Recently I was involved in a situation where we were left short staffed for a night duty in emergency due to some last minute sick leave. This meant there were three nurses off sick, and only one was able to be replaced.
Working one down is achievable if the department is not overly busy, two down is not - particularly when all beds are full.
And so I worked a double shift.. I caught a taxi home to avoid a post-shift rollover with my car, then caught a taxi back to work the following day.
The taxi driver was asking me about when I had last worked etc. as I was probably looking pretty haggard by then! After I told him, his reply was something along the lines of, “oh well - I guess it’s not so bad for a nurse to work tired - it’s not going to matter if you make a mistake giving out headache pills, but it wouldn’t be good for doctors to do that!”
As we were just about pulling up to the hospital, I decided to bite my tongue. But it got me thinking about the perception the general public has about nursing. How do I explain to a taxi driver that my job is not about giving out pills?! How do I explain that my training is extensive, consisting of a university degree, post graduate qualifications in critical care and relentless ongoing education?
Nurses give out all the medications. All of them. Adrenaline, potassium, morphine, GTN, heparin, lignocaine, verapamil…. Antibiotics, anti-inflammatories, inotropes, diuretics, analgesics, anti-psychotics, anti-hypertensives…. We have to know a considerable amount about every drug we give, be ridiculously precise with administration methods and calculations, and know when a doctor has over-ordered or plain stuffed up. (Just last I witnessed a doctor’s order for a lethal dose of IV potassium, don’t think it doesn’t happen!)
We do comprehensive assessments on every patient, and have to prioritise care based on a likely diagnosis. Make no mistake, if the nurse at triage misses that the elderly patient has a potential leaking AAA, the patient can drop dead on the waiting room floor. If an arrest page or alarm goes off, we nurses will give you CPR, hook you up to a cardiac monitor & assess your rhythm, defibrillate and give drugs when necessary - and yes, this can be after working 8, 10, 12, 16 hours straight.
And so, sometimes I’m frustrated by community perception! I understand not everyone feels that way, but it’s not the first time I’ve heard some snide, throw-away comment about nurses being there to give patient’s their food. Most of the time I shrug it off, but just occasionally….
What’s your experience - have you been subjected to this kind of ignorance, or is it just me?!
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Yes the Drs do the surgeries, etc. But nurses do EVERYTHING and get paid less. There would be no successful Drs without nurses. You are so right here about the misconceptions.
Hi Laurel - thanks for your comments, it’s great to your feedback!
Is it public perception of just plain ignorance? When I was in the hospital for 3 days in June it was the nurses who REALLY took care of me! I think I saw the doctor only twice and one of those times was for surgery! Be proud of what you do and don’t worry about what others think. You can’t cure ignorance…
xoxo~
Doctors do what I call a ‘drive by’ whereas the nurse is the one who actually helps you get better. We’d be in a sorry state without nursing care.
@matchmaker - good point, maybe there is a degree of ignorance for those who haven’t spent much time in hospitals..
@Clara - I’m still not sure what the ideal model of hospitals would be, as I haven’t come across it yet! But you’re right, nursing staff are an important bunch
Thanks for this article, it is very true. On the flip side, the public perception of nurse’s ethics are very high… http://www.nurseweek.com/news/features/01-04/splitdecision.asp
I’m a Registered Nurse as well, and worked in two countries…Believe me, such comments come no matter where one is. You are NOT alone in your frustration! Welcome to the club.
Years ago I was a licensed practical nurse in the USA. I lasted about 3 years. I had been an army medic before that and went on to physican assistant school in the USA. I think they are training PAs in Australia now. I spent most of my career in emergent medical situations. I have to agree that the perception is that nurses don’t think or make decisions or inform the doc or pa how the patient is doing. These are all wrong and without a good nursing staff a 12 hour stint in the ER can be awful.
@Jes - Hi there, thanks for pointing that out - since I started in nursing, I have always seen similar stats - nurses are very high on the list of people who you can trust.
@Pentad - Ahh, I suspected as much! It’s almost like the profession needs a name change, as it’s original day to day tasks have changed so much.
@Bruce - Maybe a lot of this is due to the fact that cases that draw a lot of publicity in the media are only the ones where a nurse actually has been negligent etc. It doesn’t give a good indication of nursing as a whole. Once again it probably stems back to ignorance, like matchmaker pointed out..
Hi Ross,
Well said about the public ignorance!!
I really think the government’s effort to increase the number of nurses would be futile unless they fix this public perception about nurses (that we only do mindless tasks) first. What sort of talented and enthusiastic people would become interested in the profession if it’s not really respected!?
PS I emailed you awhile ago in regard to your overseas page…. and sorry I haven’t got back to you about it yet. Well, actually there is a lot to tell… :D, and I just don’t know where to start to be honest!