What Med Students Should Know About CRNA/NP/N. Midwives

[esperRN]

Appreciate the insight!!

What about female nurses? They tend to be the ones that I am afraid of the most...any suggestions?

Food, and ask about how lil Billy is doing in whatever sport. They love to talk about their kids.

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[Consigliere]

Bring us food!

No surprise there judging from the number of yard-wide asses I encounter on a daily basis.

 

[jetproppilot]

I'll give you a hint for dealing with males nurses (since I am one and all my buddies are like this). Explain things to us and we'll be your best friend. A doctor on my unit, that all the female nurses hated because he had a temper and was basically a tool, taught me all the time when I asked what was happening on a weird EKG, CXR, rare pathophysioligy or whatever. In return, I defended him to every nurse that had one negative thing to say about him. Hurt my relationship with the other nurses, but I only really care about the people making me better.

I'm sure this is gonna get some negative backlash but I thought I would let you know you can be the biggest dick to me as long as you enjoy teaching me.

I've never encountered a male nurse with an attitude that obstructed whatever task I needed help with.

In fourteen years of private practice.

 

[esperRN]

I've never encountered a male nurse with an attitude that obstructed whatever task I needed help with.

In fourteen years of private practice.

So all the derogatory statements I see about nurses on here have a implied female component? That may sound snarky but I'm seriously asking.

 

[karizma098]

hmm...weird, i've always found that female cRNA's tend to be more laid back and the younger male guys are the ones that are out trying to prove something/are militant.

i'm not going to be a physician that teaches a crna , or other nurse, anything unless its absolutely necessary for patient care.

if you want my knowledge, go and get my education - physicians teaching nurses our craft is what got us into this mess in the first place.

 

[Consigliere]

I've never encountered a male nurse with an attitude that obstructed whatever task I needed help with.

In fourteen years of private practice.

This has been my experience as well. Glad you're back.

 

[jetproppilot]

So all the derogatory statements I see about nurses on here have a implied female component? That may sound snarky but I'm seriously asking.

Thats not what I said.

Lemme make a distinction.

Your post was in the context of an RN....in the ICU, floor, etc.

There arent many posts on this website about interactions with RNs. Yeah, theres some, but this is an anesthesia website afterall.

My answer was in reference to MD-RN interactions.

I replied with honesty about my experiences with male RNs.

If you've read my posts enough I'm sure you're aware I don't have any problem saying whats on my mind...no "implications" necessary.

I wasnt implying any female component....

just reflecting to you my experiences with male RNs.

You can read into that all you want but theres no hidden agenda.

Actually, I've experienced most male RNs go outta there way to make my task as easy as possible.

I don't know why that is.

Hadnt thought about it until you brought it up.

Maybe its because theres a majority of females that are RNs compared to male RNs, so the sociopath-spectrum isnt reflected accurately by the male RN population since theres few of you and more of them.

Or maybe not.

All I can tell you is what I've experienced.

 

[jetproppilot]

This has been my experience as well. Glad you're back.

Thanks alot, Dude.

 

[jetproppilot]

hmm...weird, i've always found that female cRNA's tend to be more laid back and the younger male guys are the ones that are out trying to prove something/are militant.

i'm not going to be a physician that teaches a crna , or other nurse, anything unless its absolutely necessary for patient care.

if you want my knowledge, go and get my education - physicians teaching nurses our craft is what got us into this mess in the first place.

See my above post.

This conversation isnt about MD-CRNA interaction.

Its about MD-RN interaction.

My practice has mostly female CRNAs and they all make my life as easy as possible.

 

[esperRN]

I didn't think that there was a hidden agenda or trying to place
words in your mouth. I knew you were speaking of RNs and wasn't trying to generalize to any type of nurse. Sorry if it came out that way. I was just wanting clarification. I know you have no trouble speaking your mind and it's appreciated. It's just that a fair amount of generalizing tends go on in these boards and wanted to see if I should be reading implied messages. Let's face it, our mind's concept of a nurse usually displays an image of a woman.

Thats not what I said.

Lemme make a distinction.

Your post was in the context of an RN....in the ICU, floor, etc.

There arent many posts on this website about interactions with RNs. Yeah, theres some, but this is an anesthesia website afterall.

My answer was in reference to MD-RN interactions.

I replied with honesty about my experiences with male RNs.

If you've read my posts enough I'm sure you're aware I don't have any problem saying whats on my mind...no "implications" necessary.

I wasnt implying any female component....

just reflecting to you my experiences with male RNs.

You can read into that all you want but theres no hidden agenda.

Actually, I've experienced most male RNs go outta there way to make my task as easy as possible.

I don't know why that is.

Hadnt thought about it until you brought it up.

Maybe its because theres a majority of females that are RNs compared to male RNs, so the sociopath-spectrum isnt reflected accurately by the male RN population since theres few of you and more of them.

All I can tell you is what I've experienced.

 

[karizma098]

See my above post.

This conversation isnt about MD-CRNA interaction.

Its about MD-RN interaction.

My practice has mostly female CRNAs and they all make my life as easy as possible.

ah, okay, my mistake.

 

[chemist157]

http://thehappyhospitalist.blogspot.com/2009/02/dr-nurse-pa-perspective-and-your.html

 

[miamidc]

http://thehappyhospitalist.blogspot.com/2009/02/dr-nurse-pa-perspective-and-your.html

Echoing some of the sentiment on the board, The TRUTH of the matter is they don't know what they don't know and it is hard for them to think outside the box. We need a PR campain that touches on this very theme. It is easy for consumers to understand it and it is completely true, it has to be it's the TRUTH

 

[jsckvc]

I agree with what I read although I didn't read every post. I will now strengthen it and then disagree on some of it.

1) just today I had my secretary make an acute appointment for my wife on our clinic computer system; took her 20 sec and would of taken my wife 20 min (so she didn't have to deal with all the bull sh## and wait 3 days for an acute appointment). All that was available was a NP, my clinic system looks down on treating family members even for routine stuff. Her complains: severe sore throat, mildly productive cough, chills myalgias. I examined her at home, no lymphadenopathy no exudates. My wife is very uncomfortable and really just wanted something for the cough and throat pain. What did the NP Dx and give her: pharyngitis, Amoxicillin 500mg TID and Ibuprofen. OK so I pulled up my wife's encounter on the E-charting system, the providers note did not point toward strep in any way and rapid strep was neg and we have 2 kids at home who where Dx with viral URIs in the last 2 weeks which this provider was aware of. Long story short gave my wife ABX she didn't need and some Advil. I then just went ahead and ordered my wife the right meds to help with her symptoms and told her not to take the ABX. PA/NP does not = MD/DO, apparently some times even with simple stuff.


2) That being said there are some very capable PA/NPs out there and I think that there is a place for them for routine care clinics. For example a feeder FP clinic that sends there low concern/ stable pts for routine lipid control, HTN, DMII That's a lot of pts and will decreases the burden of the MD/DO clinics so they can see pts that need it without the long waits associated with many primary care clinics. There would (or should) be cut offs on follow up labs and standardized flow sheets to ensure that the right people where sent back to see the MD/DO as needed. It is going to happen so we need to help it become something safe and effective regardless of how it encroaches on our income potential ( as much as that sucks).


3) The whole CRNA thing is a whole different story and I feel the same way as you, calling themselves Dr. is to say the least Screwed up!

 

[ProRealDoc]

http://health.blogs.foxnews.com/2010/04/15/nurses-masquerading-as-doctors/

The shortage of medical doctors, which will be made much worse by health care reform, will mean more and more patients are cared for entirely by "nurse specialists" and nurse practitioners, instead of physicians. Nurses are lobbying for increased prescribing privileges and for the right to be addressed as "doctor" in health care settings.
This substituting of nurses for physicians is evidence of a two-tiered system of health care in America sure to become more obvious in the wake of Obama-care.
People who can afford to bypass insurance altogether and simply pay to see doctors will increasingly do so. Why? It's simple: Doctors go to medical school, which is much more rigorous academically and intellectually than nursing school. They also were admitted to medical school, which is a much more competitive process than being admitted to nursing school. The average doctor has more training, relevant experience and raw intellect than the average nurse–period.
Saying such things plainly isn't popular, of course. The fact that the health insurance premiums of Americans won't even get them access to the minds of doctors in many clinics and ERs and even ORs (where nurse anesthetists work behind gowns and masks, just like anesthesiologists) is one of the "dirty, little," gigantic secrets of how our health care system is giving consumers less for more. No one is supposed to offend anyone with the truth, anymore, after all.
Want a little truth right now? No man or woman in his or her right mind would prefer to routinely talk to an on-call nurse when his or her child is sick, rather than a doctor. No one sensible would want a nurse, rather than a doctor, assessing whether to get an MRI or CT scan or neither one after an episode of head trauma. No one would want a nurse, rather than a doctor, to decide whether to get a cardiac stress test in the setting of chest discomfort.
How come? Because doctors are the gold standard behind the devalued currency of your health insurance dollars. Everyone knows it, but people are too political to just say it.
How come no one is flying into an American city today to see a famous nurse, while people arrive from countries around the world to visit with noted American physicians? How come no one in Congress would be able to tell you a story about that incredible nurse who diagnosed the rare condition in his or her child? How come nurses either failed to be admitted to medical school or didn't try? You think it's because they thought nursing school would train them better to take care of patients? C'mon. It's because nursing school is easier–as in, 10 times easier.
I almost feel sorry to be so blunt. I don't want to hurt anyone's feelings. If nurses stop impersonating doctors, I'll stop writing about them impersonating doctors.
Until then, just follow the money; people with enough of it will hire physicians, every single time, when they have real health concerns. The vast majority of Americans, on the other hand, whose health insurance is rapidly costing more and buying them less, will see health care workers who chose not to go to medical school and probably would have been turned down, anyhow.
Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, "Living the Truth: Transform Your Life through the Power of Insight and Honesty" has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at [email protected].

 

[Coastie]

I'll give you a hint for dealing with males nurses (since I am one and all my buddies are like this). Explain things to us and we'll be your best friend. A doctor on my unit, that all the female nurses hated because he had a temper and was basically a tool, taught me all the time when I asked what was happening on a weird EKG, CXR, rare pathophysioligy or whatever. In return, I defended him to every nurse that had one negative thing to say about him. Hurt my relationship with the other nurses, but I only really care about the people making me better.

I'm sure this is gonna get some negative backlash but I thought I would let you know you can be the biggest dick to me as long as you enjoy teaching me.

Let me explain something to you and your male nurse friends: Do your work, and don't makenit contingent on me teaching you medicine, which you can study if you make it in to med school. Male nurses, such as yourself, are usually a passive aggressive bunch with a huge chip on your shoulder. You try to comfort yourself by inappropriately using minimal medical knowledge you pick up from tools like the doc described above.

In summary, follow my orders, let me know how the patient looks, chart vitals/ins/outs, and leave the medicine to the only experts: medical doctors.

 

[SleepIsGood]

Sleep,

How and when do you bring this up? I'm just having a hard time coming up with a way to make a smooth segue from Past Medical History to The Difference Between The Various White Coat People.

I just bring it into conversation. More so during Post Ops.

If a pt is a DDS..I'll be like, so I hear those hygenists are really trying to do drill and do implants on their own.

If a pt is a lawyer. I'll be lik, "i hear that paralegals think that they can do what lawyers can. They're the ones doing all the works right?'

"Well, in anesthesia/medicine we have a similar problem....Nurses trying to be be docs". I tell them about the use of 'doctor' title and the white coat,etc. Non medical people are FLABERGASTED! They have no idea that this stuff goes on in our world...they've ALWAYS assumed white coat=MD.

 

[SleepIsGood]

http://health.blogs.foxnews.com/2010/04/15/nurses-masquerading-as-doctors/

The shortage of medical doctors, which will be made much worse by health care reform, will mean more and more patients are cared for entirely by “nurse specialists” and nurse practitioners, instead of physicians. Nurses are lobbying for increased prescribing privileges and for the right to be addressed as “doctor” in health care settings.
This substituting of nurses for physicians is evidence of a two-tiered system of health care in America sure to become more obvious in the wake of Obama-care.
People who can afford to bypass insurance altogether and simply pay to see doctors will increasingly do so. Why? It’s simple: Doctors go to medical school, which is much more rigorous academically and intellectually than nursing school. They also were admitted to medical school, which is a much more competitive process than being admitted to nursing school. The average doctor has more training, relevant experience and raw intellect than the average nurse–period.
Saying such things plainly isn’t popular, of course. The fact that the health insurance premiums of Americans won’t even get them access to the minds of doctors in many clinics and ERs and even ORs (where nurse anesthetists work behind gowns and masks, just like anesthesiologists) is one of the “dirty, little,” gigantic secrets of how our health care system is giving consumers less for more. No one is supposed to offend anyone with the truth, anymore, after all.
Want a little truth right now? No man or woman in his or her right mind would prefer to routinely talk to an on-call nurse when his or her child is sick, rather than a doctor. No one sensible would want a nurse, rather than a doctor, assessing whether to get an MRI or CT scan or neither one after an episode of head trauma. No one would want a nurse, rather than a doctor, to decide whether to get a cardiac stress test in the setting of chest discomfort.
How come? Because doctors are the gold standard behind the devalued currency of your health insurance dollars. Everyone knows it, but people are too political to just say it.
How come no one is flying into an American city today to see a famous nurse, while people arrive from countries around the world to visit with noted American physicians? How come no one in Congress would be able to tell you a story about that incredible nurse who diagnosed the rare condition in his or her child? How come nurses either failed to be admitted to medical school or didn’t try? You think it’s because they thought nursing school would train them better to take care of patients? C’mon. It’s because nursing school is easier–as in, 10 times easier.
I almost feel sorry to be so blunt. I don’t want to hurt anyone’s feelings. If nurses stop impersonating doctors, I’ll stop writing about them impersonating doctors.
Until then, just follow the money; people with enough of it will hire physicians, every single time, when they have real health concerns. The vast majority of Americans, on the other hand, whose health insurance is rapidly costing more and buying them less, will see health care workers who chose not to go to medical school and probably would have been turned down, anyhow.
Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at [email protected].

I emailed him...taht was awesome!

 

[jetproppilot]

http://health.blogs.foxnews.com/2010/04/15/nurses-masquerading-as-doctors/

the shortage of medical doctors, which will be made much worse by health care reform, will mean more and more patients are cared for entirely by “nurse specialists” and nurse practitioners, instead of physicians. Nurses are lobbying for increased prescribing privileges and for the right to be addressed as “doctor” in health care settings.
This substituting of nurses for physicians is evidence of a two-tiered system of health care in america sure to become more obvious in the wake of obama-care.
People who can afford to bypass insurance altogether and simply pay to see doctors will increasingly do so. Why? It’s simple: Doctors go to medical school, which is much more rigorous academically and intellectually than nursing school. They also were admitted to medical school, which is a much more competitive process than being admitted to nursing school. The average doctor has more training, relevant experience and raw intellect than the average nurse–period.
Saying such things plainly isn’t popular, of course. The fact that the health insurance premiums of americans won’t even get them access to the minds of doctors in many clinics and ers and even ors (where nurse anesthetists work behind gowns and masks, just like anesthesiologists) is one of the “dirty, little,” gigantic secrets of how our health care system is giving consumers less for more. No one is supposed to offend anyone with the truth, anymore, after all.
Want a little truth right now? No man or woman in his or her right mind would prefer to routinely talk to an on-call nurse when his or her child is sick, rather than a doctor. No one sensible would want a nurse, rather than a doctor, assessing whether to get an mri or ct scan or neither one after an episode of head trauma. No one would want a nurse, rather than a doctor, to decide whether to get a cardiac stress test in the setting of chest discomfort.
How come? Because doctors are the gold standard behind the devalued currency of your health insurance dollars. Everyone knows it, but people are too political to just say it.
how come no one is flying into an american city today to see a famous nurse, while people arrive from countries around the world to visit with noted american physicians? How come no one in congress would be able to tell you a story about that incredible nurse who diagnosed the rare condition in his or her child? How come nurses either failed to be admitted to medical school or didn’t try? You think it’s because they thought nursing school would train them better to take care of patients? C’mon. It’s because nursing school is easier–as in, 10 times easier.
i almost feel sorry to be so blunt. I don’t want to hurt anyone’s feelings. If nurses stop impersonating doctors, i’ll stop writing about them impersonating doctors.
Until then, just follow the money; people with enough of it will hire physicians, every single time, when they have real health concerns. The vast majority of americans, on the other hand, whose health insurance is rapidly costing more and buying them less, will see health care workers who chose not to go to medical school and probably would have been turned down, anyhow.
dr. Keith ablow is a psychiatry correspondent for fox news channel and a new york times bestselling author. His book, “living the truth: Transform your life through the power of insight and honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at [email protected].

there is only one truth.

 

[esperRN]

Let me explain something to you and your male nurse friends: Do your work, and don't makenit contingent on me teaching you medicine, which you can study if you make it in to med school. Male nurses, such as yourself, are usually a passive aggressive bunch with a huge chip on your shoulder. You try to comfort yourself by inappropriately using minimal medical knowledge you pick up from tools like the doc described above.

In summary, follow my orders, let me know how the patient looks, chart vitals/ins/outs, and leave the medicine to the only experts: medical doctors.

Feel better? Feel like a big boy resident? I bet you're even wearing pull ups now! Such a big boy!!! Towering over the weee lil nurse. Please don't put me in the corner, sir! I promise to do everything you say.

You're lucky I grew up around attendings and residents and know they aren't all as insecure as you. Otherwise, you might have another militant on your hand.

I never said my work is contingent on anything. I will always do my work to the best of my ability. Whether I help you find what you are looking for depends on your attitude.

 

[Eta Carinae]

^^^ an adjustment in your tone is in order.

You're in the Physicians/Residents sub-forum.

It's best not to overstep your bounds/overstay your welcome here.

Otherwise, your buddies hang out here.

 

[esperRN]

Hey, I was just trying to throw out some helpful information and was attacked. But you're right, your forum. I'll just go back to my lurking.

 

[pygmyrocks]

^^^ an adjustment in your tone is in order.

You're in the Physicians/Residents sub-forum.

It's best not to overstep your bounds/overstay your welcome here.

Otherwise, your buddies hang out here.

You know it is funny, you act as if you have some great power, you know like getting banned really hurts or it can not be circumvented. Are you REALLY that dense. Your screen name indicates brightness your response the dimmest of bulbs.

 

[bronx43]

Let me explain something to you and your male nurse friends: Do your work, and don't makenit contingent on me teaching you medicine, which you can study if you make it in to med school. Male nurses, such as yourself, are usually a passive aggressive bunch with a huge chip on your shoulder. You try to comfort yourself by inappropriately using minimal medical knowledge you pick up from tools like the doc described above.

In summary, follow my orders, let me know how the patient looks, chart vitals/ins/outs, and leave the medicine to the only experts: medical doctors.

Thou shall build him a shrine, and stop twice daily to perform a fifteen minute prayer on thy knees. This must be done with utmost sincerity, manifested by the tears streaming down thy face as thou extol his massively superior intellect.

Never use his name in vain.

Thou shall worship no other health degrees before him.

Amen.


*I knew there were tools in the medical field, but you kids really take the cake.

 

[Eta Carinae]

.

said the fool who opened a troll account.

d/c abuse of the forum.

 

[Coastie]

Stick to nursing, and leave the medicine to the experts.

Feel better? Feel like a big boy resident? I bet you're even wearing pull ups now! Such a big boy!!! Towering over the weee lil nurse. Please don't put me in the corner, sir! I promise to do everything you say.

You're lucky I grew up around attendings and residents and know they aren't all as insecure as you. Otherwise, you might have another militant on your hand.

I never said my work is contingent on anything. I will always do my work to the best of my ability. Whether I help you find what you are looking for depends on your attitude.

 

[Coastie]

Bronx,

You'll learn, hopefully, about militant murses someday.

I don't teach passive-aggressive murses about medicine. You shouldn't either. Do you only write admit orders for them after they've taught you the latest nursing bedpan trick?

I didn't think so. You think that this sort of "conditional work" would fly the other way?

If they want to learn medicine, they can go to medical school: simple as that. Otherwise, they should be a good nurse, and you should be a good doctor.

Thou shall build him a shrine, and stop twice daily to perform a fifteen minute prayer on thy knees. This must be done with utmost sincerity, manifested by the tears streaming down thy face as thou extol his massively superior intellect.

Never use his name in vain.

Thou shall worship no other health degrees before him.

Amen.


*I knew there were tools in the medical field, but you kids really take the cake.

 

[bronx43]

Bronx,

You'll learn, hopefully, about militant murses someday.

I don't teach passive-aggressive murses about medicine. You shouldn't either. Do you only write admit orders for them after they've taught you the latest nursing bedpan trick?

I didn't think so. You think that this sort of "conditional work" would fly the other way?

If they want to learn medicine, they can go to medical school: simple as that. Otherwise, they should be a good nurse, and you should be a good doctor.

I understand the rift between physicians and militant nurses, however, the poster you responded to didn't present himself as such. He simply offered a perspective, one which provides some level of benefit for both parties.
He isn't asking for you to drop your physician duties and write up lectures and powerpoint presentations. Just a quick explanation of how certain pathologies present or why certain treatments work doesn't hinder your productivity, and would only add to overall patient care.

And if they are being a militant "murse," then do whatever you have to do to make sure they know who the MD is.

 

[Coastie]

I understand the rift between physicians and militant nurses, however, the poster you responded to didn't present himself as such. He simply offered a perspective, one which provides some level of benefit for both parties.
He isn't asking for you to drop your physician duties and write up lectures and powerpoint presentations. Just a quick explanation of how certain pathologies present or why certain treatments work doesn't hinder your productivity, and would only add to overall patient care.

And if they are being a militant "murse," then do whatever you have to do to make sure they know who the MD is.

Bronx,

The student CRNA male nurse said that the key to male nurses hearts was to teach them medicine.

How is this anything but militant?

You should not teach nurses medicine. Your job is to take care of the patient, to inform the nurse of what they need to know, not teach them ekg/cxr/pathophysiology of a disease process.

You need to wake up and smell the gunpowder: We are at war with militant nurses, and teaching them our trade in bits and pieces will only give them enough ammo to be dangerous, uppity, and passive-aggressive when other docs don't fill that gap.

 

[troutslayer1]

as a male nurse who worked at a teaching hospital, i always found the great residents(mostly the er residents) were the ones who took the time, if asked, to explain why he/she was treating the pt in such a manner. i often found it helpful when the not so great interns and residents(the medical residents) came through our unit, and i could suggest certain treatments and why(usually at night when no fellow or attending was around). as a icu nurse, i often saw the same kind of patients over and over, where as a new intern might be seeing these kind of pt's for the first time(because it is their first rotation through the micu). or especially when open heart pt's came out, our medical residents had to manage them over night. they hated it because they did not know how to take care of a surgical patient. we, the nurses, always tried to help them write the orders(not the begining orders) in the middle of the night and we would always give them any insight we could. i would often tell the resident a treatment and if it worked, then he could take credit and if it did not, then he could blame me. this working relationship helped a lot of patients, which in the end is what were are trying to do.

 

[PatMac10]

I'm on Ob/Gyn right now and I go to a school at a major medical center...this is a typical example of what a nurse does:

Me: I'm looking for the release of records authorization form, do you know where it is.

Nurse: Huh? I don't know what you're talking about.

Me (getting pissed off but can't show it since im a student): You don't know what a release of records form is?

Nurse: You probably have to go to medical records for that form (then she turns to her computer which is open to facebook)

Me: No I know they are at this station I just don't know which drawer its in.

Nurse: (shes now ignoring me and on the phone) How do they look on you? Well I can't give u my opinion without seeing them. Facebook me a pic and I'll let you know.

In the end I found the form without her help.

I have so many more stories of how useless these people are. I can't even imagine trolling facebook or instant messaging with my friends while im on service.

Well, first of all, I think you are very confused about the role of the nurse. He/ or she is not a medical office assistant nor a secretary. If she hasn't had the chart then of course she wouldn't know where it was. I agree that she was totally out of line for being on facebook while at work, and she should be reprimanded for that. However you do need an attitude check, how do you expect nurse to get their work done if they have to find papers that either you or someone else misplaced or can't find. Nurses are there to help you, but not to serve you. I suggest that you get a hold on your temper before you become a licensed physician because I wouldn't watn to be treated by someone who throws a fit when they don't get there way. I Wish you the best though.

PatMac10, pre-nursing student

 

[JadamR15]

Thou shall build him a shrine, and stop twice daily to perform a fifteen minute prayer on thy knees. This must be done with utmost sincerity, manifested by the tears streaming down thy face as thou extol his massively superior intellect.

Never use his name in vain.

Thou shall worship no other health degrees before him.

Amen.


*I knew there were tools in the medical field, but you kids really take the cake.

This is funny.



The key to Male nurse's hearts? Are you kidding me? Are you writing a friggin novel or something?

Also quite funny.

 

[PatMac10]

Let me explain something to you and your male nurse friends: Do your work, and don't makenit contingent on me teaching you medicine, which you can study if you make it in to med school. Male nurses, such as yourself, are usually a passive aggressive bunch with a huge chip on your shoulder. You try to comfort yourself by inappropriately using minimal medical knowledge you pick up from tools like the doc described above.

In summary, follow my orders, let me know how the patient looks, chart vitals/ins/outs, and leave the medicine to the only experts: medical doctors.

Let me, a 17-year-old male pre-nursing student, explain something to you. It sickens me that people like you are even allowed to practice medicine. If you talk to your family the way you talk to your nurses(or any other nurse for that matter) I praythey are relieved from your horrible leadership. I don't to my 7-year-old brother the way you talked to that eseRN.Yes, nurses should follow the orders of the doctors, as I plan to do when i'm a nurse; and when you almost mess something up for a lack of patient familiarity, you will follow my orders. Your fighting against some people who really want to help make your job easier. You don't have time to worry about patient hygiene because you have the hard task of diagnosing and treating diseases that come up. Nurses are taught to teach in every aspect of the role. Why wouldn't you take the time to help a nurse, someone who hasn't had as much medical training as you, a few things. So the next time you want to talk to a nurse like that STOP!!! GO CLEAN EVERY PATIENT THEY HAVE AND FEED THEM, CHECK THERE I.V'S, AMBULATE THEM, TALK TO THEM ABOUT HOW THEIR FEELING, ANSWER THERE QUESTIONS, TAKE CARE THAT THER EFAMILY IS OK, MONITOR THEIR HEALTH STATUS, AND THE GO AND DO EVERYTHING THAT YOU MUST DO AS A DOCTOR!!! i BET YOU WILL BE VERY TIRED. I love what doctors do, they are life savers, but what I like even better is a respectful doctor, which obviously isn't you. Thanks!!!!

 

[PatMac10]

Hey, I was just trying to throw out some helpful information and was attacked. But you're right, your forum. I'll just go back to my lurking.

Thank you for trying to be civil with one of the more ignorant doctors. They really don't understand what we as nurses ( or me as a future nurse) go through. Nurses Rock!!!! Especailly MALE NURSES!!!!!!!!!!!!!

 

[Southpaw]

Thank you for trying to be civil with one of the more ignorant doctors. They really don't understand what we as nurses ( or me as a future nurse) go through. Nurses Rock!!!! Especailly MALE NURSES!!!!!!!!!!!!!

This is rude (I admit it), but it's also honest. Why do nurses, most prevalently (physicians do it also, just not in as great abundance) spell the most basic of words wrong? It's especially. Yes, I'm being rude, but in the past few months, while reading the abundance of articles disparaging one another's profession, and all the rude comments passed back and forth (this one included) between physician and nurse, I've noticed that nurses spell the most basic of words incorrectly, and they do it often. Not all nurses of course, but so many I began to notice. Is it because you're lazy, or because you don't know you're spelling it wrong? Honest question.

As for the topic at hand, yes, I've noticed that when I take the time to explain my thinking to nurses our 'relationship' has been more smooth sailing. But, I've also noticed nurses will get in a huff if I don't seek them out, find them, and explain my thinking to them. They believe this should be the standard, as opposed to them giving me a page or finding me. I rarely have the time to find them, so if I see them in passing I'll communicate, otherwise I'll just deal with the consequences. Probably about 70% of nurses want to know what the deal is, and the other 30% just want the orders so they can get it done and get back to facebook. I realize the nurses reading this will take offense, but that's honesty. Nurses who read these comments should realize that a great number of nurses went into nursing because it pays well, only requires a 4 (sometimes 2 year, and sometimes primarily online) year degree, is shiftwork with lots of days off, with a lack of ultimate responsibility. Also understand that physicians went to medical school knowing they'd take ultimate responsibility, working longer hours with fewer days off, with the understanding that'd we'd learn and understand in much greater detail. And yes, we did so hoping once all was said and done (8-10 years later) we'd live financially comfortable. We just come from different backgrounds.

 

[2win]

This is rude (I admit it), but it's also honest. Why do nurses, most prevalently (physicians do it also, just not in as great abundance) spell the most basic of words wrong? It's especially. Yes, I'm being rude, but in the past few months, while reading the abundance of articles disparaging one another's profession, and all the rude comments passed back and forth (this one included) between physician and nurse, I've noticed that nurses spell the most basic of words incorrectly, and they do it often. Not all nurses of course, but so many I began to notice. Is it because you're lazy, or because you don't know you're spelling it wrong? Honest question.

As for the topic at hand, yes, I've noticed that when I take the time to explain my thinking to nurses our 'relationship' has been more smooth sailing. But, I've also noticed nurses will get in a huff if I don't seek them out, find them, and explain my thinking to them. They believe this should be the standard, as opposed to them giving me a page or finding me. I rarely have the time to find them, so if I see them in passing I'll communicate, otherwise I'll just deal with the consequences. Probably about 70% of nurses want to know what the deal is, and the other 30% just want the orders so they can get it done and get back to facebook. I realize the nurses reading this will take offense, but that's honesty. Nurses who read these comments should realize that a great number of nurses went into nursing because it pays well, only requires a 4 (sometimes 2 year, and sometimes primarily online) year degree, is shiftwork with lots of days off, with a lack of ultimate responsibility. Also understand that physicians went to medical school knowing they'd take ultimate responsibility, working longer hours with fewer days off, with the understanding that'd we'd learn and understand in much greater detail. And yes, we did so hoping once all was said and done (8-10 years later) we'd live financially comfortable. We just come from different backgrounds.

Gaylord Focker, rn

 

[deleted307836]

Gaylord Focker, rn

2win, I'd like to take this opportunity to thank you; upon reading many of your posts, I've realized that the level of intelligence and maturity needed to be a physician is not particularly high. You've helped me realize that I've been overestimating my competition.

 

[2win]

2win, I'd like to take this opportunity to thank you; upon reading many of your posts, I've realized that the level of intelligence and maturity needed to be a physician is not particularly high. You've helped me realize that I've been overestimating my competition.

You are indeed welcome!!!
I am sorry that you didn't realized so far that the competition for you are not the PHYSICIANS - rather the front desk clerks....
I hope that I helped you with this info. Good luck to you,
2win

 

[IlDestriero]

I'll give you a hint for dealing with males nurses (since I am one and all my buddies are like this). Explain things to us and we'll be your best friend. A doctor on my unit, that all the female nurses hated because he had a temper and was basically a tool, taught me all the time when I asked what was happening on a weird EKG, CXR, rare pathophysioligy or whatever. In return, I defended him to every nurse that had one negative thing to say about him. Hurt my relationship with the other nurses, but I only really care about the people making me better.

I'm sure this is gonna get some negative backlash but I thought I would let you know you can be the biggest dick to me as long as you enjoy teaching me.

Whenever I make a decision that seems to go against the thinking of the PACU, preop, or OR nurses, I take 30 seconds and explain what I am thinking, and another 30 to explain the plan. Literally one minute of education. It works every time. Being an ass is self defeating. I try to gain trust and allies! The upside is that if things don't go as planned, they already know what I was expecting, and can page me earlier to inform me of a change in plan.

 

[coldweatherblue]

PatMac10, as a 17-year old pre-nursing student, do you feel that you are in a position to make judgments about the way an attending/resident physician practices medicine based on your perceptions of their writing on an online forum? Do you understand enough to know what it means to practice medicine? I certainly didn't before going to med school, and even now the gaps in my knowledge compared with an attending physician are incomprehensible to me.

I get the feeling you're a troll though.. who knows. I don't think anyone intentionally misuses "there" and "their" so often..

at any rate, if nurses who desire "more" and have delusions of grandeur about practicing medicine could understand the way that ultimate medical responsibility effects nearly every moment of med stud/resident/attending's lives and the amount of chill, peaceful *time* (the most valuable thing of all btw) that is lost through the practice of medicine, they would be very happy to just get the orders done, do good work, and leave medicine to physicians.

 

[IlDestriero]

and when you almost mess something up for a lack of patient familiarity, you will follow my orders.

Dream on chief. I think that you meant something along the lines of "you will listen to me"? No?
If you want to give ME "orders", you will need to have been born about 30 years earlier, graduated from Harvard and be the chairman of my department, and even than, you might be SOL.

 

[Arch Guillotti]

This thread has nowhere to go.

Closing.