General Forums >> Ask A Nurse >> What's Your #1 Rule for Working with Doctors?
What's Your #1 Rule for Working with Doctors?
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Posted over 2 years ago We all know working with doctors can be tricky -- it should almost be a course in nursing school! What's your best advice for working with doctors? What rules do you follow to keep things running smoothly in the hospital or clinic? Tell us! |
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| Posted over 2 years ago Always listen to what they are saying before you respond. Make sure you understand what they mean. What they say isn't always what they mean. Then respond calmly, and if you have any expertise to share, do it in a way that doesn't make them look as though they should have thought of it. Earn their respect by knowing your business. Most doctors want nurses to know more and understand their own practice. |
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| Posted over 2 years ago Be respectful of their time. Be prepared and organize information before calling for orders. They will soon learn to appreciate your feedback. |
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| Posted over 2 years ago I am respectful of their time by having all the information available about the patient, status, labs, vitals, problems and possible intervention with me when I page the doctor. I believe they like the fact that I know their patient and am knowledgable about possible treatments. After doing this a few times the doctor's develop respect for me too, and we are able to work as a team for the patient's best interest. |
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| Posted over 2 years ago My first rule is be respectful. Address the MD as "Doctor" or "Doc". Think of them as the "generals" of the floor. My second, and most important, rule is Know what you are talking about and what you want. In other words, have good assessment. a recent set of vitals, a concise description of the problem, and depending on the MD being called a suggestion or two ready. Write it out if you have to. My thrid rule is be brief. Fourth, be polite. Old fashioned courtesy go a very long way toward getting the MD to hear you. Fifth, don't be afraid to say that you have problem that you can't put your finger on. If they're seasoned MD's they'll be open to your intution. Sixth, be brave. Do not be afraid to keep calling if you really think you need help. You are an RN. This means that you have education and experience behind your concerns. BE CONFIDENT. |
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| Posted over 2 years ago I have had the privilage of working with the top cardiologists in the country. What makes our team work is the caloboration between all persons involved in the lab. The doctors truly depend on us for informing them and trouble shooting in the lab environment. Most of us are on a first name basis. All are just as important, only different responsibilities. They always answer our questions and help us to learn also. I have been with these team members for over 8 years and there is very little ego, that often gets in the way of respect. I realize I work in a unique environment because when I worked in a small community hospital, there often was not the respect. The doctors made us feel like they were above us in some regards. In a big hospital that teaches service and patients first, all must work together to accomplish that goal. |
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| Posted over 2 years ago I am astonished by some of the answers. It looks like nursing is still in the good old days. Do you folks still stand up when a doctor comes on the floor? Do you treat the male doctors with more awe and aloofness than the female doctors. Over 38 years I've seen the gods and the monsters. Reality check: Every member of the team is a valuable resource. There is no cure (doctor's role) without the care (nurse's role) Of course, treat all persons with respect and dignity but the best role to put a doctor into, male or female, is the role of teacher. Ask questions and really listen to the answers. Don't let egos have a chance to take control. Team members rely on collaboration and cooperation. These are the keys to working with doctors, other nurses, housekeepers, lab personnel, pharmacy, everyone. At the end of the day, the welfare of the patient is everyone's job and main concern. |
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| Posted over 2 years ago RNs,NPs & MDs ARE ALL HUMAN-Respect yourself & treat each other wth respect- remember the most important person is the PATIENT!! Ask questions- maybe a lab report was missed or on call doc added a med the attending did not know about-Nurses are the patient advocate & have to make sure the care is safe-based on science & culturally appropriate.Keep up-read the journals(keep up with the professionals) & the newspapers(so you know how to answer your patients-some may think if it is in the paper it now available). |
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| Posted over 2 years ago " If you know in advance of the MD's anticipated visit to his patient's, make an effort to ** eye-over** recent lab results, accuchecks, vital signs and anything pertinent that He / She should be made aware of,( discolorations on the skin, open areas or** anything unusual,prior to the MD finding it,themselves.) *** There is satisfaction to hear from them: " Hey, you're really on the ball ! Thanks!" |
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| Posted over 2 years ago I think the one thing that everyone needs to remember is that nurses are professionals. By being with the patient for 12 hours out of the day, we know more things about the patient then the doctor. Staying aware of changes and giving the pertinent information to the doctors helps the doctor treat the patient appropriately. Also, I agree with a previous post which stated that nurses need to stay current on the nursing profession and the changes that are occuring. |
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| Posted over 2 years ago When you have worked with a certain docotor,over a period of time you will pick up on how he does things,this gives you alot of time to learn is good habits and bad habits,so I feel like it is always to try to be at least one or even two steps ahead of him,so he isn't left standing there whating for you to may amove for him without him asking you to do something,for him that you have seen him do at least a hundred times. |
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| Posted over 2 years ago 1. Don't take any crap from them 2. Never ever ever start off a phone conversation with "I'm sorry for calling you" 3. And if you are a female: Never let em see you cry, they know they got you right where they want you when the water starts flowing........... With the exception of MOST of the hospitalists the vast majority of MD's and D.O. are complete horses butts. They dont have a personality, their bedside manner sucks, and they view nurses as lower than pond scum so why on earth would you ever put up with their B.S.? |
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| Posted over 2 years ago After reading MOST of the replies I can see why nurses are the doormats of health care.It's just like in nursing school when they tell you that MONEY shouldnt be a consideration for going into this god awful profession. Dr's for the most part could give a crap about what the nurse says. We are not viewed as professionals by them now or at any time in the future IMO. It's my job to take their orders. It's their job to look at labs, interperet results and determine the course of medical treatment. They usually dont want or could care less what my opinion is so I dont volunteer it anymore. If they miss a lab its on them and dont you dare try to come back on me because you were to busy to look at things. I wont be responsible for it and Im not taking any of the blame when something goes wrong. Of course if I mess up then it's on me and I will accept that but if you are so high and mighty then you should know what the INR is and what dose of coumadin YOU ordered yesterday so why do I have to call you over and over trying to get a dose for YOUR patient. I call a couple of times and if they don't call back then guess what........the patient doesnt get a coumadin dose today. Not my problem and dont even try to lay that on me the next day because I'll tell you where to get off. Wake up people we are the grunts of health care. We are responsible for everything from the TV reception to the Code blue. Nursings slogan should be "Nurses responsible for everything, with power over nothing"......... |
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| Posted over 2 years ago Know what you are talking about! Have all the information about your patient. Be prepared. |
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| Posted over 2 years ago Be prepared. Be respectful. Thank them. It doesn't matter what you are saying in your head - they can't hear it. |
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| Posted over 2 years ago doctors truely could give a crap whether you can recite the alphabet backwards.....all they care about is ????? who the hell knows!!! i usually follow them into the room and listen to them talk to the patient that way i know how much clean up and explaining i will have to do later. |
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| Posted over 2 years ago Remember that theyt are human too. In nursing school (many years ago) I had a nursing instructor tell us about some nurses that were "complaining" about a doctor but what they didn't realize was that the doctor was with a post-op patient that was bleeding heavily and couldn't come to the floor to see a patient with a less urgent need. We need to remember that there are always two sides to every situation. |
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| Posted over 2 years ago I just had an interesting clinical experience with a doctor today. This particular doctor likes to joke with his co-workers and patients. It's hard to tell sometimes if he's serious because he won't crack a smile when he's answering a question or offering "advice". I actually enjoyed the day with him because it was just that--one day out of my life. However, I'm wondering if he could become someone that would be difficult to work with on a regular basis. Most of the nurses in that office seem to take everything in stride and aslo seemed to enjoy this Dr. with all his special quircks. One did comment that he was a "pistol" and "kept everyone on their toes". And there was one nurse that apparently isn't coping with this doctor very well. She actually slammed the door in my face once to have a "private word" with the doctor today while we were working and I was "shadowing" him. She didn't say "I need a word", "excuse me", "bug off" or anything. Later she actually came into the doctor's private office while we were doing a quick Q and A session (remember I'm still a student) , interrupted our private conversation and told me I was bothering the doctor and he had things to do. Then she left. Do you suppose she thought this doctor needed to be redirected or that it was her job to protect the doctor from distractions (and I was that distraction at that moment)? I was thinking a lot of things that I wanted to say to her, but didn't. I asked the doctor, if I should leave and he said NOT to pay any attention to her--because he never did. Wow!! I thought at that moment that I would never want to be the nurse that rubbed people the wrong way so many times that the doctor and her/his co-workers stopped paying attention to them. That would definately put a halt to team work efforts and a successful work reputation (being reliable, resiliant, respected etc.). |
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| Posted over 2 years ago I always remember that although they have a higher degree, more experience, and knowledge, they are just like me - a person! I am not intimidated by anyone just because they have MD, or DO, etc. behind their name. Give the proper respect, and keep open lines of communication, and the practice will flourish! Patients recognize a good team when they see one! Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body, but rather to skid in sideways, chocolate in one hand, martini in the other, body thoroughly used up, worn out and screaming "Woo-hoo"!!! |
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| Posted over 2 years ago Stay true to who you are! And never comprise your own integrity or a patient's well-being. |
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| Posted over 2 years ago Always call them by there first name, the attendings especially love this. Also about the attendings they love to hear from the nurses, if you have a question about their patient call them-even if they are at home and its 2AM. they love this. if you follow these rules you will make many doctor friends. |
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| Posted almost 2 years ago My first Job working with Doctors was at 18 i worked for a Pediatric Neurosurgery clinic. I was so scared when Tue. & Thur. came around because thats when clinics were, i was soo nervous around Doc. i felt like they were gods or something LOL. One thing i learned was ALWAYS keep paper and a pen in your pocket. To be honest i'm not the best speller actually im probley the worst speller ever :) anyways our clinic was nothing but charts and everything hand writtin. So when it came time to put in medications i was so careful not to misspell any names. Because one time i did and OMG i did not here the end of it i was soooo embarrased But to answer the forum question :) i think the #1 rule PATIENCE IS KEY!!!! |
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| Posted almost 2 years ago My first thought was: Do not do them bodily harm. Good advice, but probably not the intent of this question. I have worked with physician and PhD's and physician with PhD's. On the whole, the physicians today are not believing that they are gods or demi-gods. Whether it is a physician, PA, NP, nurse, lab tech, cleaning lady, whatever; remember, that like you, they have a life other than the hospital and sometimes events from that arena intrude into their minds when working with you. I have known docs who, either were tired and stressed or just lacked people skills "seem" to be rude or give you a slight of some sort. Think it though before getting ticked-off. I have found myself in those "dazes" when you would be walking down a hall, thinking of a case or some other problem and not recognize or respond to people around you. It not personal, it is what happens to some when wrapped up in a case. I knew a physician who could not remember his phone number or zip code. But ask him to describe how cystochrome P-450 2-D6 affects anti-arrhythmic drugs affect on Asians differently that caucausians, blacks or hispanic and he could explain it to an 8 y.o. or the Chairman of a Special Advisory Board of the FDA along with the data from studies performed 10 years ago. Listen to what they actually and if you are still not sure, speak it back and verify what was said and what is meant. That will also make your patients much safer, as well. Tom, PhD, MPH, BS(N), RN-C, CHN |
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| Posted almost 2 years ago Know your pts. before making rounds with the Dr!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! |




lol. But now im working at a different place and its all EMR so u just type in the first three letters of a medication hit enter and there it is...ohhhhhh technology were would i be with out u
!!!!!!!