When Nurses Should Argue With the Doctor
Steve Berman | NursingLink
Most of our daily problems, including common annoyances such as arguments with coworkers, are dismissed as not life or death. However, when nurses and doctors are involved, it can be a matter of life or death. Egos need to be left outside the hospital by the professionals entrusted with the health and safety of the patients they care for, which sometimes means nurses must argue with doctors.
The problem is that a hospital isn’t really conducive to arguing. And doctors aren’t like lawyers, who argue for a living. They’re used to having everyone accept their opinion as gospel, and can take it as a personal affront when anyone disagrees with them. Unfortunately, doctors are people and people make mistakes, and with nurse practitioners and RNs taking on more and more duties, nurses and doctors butting heads is becoming increasingly common.
Here are four times when it’s OK to argue with your doctor.
1. When the doctor isn’t listening to you or the patient
Nurses often have more contact with patients than doctors do leading up to surgeries or consultations. It’s during those interactions that nurses often find out relevant information about a patient’s condition that may not be obvious otherwise. If you have something to add and the doctor blows you off, it’s probably a good idea to take them aside and let them know that they shouldn’t ignore the information you’re conveying.
2. When the doctor is belittling you
Most doctors are professional, respectful, and courteous. There are some bad apples, though. Doctors who make you sound stupid in front of patients and/or coworkers need to be told that what they’re doing isn’t acceptable. Otherwise your ability to do your job will be compromised.
3. When the patient’s safety is in danger
If the doctor is showing any signs of incompetency — be it poor decision making or even signs of intoxication — it’s a must that you take it up with the doctor involved before he or she does something harmful to the patient. If that doesn’t work, tell your superior immediately.
4. When the doctor isn’t letting you do your job
Sometimes nurses assist or even handle some surgical procedures, or even anesthetizing patients. If a doctor comes in and pulls the whole, “I’ll take it from here” routine and tries to keep you from handling your duties, you should say something to him or her. Otherwise, they’re likely to keep pushing you aside.