Nurse Antics 1.6: The Stigma on Doctorsā Assistants
Nursing, as we all have probably heard countless of times, is aĀ ānobleā profession. It is an act of giving; not just of your skills or intellect, but also of your heart. Many would attest to this, I am sure. But I suppose, for those who have little to no insight on the goings-on of this humble profession, nurses become under-appreciated and mistreated. This is something nurses experience on a daily basis. It is a troubling and disheartening truth. Ergo, let us talk about it.
It is common-knowledge for non-healthcare professionals that nurses are mere doctorsā assistants. In fact, a considerably offensive āhate postā on facebook from a teacher has gone viral a few weeks ago. To rephrase her conviction, in my personally offended understanding, nurses are simply mindless robots, bowing down to the will and whims of physicians. Unlike teachers who rack their brains from thinking of new ways and means to impart knowledge to the next generation of professionals, nurses have no intellectual stress whatsoever, owing to theĀ fact that we do nothing but wait for the physicians orders. Therefore, to the person who wrote that hate post, yes you!Ā The following statement is for you. I have nothing against you. And this is not a bashing. You probably have had too much already. From the looks of it, you were probably responding to an insulting post from an imbecile (whether that person is a nurse or not, albeit most likely that person is). So let me apologize on that imbecileās behalf. I am sorry. I respect educators. A few of my closest friends are educators and I have nothing but praise for them. I do hope, however, that the next time you speak your mind, you get the facts straight first.
Since I have side-tracked a bit (I needed to get that out of my system), let me direct you, the reader, back to the ādoctorsā assistantsā. This short definition of nursing hypothetically stemmed from years of belittlement and bullying from our respectable physicians and sometimes from misguided hospital administration (this hypothesis is on account of personal experience). To berate a nurse in front of patients and their significant others for whatever reason is a massive offense to the profession as a whole. Nursesā unforgivable faults include but are limited to failing to prepare the patientsā charts for the doctorās arrival, not being able to give your immediate attention to the ābusyā consultant who just arrived, not giving patients or their relatives exactly what they want even if it is ill-advised, forgetting to secure the suture to the needle holder before a procedure, not being fast enough, questioning or clarifying an ambiguous order, etc. Believe me, the list is infinite. When these tongue-lashings occur, nurses rarely fight back, meekly lowering their gaze from this pseudo-authority. It is inexcusably unprofessional. It depreciates nurses in the eyes of the misinformed and hence they follow suit with the berating and mistreatment. This practice incapacitates nurses which in turn has unfortunate effects to patients themselves. Doctors and nurses collaborate to meet one ultimate goal ā a patientās clean bill of health. To achieve this goal, we must build good rapport and communication, and this is a 2-way process. Yet, a lot of physicians fail to understand this basic principle.
The purpose of this post is not merely to complain. It is also a way to educate. To our infamous educator mentioned above, you said that if not for teachers, there would be no nurses in the first place. That is only partly true. We learned our knowledge and skillset from Registered Nursing Professionals who took their masterās degree so they can teach. Simply put, you cannot teach nursing if you are not, in the first place, a nurse. And by the way, have you ever seen nursing books? You would probably be knocked-out if a pissed-off RN slaps one on your face and that is not even the worst thing that could happen. Stack these books one on top of the other and itād probably be half your height. That is the amount of knowledge we have to cram inside our brains so that one day, we would be deserving enough to attach those 2 letters to our names. Because you apparently have no idea what we do for a living, let me explain.
In every healthcare setting a patient enters, nurses are the front liners. The moment you step inside the emergency room, nurses look at you head-to-foot taking note of your facial expression (which is a dead give-away for pain, discomfort, nausea, etc.) and any obvious injury of your body or limbs. You are then ushered to an examination bed and no, the doctor does not swoop in immediately to save the damsel in distress. You are categorized according to the urgency of your need and this is determined by the nurse.
When we sit at our stations writing or making and answering calls, it seems so secretarial. However, nurses are multitasking with mountains of paperwork, making appropriate calls, and finishing physical work so that anything patient-wise is nothing but smooth. When the doctor orders for an abdominopelvic ultrasound, he simply writes āabdominopelvic ultrasoundā. The nurse understands that for the patient to be able to do the procedure, the patient must start fasting 8 hours before the appointment and that an hour or so prior to the procedure the patient must drink ample amounts of water so that his/her bladder is full in time for the procedure. When the patient stands up after lying in bed for hours and complains of severe dizziness while his/her face is pale white, we know that it is called orthostatic hypotension. This means that blood has pooled in the lower limbs and all we have to do is lie the patient back down, elevate his/her feet, check blood pressure and reassess after a few minutes to see if the patientās condition has improved. No need to panic. Donāt even get me started on blood transfusions, chemotherapy, road-traffic accidents, cardiac arrest, etc. Modesty aside, there is more to being a nurse that most people think.
To those doctors who have been berating nurses for nothing, or worse, for the sheer pleasure of it, you have caused more harm than good. You have stained the image of the profession that can be your greatest ally. A good doctor does not reprimand a nurse in front of the patient and relative. He calls the nurseās attention in private to discuss concerns. A great doctor teaches nurses what is right so that mistakes can be prevented in the future. A doctor who berates is neither good nor great, he is simply a bully with an MD.
After all the lengthy monologue of a nurseās aches and woes, I will end this post with a thank you. Salute to the educators, doctors and general public who see our worth in a sea of discrimination; to those who approach us with nothing but patient smiles and kind words; to those who have acknowledged our hard work; and to those who believe that nursing is the heart of healthcare. You affirm and reaffirm the value of what we do; and we, angels in the sickroom, are always eager to serve you.