ultimate responsibility for the outcome of my patient (for better or worse).

I do agree that nurses are valuable and an indispensable part of the healthcare team... a good nurse will save a physician in a pinch and are worth their weight in gold... but I also think that we need to also realize that we are inflating their roles just a little bit.

(This is coming from someone who works alongside RNs and has had multiple jobs in healthcare).


Sorry for the rant. It's time for bed 😴
 
I respect RNs for what they do and the role that they play in the healthcare system, but there is no way in the world that I would EVER become one. I would not work in healthcare if it came down to that... and I am OK with that. Nurses are the bedside "medium" between the patient and physician. They carry out the orders given BY the physician, not the ones they make up (unless they are asking for trouble and do whatever they want, which there are some that do... most do not).

I don't want to ask permission to flush an IV line, insert a foley cath, draw blood, etc. I want to be the one thinking of the underlying problem, ordering the tests, performing the advanced procedures. I want to have the ultimate responsibility for the outcome of my patient (for better or worse).

I do agree that nurses are valuable and an indispensable part of the healthcare team... a good nurse will save a physician in a pinch and are worth their weight in gold... but I also think that we need to also realize that we are inflating their roles just a little bit.

(This is coming from someone who works alongside RNs and has had multiple jobs in healthcare).


Sorry for the rant. It's time for bed 😴

Oh I agree that some Inflate their roles, but the sad truth is that we just have to put up with it early in their training. However, at my school, if they sense that an applicant looks down on other healthcare professions, even the tiniest bit, their app goes in the trash.

Let me rephrase: We should keep our true opinions to ourselves about nurses and outwardly appreciate what they do and respect them.

I worked alongside them for a few years before med school too and realized there was no way in h*** I was doing it.
 
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Oh I agree that they inflate their roles, but the sad truth is that we just have to put up with it early in our training. I agree with everything you've said. However, at my school, if they sense that an applicant looks down on other healthcare professions, even the tiniest bit, their app goes in the trash.

Let me rephrase: We should keep our true opinions to ourselves about nurses and outwardly appreciate what they do and respect them.
Well said, friend :=|:-):
 
Oh I agree that they inflate their roles, but the sad truth is that we just have to put up with it early in our training. I agree with everything you've said. However, at my school, if they sense that an applicant looks down on other healthcare professions, even the tiniest bit, their app goes in the trash.

Let me rephrase: We should keep our true opinions to ourselves about nurses and outwardly appreciate what they do and respect them.

I worked alongside them for a few years before med school too and realized there was no way in h*** I was doing it.

In what way do nurses inflate their role?
 
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I respect RNs for what they do and the role that they play in the healthcare system, but there is no way in the world that I would EVER become one. I would not work in healthcare if it came down to that... and I am OK with that. Nurses are the bedside "medium" between the patient and physician. They carry out the orders given BY the physician, not the ones they make up (unless they are asking for trouble and do whatever they want, which there are some that do... most do not).

I don't want to ask permission to flush an IV line, insert a foley cath, draw blood, etc. I want to be the one thinking of the underlying problem, ordering the tests, performing the advanced procedures. I want to have the ultimate responsibility for the outcome of my patient (for better or worse).

I do agree that nurses are valuable and an indispensable part of the healthcare team... a good nurse will save a physician in a pinch and are worth their weight in gold... but I also think that we need to also realize that we are inflating their roles just a little bit.

(This is coming from someone who works alongside RNs and has had multiple jobs in healthcare).


Sorry for the rant. It's time for bed 😴

I agree with some of this. I do agree that many nurses inflate their roles. In the OR, the RNs were usually not much more than glorified gophers and secretaries, but you'd think the patients would be lost without them. Even there though, a good nurse will help things run much more smoothly, which is always good for patient care.

In other areas though, their roles are pretty important. The ICU/NICU for example. Even in my wife's heme/onc clinic, the RNs have a pretty important role.
 
Nurses are on he front lines and can end up catching and fixing a lot of mistakes that doctors make. Mistreat them at your peril.

Yeah, some of the posts here make me question how much clinical experience some of these people have. There are definitely bad nurses, but I'm not sure who they think are catching blood/platelet reactions, med order errors, drug interactions (pharm helps there too), etc. This is in no way supposed to compare them to physicians, because they aren't. But the jobs are different. My wife has no desire to be a doctor. She'd rather not be in healthcare than be a physician.
 
In what way does nurses inflate their role?

I think he/she was describing more of the med/surg floor nurse. The roles really do change a lot depending on what floor/unit/type of nurse. Not saying that they don't do a ton of work too, though.

I do think it's ok to not want to be a nurse. I strongly considered it and realized it wasn't for me. It wasn't for reasons involving taking orders from others etc or anything like that.
 
A decent human being shouldn't be condescending to anyone, ideally. It helps when you've worked in healthcare in a lesser capacity than nurses - it lets you appreciate what they really do know. They are very important in healthcare and I'll be glad to have them when I'm a doctor.

On the other hand, nurses (and some paramedics, NPs, and PAs for that matter) don't endear themselves to physicians when they go on cyber rants about how they do so much more work than doctors and decry the "injustice" of doctors making more money than them when they "do all the work."

It's a two-way street; understand that roles aren't necessarily superior or inferior, just different, and some aspects of the job reflect those different roles.
 
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I think he/she was describing more of the med/surg floor nurse. The roles really do change a lot depending on what floor/unit/type of nurse. Not saying that they don't do a ton of work too, though.

I do think it's ok to not want to be a nurse. I strongly considered it and realized it wasn't for me. It wasn't for reasons involving taking orders from others etc or anything like that.

That's not true at all and it depends on the person and facility. I thank you for sympathizing.
 
A decent human being shouldn't be condescending to anyone, ideally. It helps when you've worked in healthcare in a lesser capacity than nurses - it lets you appreciate what they really do know. They are very important in healthcare and I'll be glad to have them when I'm a doctor.

On the other hand, nurses (and some paramedics, NPs, and PAs for that matter) don't endear themselves to physicians when they go on cyber rants about how they do so much more work than doctors and decry the "injustice" of doctors making more money than them when they "do all the work."

It's a two-way street; understand that roles aren't necessarily superior or inferior, just different, and some aspects of the job reflect those different roles.

Nicely put! That last line really applies to the nurses in different floors (ICU vs medsurg vs OB, etc...) and you said it well.
 
That's not true at all and it depends on the person and facility. I thank you for sympathizing.
Sorry let me clarify that I think they DO a lot of work. It does totally depend on the type of floor though. I'd float to some where it was an insane amount of work and others that were more relaxed.
 
I agree with some of this. I do agree that many nurses inflate their roles. In the OR, the RNs were usually not much more than glorified gophers and secretaries, but you'd think the patients would be lost without them. Even there though, a good nurse will help things run much more smoothly, which is always good for patient care.

In other areas though, their roles are pretty important. The ICU/NICU for example. Even in my wife's heme/onc clinic, the RNs have a pretty important role.

That you didn't understand the OR nurses' job doesn't make it as simple as you make it out to be.
 
That you didn't understand the OR nurses' job doesn't make it as simple as you make it out to be.

I worked with them for 8 years so I think I'm pretty familiar with their job. Obviously there is more to it, but when the majority of their time is spent sitting on a stool talking to the CRNA or running to get some more Vicryl, I think they might inflate their job a bit when they imply they are the most important person in the room besides the patient.

Yes, I get it that they check the consent, fix all the things same day messed up, etc, and most of them are great. But I have met some who think they are the patients' savior. It becomes a very antagonistic environment that way. Surgeons can obviously be guilty of that too, but I have heard way more comments from the nursing staff about how Dr So-and-so is such a dick because he gets mad when they can't remember his preferences even though he does hundreds of lap choles a year and it's their job to know that stuff. So bitter and aggressive.

Most of the ones I worked with were awesome though. I loved my time in the OR.

Edited for clarification.
 
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I worked with them for 8 years so I think I'm pretty familiar with their job. Obviously there is more to it, but when the majority of their time is spent sitting on a stool talking to the CRNA or running to get some more Vicryl, I think they might inflate their job a bit when they imply they are the most important person in the room besides the patient.

Yes, I get it that they check the consent, fix all the things same day messed up, etc, and most of them are great. But I have met some who think they are the patient's savior.
There is an incredible amount of organizational complexity in getting patients safely to the OR and out in a timely fashion. They are not the second most important person in the room, but operating rooms would come to a halt without nurses. Just a few things they do at the organizations i have been at is :

1) consent validation
2) Time out participation or initiation
3) OR instrumentation set check for cases
4) Preference card checks
5) Documentation
6) Procurement of product / instrument/ personel
7) Flow management
8) Case and OR time management
9) Submission of work orders for repairs or incident reports
10) breakdown post case
11) Transporting patients to and from holding areas

Lets not minimize what other health professionals do, Good nurses like good doctors are necessary to keep a well oiled organization running at optimal capacity and safety for our patients. Yes there are bad apples, but there are some terrible physician apples as well.
 
There is an incredible amount of organizational complexity in getting patients safely to the OR and out in a timely fashion. They are not the second most important person in the room, but operating rooms would come to a halt without nurses. Just a few things they do at the organizations i have been at is :

Yes, I worked in an OR for many years. I am familiar with what they do.

1) consent validation

Yep. This is actually a huge part of it, because in my experience the same day nurses almost never check this.

2) Time out participation or initiation

You realize this applies to everyone in the room right? Everyone participates, but I guess actually reading it off counts. I've seen the physician do it about half the time.

3) OR instrumentation set check for cases

This is actually done by the RN and the OR tech. The OR tech counts everything while the RN writes down the sponge count and verifies the instrument count matches the list that comes with the set.

4) Preference card checks

The initial check is usually done by core staff stocking for the next day or later cases. This usually resource OR or CST techs but could be an RN if no one else is available or it's an emergency. They also will check the med list and get them from the Omni cell. The suture/disposables/instruments/etc is usually grabbed by the OR tech.

5) Documentation

Yes, they chart.

6) Procurement of product / instrument/ personel

Yes, they get stuff since everyone else is scrubbed in.

7) Flow management

Insofar as they help turnover the room, I guess. The flow management is usually done by the charges at the front. They have a lot to juggle and get **** on a lot. Some of them are excellent and some are not so excellent. Not an easy job though.

8) Case and OR time management

See above.

9) Submission of work orders for repairs or incident reports

I guess. I've never seen anyone other than the charge or manager do this though. Except for incident/safety reports. Anyone can and should do those. I've done them myself.

10) breakdown post case

Um no. This is almost always the tech and custodian. The RN is too busy...

11) Transporting patients to and from holding areas

And giving report. Big part of that.

This is my experience in three hospitals (university, community affiliated with a university, and a true community hospital) in two states. Remember, just because they are in the room doesn't mean they are an RN. The OR techs actually do much of what's on that list. Only one hospital I worked for had RNs scrubbing, and only one did. Sometimes. Because she used to be an OR tech and knew how.

Lets not minimize what other health professionals do, Good nurses like good doctors are necessary to keep a well oiled organization running at optimal capacity and safety for our patients. Yes there are bad apples, but there are some terrible physician apples as well.

Yep. That's why I said most of them are great and that doctors can be dicks too. Guess you missed that.

ETA: you might want to actually read my first and second posts. In the first, I said while they sometimes inflate their roles in the OR, a good OR RN can make things flow very smoothly. I also said that in the ICU/NICU and other areas, they are crucial. In the second post, I mentioned how the RNs are usually the ones catching and reacting to things like blood/platelet/drug reactions, order errors, etc.

Other than a couple lines where I said some OR nurses inflate their roles, I have said nothing here to diminish anyone's role. Not sure where you're getting that. Again, most of them are great.
 
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Hey SDNers,
I was leading a talk at my UG , and there were a lot of comments from freshman, sophomores, and juniors that were really insulting to nurses. A lot of them seemed to think they were "too smart for nursing" and above it. They didn't really understand the roles and responsibility. They certainly don't yet grasp how vital nurses are to the healthcare system.

This mindset at such a young point in your career can only hurt you, especially since you aren't a part of the healthcare system yet. Best case scenario: You get into med school and work closely with nurses for your entire career. Worst case scenario: You don't get into med school and end up looking for other professions in the healthcare field. Don't count out nursing just because of some misconceptions that get spread around. The roles of physician and nurse are completely different and both very important.

One of my strongest opinions about the pre-med process is that you should have experience learning about many different roles in the healthcare system. If you "love science and want to help people," med school isn't the only way to do that. Maybe you will find out that you would rather be a PT, PA, nurse, perfusionist, etc instead. Otherwise, it will solidify the reasons you want to go to med school and maybe even increase your chance of getting in. Learn to respect other members of the healthcare team now. I'm learning more and more that being friendly with the nurses helps you in rotations. They have a lot of knowledge that can be really useful to you.

Also, don't say nurses don't help people as much as doctors in your interviews no matter how much you may think it is true when asked why you want to become a physician and not another profession in the healthcare system. It just shows that you don't know much and lack social skills.

TL;DR Don't hate on nurses, especially if you're pre-med. It can only hurt you.

Sorry for being preachy. I'm super frustrated. My UG has been doing terribly in admissions lately. 🙁
As a premed I noticed early on that you get treated differently (in a bad way) if you are a premed. Pre nursing students got treated with a warm welcome. It got to the point where I stopped telling people I worked with that I was premed, so when they asked I would reply "Oh, Im studying biology." I would leave it at that. I work with some great nurses but I have also had RNs do shady things to block my learning but they helped the nursing students. I know n=1 but I have had too many experiences over the span of 10 years (Im a non trad). The respect goes both ways.
 
As a premed I noticed early on that you get treated differently (in a bad way) if you are a premed. Pre nursing students got treated with a warm welcome. It got to the point where I stopped telling people I worked with that I was premed, so when they asked I would reply "Oh, Im studying biology." I would leave it at that. I work with some great nurses but I have also had RNs do shady things to block my learning but they helped the nursing students. I know n=1 but I have had too many experiences over the span of 10 years (Im a non trad). The respect goes both ways.
I have friends who completed nursing school before med school, and they were taught To mistrust physicians in school. A lot of it depends on their professors. I agree that the respect needs to go both ways. I've always thought the seasoned nurses were better at this than the new grads.

My undergrad didn't have nursing, and I always wondered if that caused some of the nurse bashing. That's interesting and sucks that they got treated better than you.
 
As a premed I noticed early on that you get treated differently (in a bad way) if you are a premed. Pre nursing students got treated with a warm welcome. It got to the point where I stopped telling people I worked with that I was premed, so when they asked I would reply "Oh, Im studying biology." I would leave it at that. I work with some great nurses but I have also had RNs do shady things to block my learning but they helped the nursing students. I know n=1 but I have had too many experiences over the span of 10 years (Im a non trad). The respect goes both ways.

+1 only close friends at the hospital I work at know I am going to medical school. I always say i'm majoring in biochemistry and "don't know what I want to do with my life yet".

Every time somebody admitted to going to medical school they got the , " OH YOU THINK YOU ARE BETTER THAN ME?" look. Its a shame but working at a hospital is like high school all over again. If you act like you are trying to better yourself you get looked down upon.
 
I have friends who completed nursing school before med school, and they were taught To mistrust physicians in school. A lot of it depends on their professors. I agree that the respect needs to go both ways. I've always thought the seasoned nurses were better at this than the new grads.

My undergrad didn't have nursing, and I always wondered if that caused some of the nurse bashing. That's interesting and sucks that they got treated better than you.

My wife went to UT for nursing school. That is definitely not the case everywhere, because her program was super collaborative. She worked at MD Anderson and works at Rady now, and she tells me all the time about how great the docs were/are.

It's definitely a two-way street as you and I said. You give respect to get respect. There are dickbags everywhere, but they are the exception I think.
 
My Nana was a nurse for 35 years and I love/respect her. I have a friend from undergrad who thinks nursing is harder than the pre-med/med track and I find that to be a silly opinion.

Actually, i don't know if I'd say that's an extreme stretch.
The volume of material is vast. Nurses take a full time course load on top of clinical hours during school. Many are doing clinical research as well.

I'd say Nursing is M1/M2 very easy mode.
 
Actually, i don't know if I'd say that's an extreme stretch.
The volume of material is vast. Nurses take a full time course load on top of clinical hours during school. Many are doing clinical research as well.

I'd say Nursing is M1/M2 very easy mode.

I believe most nursing programs have clinicals separate from didactics. Also, most of their courses are not hard science. My wife did a special BSN program that was 12 months long, and she did didactics in the morning and clinicals in the afternoon. Most are not like that.
 
I believe most nursing programs have clinicals separate from didactics. Also, most of their courses are not hard science. My wife did a special BSN program that was 12 months long, and she did didactics in the morning and clinicals in the afternoon. Most are not like that.
i see, so i was lied to.
 
As an RN working in a mixed medical cardiac / surgical cardiac ICU, at a large non-academic, non-profit hospital, my role is far reaching with significant autonomy allowed by open ended protocols. Many new RNs on my floor are overwhelmed by the responsibility they assume.

I agree with the poster. Respect all those in healthcare and keep an open mind. A highly academic tertiary center may allow the disciplines less autonomy than a private secondary care environment where many physicians will ultimately practice.
 
A lot of them seemed to think they were "too smart for nursing" and above it.

This kind of attitude is normally considered taboo when dealing with high school students trying to figure out their careers but I would argue that it does have its place in advising. I was woefully uninformed about both medicine and nursing in high school. So uninformed that "going for CRNA" seemed an appropriate substitute for the long and intimidating path to medicine. Upon entering nursing school I was horrified at the lack of academic knowledge required. Suddenly all the painstaking hours I spent enrolled in AP courses were completely worthless, I could have gone through a far easier curriculum and still have been in the same spot, no less prepared but with more-enjoyable years behind me. Upon becoming a "pre-med" again I found I was and still am drawing on knowledge I accumulated in high school on a daily basis. I'm now fortunate for my exposure to higher-level sciences and humanities in my earlier years.

Tl;dr, if you put yourself through a rigorous curriculum in high school you should probably not consider nursing because you will have over-exerted yourself. This is not to say that nursing is "EASY" but that you simply don't need to accumulate a lot of preemptive knowledge to successfully enter it.
 
check yourself, can't delete posts.

It's ok, I will be patient. You will be banned just like the last time hamster and it will be just as nice. You mentioned me and then edited the post to change what you said.
 
It's ok, I will be patient. You will be banned just like the last time hamster and it will be just as nice. You mentioned me and then edited the post to change what you said.

@AnatomyGrey12
what are you talking about?
it's thanksgiving holiday man, just chill be and be a decent human being
 
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Nurses are all stars - less pay and prestige to make sure the "care" stays in healthcare. I intend to learn from them as well as other physicians throughout my medical career. It is my hope that my DO and MD peers do the same for the health of the workplace and the well-being of the patients.


Sent from my iPhone using SDN mobile
 
Nurses are all stars - less pay and prestige to make sure the "care" stays in healthcare. I intend to learn from them as well as other physicians throughout my medical career. It is my hope that my DO and MD peers do the same for the health of the workplace and the well-being of the patients.


Sent from my iPhone using SDN mobile
quoted for the truth,

i have learned so much from nurses during my time in the ER
 
As an RN working in a mixed medical cardiac / surgical cardiac ICU, at a large non-academic, non-profit hospital, my role is far reaching with significant autonomy allowed by open ended protocols. Many new RNs on my floor are overwhelmed by the responsibility they assume.

I agree with the poster. Respect all those in healthcare and keep an open mind. A highly academic tertiary center may allow the disciplines less autonomy than a private secondary care environment where many physicians will ultimately practice.

My wife is in a similar position. When a kid reacts, there usually isn't a physician in sight. By the time they get there, the RNs have the situation under control. It just depends on the setting. Some areas, the nurses will not don much more than just carry out orders. They're still important though.

I think some of the posters here have just experienced nurses with poor attitudes. They definitely exist. I worked with an RN who repeatedly told me I'd never become a doctor and would still be "just an OR tech" my whole life. She also refused to make up the OR table and wouldn't do anything to help turnover the room.
 
My Nana was a nurse for 35 years and I love/respect her. I have a friend from undergrad who thinks nursing is harder than the pre-med/med track and I find that to be a silly opinion.

So what I was told from people who did nursing school before med school was that they thought the nursing degree was harder than the premed part due to the time management required. The material wasn't overly hard. There was just a lot of it, and there was more busy work thrown in. I know a lot of people do clinicals along with didactic too. There's just tons of work for them to have to do. I think it's hard to make a blanket statement that nursing is harder than premed though since there are so many different premed routes/majors.

They said nursing school doesn't even begin to compare to the rigors of med school though, and I should hope not. If nurses had to go through all the same hoops as physicians to make much less money in the long run, there wouldn't be any. Nobody would do it.

This is what I got from talking with three different RN -> med schoolers.
 
So what I was told from people who did nursing school before med school was that they thought the nursing degree was harder than the premed part due to the time management required. The material wasn't overly hard. There was just a lot of it, and there was more busy work thrown in. I know a lot of people do clinicals along with didactic too. There's just tons of work for them to have to do. I think it's hard to make a blanket statement that nursing is harder than premed though since there are so many different premed routes/majors.

They said nursing school doesn't even begin to compare to the rigors of med school though, and I should hope not. If nurses had to go through all the same hoops as physicians to make much less money in the long run, there wouldn't be any. Nobody would do it.

This is what I got from talking with three different RN -> med schoolers.
Totally agree 🙂
 
Actually as a nurse who recently finished pre-med courses, the MCAT, and earned an acceptance, I'll say that I thought nursing classes were more difficult. Not in an intellectual sort of way, but because nursing classes all ask critical thinking questions which are more difficult than "find the product of this Claisen reaction". I ate up orgo because it was actually straightforward. Nursing school is full of BS that they make WAYYY too hard IMO.
Report back after m2 if you hold the same opinion,
 
Nursing College is not easy at all. Take is from a person who has the highest degree in pharmacology. I went to nursing college a couple years ago and it was very difficult for me and I see myself as a pretty smart person. I have an advance degree in nursing and the structure of the chapters are not easily understood for testing. You have to be very dedicated to be successful in Nursing College (If this college is Accredited and well recognized).
 
I have been working in the ER where doctors does not do their assessment and I have to bring critical assessments to their assessment. How about a patient with active bleeding with clots in the catheter bag and the MD is telling me that the patient does not need CBI but eventually had to do it because he went back and did what he should have done 4 hours earlier? There are many Doctors who learn from nurses.
 
Not Asessment but "to their attention"
 
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