{"id":1621,"date":"2014-05-27T13:53:51","date_gmt":"2014-05-27T17:53:51","guid":{"rendered":"https:\/\/www.travelnursesource.com\/notes\/?p=1621"},"modified":"2018-04-20T11:43:30","modified_gmt":"2018-04-20T15:43:30","slug":"ais-it-appropriate-for-nurses-to-debate-a-doctors-diagnosis","status":"publish","type":"post","link":"https:\/\/www.travelnursesource.com\/notes\/ais-it-appropriate-for-nurses-to-debate-a-doctors-diagnosis","title":{"rendered":"Is it Appropriate for Nurses to Debate a Doctor’s Diagnosis?"},"content":{"rendered":"\n\n
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Sometimes, differences in opinion can cause tensions in the workplace. In most professions, slight disagreements between colleagues is not a matter of life or death…but what if the matter at stake literally<\/em> is? In the healthcare profession, the issue is knowing when it is necessary for a nurse to step in to voice what the best practice is for the patient. Often times, the nurse and doctor dynamic in our society leaves the assumption that because doctors have had more formal education that they always practice better judgement than nurses. However, that is not the case. Even though their training is vastly different, so is their level of responsibility. Nurses need to be able to stand up for what they believe is the best way to treat the patient’s issue. However, it is ultimately always the doctor who is responsible to executing the final diagnosis decision.<\/p>\n

Nurses spend more time one-on-one with patients and become heavily versed in the particular ailments, treatments and personalities of the patient. Physicians spend far less time physically engaging with the hospital guests than the nurses. This means nurses have unique insight that often times is overlooked by the practicing doctor; therefore they may not be able to effectively see how the treatments have been affecting the hospital guest. Nurses build personal connections with guests that allow them to diagnose proper treatment. They can see what elements of their healthcare regimen has worked or not.<\/p>\n

What Would You Do?<\/strong><\/em><\/h2>\n

Imagine an elderly cancer patient with pre-existing health problems was suffering from severe issues from chemotherapy treatments. And, the practicing physician ordered the chemo to continue despite concerns from yourself and even other staff. In your opinion, the treatments are only causing the old man to have heart issues and intense additional suffering. How would you approach the issue to a stubborn physician? Nurses become nurses because they want to be advocates for the sick and injured. The last thing we want is to see diagnoses hurt more than help.<\/p>\n

Travel nurses especially have a hard time standing up to the opinions of physicians while on assignments because of their unfamiliarity of the doctor’s personality and being only there for about 13 weeks. So when is it appropriate to speak up?<\/p>\n

When you should disagree with a diagnosis (according to Scrubsmag.com<\/a>) <\/strong><\/h2>\n
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“1. When the doctor isn\u2019t listening to you or the patient<\/strong><\/h4>\n

Nurses often have more\u00a0contact with patients than doctors do leading up to surgeries or consultations. It\u2019s during those interactions that nurses often find out relevant information about a patient\u2019s condition that may not be obvious otherwise. If you have something to add and the doctor blows you off, it\u2019s probably a good idea to take them aside and let them know that they shouldn\u2019t ignore the information you\u2019re conveying.<\/p>\n

2. When the doctor is belittling you<\/strong><\/h4>\n

Most doctors are professional, respectful, and courteous. There are some bad apples<\/a>, though.\u00a0Doctors who make you sound stupid in front of patients and\/or coworkers need to be told that what they\u2019re doing isn\u2019t acceptable. Otherwise your ability to do your job will be compromised.<\/p>\n

3. When the patient\u2019s safety is in danger<\/strong><\/h4>\n

If the doctor is showing any\u00a0signs of incompetency \u2014 be it poor decision making or even signs of intoxication \u2014 it\u2019s a must that you take it up with the doctor involved before he or she does something harmful to the patient. If that doesn\u2019t work, tell your superior immediately.<\/p>\n

4. When the doctor isn\u2019t letting you do your job<\/strong><\/h4>\n

Sometimes nurses assist or even handle some surgical procedures, including anesthetizing patients. If a doctor comes in, pulls the whole, \u201cI\u2019ll take it from here\u201d routine, and tries to keep you from handling your duties, you should say something to him or her. Otherwise, he or she is likely to keep pushing you aside.”<\/p>\n

 <\/p><\/blockquote>\n

As a healthcare professional, the most important part of your job is the duty of providing the best possible care and treatments to patients. Don’t be afraid to speak up if something feels wrong. It may just save a life.<\/p>\n","protected":false},"excerpt":{"rendered":"

Sometimes, differences in opinion can cause tensions in the workplace. In most professions, slight disagreements between colleagues is not a matter of life or death…but what if the matter at stake literally is? In the healthcare profession, the issue is knowing when it is necessary for a nurse to step in to voice what the […]<\/p>\n","protected":false},"author":1,"featured_media":1623,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[12,5,67,74],"tags":[182,181,179,180,178,172,62],"class_list":["post-1621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nursing-issues","category-travel-nurse-blogs","category-travel-nurse-news","category-travel-nurse-tips","tag-argue","tag-debate","tag-diagnosis","tag-disagree","tag-doctor","tag-nurse","tag-travel-nurse"],"_links":{"self":[{"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/posts\/1621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/comments?post=1621"}],"version-history":[{"count":9,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/posts\/1621\/revisions"}],"predecessor-version":[{"id":5361,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/posts\/1621\/revisions\/5361"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/media\/1623"}],"wp:attachment":[{"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/media?parent=1621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/categories?post=1621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.travelnursesource.com\/notes\/wp-json\/wp\/v2\/tags?post=1621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}