Nurses reveal what's really going on in the doctor's office
Here are what they really think when supervising your care.
Nurses are incredible. They care when others do not do it. They work hard without break. They bleed so you are not obliged. As a result, they saw everything.
And they are there to reveal everything.
How do theyreally Do you feel incompetent doctors? Where does this blood come from on the ground? What feels if ... raw? And what are they sayingyou.Eat this, not that! Health Consult the authorized nurses that we know personally and our network of medical experts - and disclose the answers here.Read on and ensure your health and health of others, do not miss these Without signs that you have already had coronavirus.
Before Covid, sometimes they would find body parts on the floor
Before coronavirus, some hospitals were a little less concentrated on hygiene. "We know that some surgeons do not really care about the infertility as on the number of procedures they perform," a nurse with 10 years of experience in the NYC operating rooms reveal. "In order to do more surgeries, they try to reduce the time between operations. To accelerate the process and save time, surgeons" sometimes help "clean the operating room themselves. From time to time, you Can find a piece of human fat under the operation table. Unfortunately, hospitals allow this type of practice. These doctors bring a lot of money! "
They never cry (in front of you)
"Nurses too (trying to) remember sad emotions of patients," said Catherine Burger, Rn, BS, MSOL, NEA-BC, a contributor withRegistered nursing care. "It takes everything we sometimes do not burst into tears with them when the doctor shares bad news. We remain favorable and professional, then break down into the car on the way back!"
Sometimes they are covered with caca
It's big, but true. "Before some surgeries, patients should go through intestinal preparation - a process of eliminating the feces of the colon," says NYC's nurse. "Sometimes during the positioning of a patient, when lifting their legs, accidents will happen and doctors or nurses could end up with a piece of poop on their hooves. There is no time for Cleaning it before the end of the procedure, we must continue to work-aim for the mess. We finish preparing such situations by rubbing a mastisol liquid on our masks to kill the unpleasant odor. "
They do not criticize doctors (in front of you)
"Nurses retain many patients and often our silence should talk about volumes," says Burger. "Although it's unprofessional to talk wrong with a clinician when patients ask us - especially if we love a doctor, we know how to be incompetent - we have to be creative with our answer or we simply change the subject. An index for Patients are strongly possible. "Encourage a second opinion."
They can be borrowed!
Due to the high stress and the hectic rhythm of their jobs, nurses sometimes jump meals. "Nurses do not consider many times at the right time," says Donna F. Brown, an authorized Arizona nurse with more than 30 years of experience. "They go long hours without eating, which causes low blood glucose syndrome. It makes them tired, angry, irritable, almost hostile."
They have "the cleanest belly buttons"
"You would be surprised to see how dirty patient belly buttons," ME, a nurse operating with more than eight years of New York Hospital Experience,Eat this, not that! Health. "We need to clean this area before the laparoscopy procedure, and it is often shocking. We often tell us that the usable nurses have the cleanest belly buttons, knowing what we can find there."
They make mistakes
"Patients do not see the time we almost make an error regarding their care," ADME BURGER. "Recognized as a" near "in the world of risk management, we put in place security processes to avoid mistakes, but sometimes we get closer - and we strive to learn from them!"
They will not propose diagnosis
"Nurses are not allowed to diagnose patients, so even if we see something evident on an ultrasound - officially, we are not allowed to say anything," says Hilary Erickson, an RN toPulling. "This includes if we get an ultrasound on a baby who has no cardiac activity. It's just heartbreaking and a really difficult situation."
They hate when you hide things from them ...
"It's really boring when patients eat before surgery and admit it just before surgery begins," said the nurse with 10 years of experience of the operating room. "When a patient eats, he can not receive anesthesia, which means that the surgery should be canceled or postponed. It is a waste of expensive supplies, sterile instruments - and our time. The whole team should Staying longer for the patient to be ready for use when the patient is ready to be exploited. On. Usually, you should not eat six to 12 hours before surgery. "
... but they can read you as an MRI scan
"Patients may want to avoid saying how they feel about something, but we have our ways to deal with that," says Brown. "When I see a patient acting nervously, like, avoid visual contact, I try to open the patient by saying things like:" You're tense enough today. "And I see if the person is afraid of something. This happens especially when patients anticipate surgery and other medical procedures such as surgery."
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They must cover beginners
"Hospitals are short-lived," admits the nurse of the Veteran operating room. "Many times the hard surgeries are bourple with oriented or nurses who do not work in the service. Neither really knows it a lot - they do not know where to get supplies of or what is the thing the surgeon just ask for. When Something bad is happening, they do not know how to answer quickly. It's very dangerous for the patient who makes us completely confidence. "
They know when the surgeon has a bad representative
"The nurses work with many doctors and they know better than anyone that some surgeons are not the most talented. Therefore, you must reassure the patients they are big hands, "says the NYC Veteran operating room nurse. "When working with a surgeon who does not have the best reputation, you will focus on a chief resident or colleague who will be in charge for all the time."
Many of them are time
"Due to nursing shortages, hospitals are obliged to fill holes by recruiting Temp agencies nurses," says Brown. "Nurses do not necessarily lack skills, but they are often not familiar with a particular hospital or team, they are delegated to work. They must be trained to follow how to follow the protocols, to know teams, doctors and patients. This affects patient care. "
They often do not have time for the breaks of the bathroom
Brown wants to remind people how much the nurse is demanding. "After a 12-hour shift, nurses are often invited to work another change," she says. "Sometimes they work at double team and do not have breaks, including breaks in the bathroom. They need to plan in advance or use the toilet when they can. Plan to the advance."
They do not remember your name
"For the most part, we do not remember your name. And if you visit, we will probably not remember you before connecting the points and realize that the room you were," said a Pacu nurse - C ' is "Post anesthesia care unit" with 8 years of experience.
They often burn
They deal with long hours, double changes, condescending physicians, full vestiges, but do not forget the most stressful factor in their jobs. "Nurses work in an extreme stressful environment - people can not see what they can see", Brown tells us. "Nurses must deal with victims of violence, road accidents and control patients as victims of various traumatic situations. They are very stressed. And they must hide all the feelings of patients. They often bring it often to the House."
They face stress in many ways - and it's not always healthy
A 2016 study Posted in nursing research and practice indicated that 92% of nurses reported a moderate level of stress at very high. According to the study, stress leads to lack of sleep (72%), eating junk food (70%), lack of exercise (69%) and sometimes the consumption of frenzies (22%). However, talking to loved ones (79%), listening to music (46%), watch TV (43%) and pray / meditate (43%) helps to cope with stress.
They are often obliged to work overtime
"Due to the decline in staff, we are often forced to work for mandatory overtime," says the NYC Veteran operating room nurse. "It's annoying - we all have families, plans - and we are just tired after long shifts, but we still have to stay overtime to help our patients. So the next time you visit the hospital. And see a tired nurse, please be more agreement. "
They take a "sick day" after crazy shifts
"My longest shift took place from 11 to 3 years in the ambulatory surgery center," recalls the nurse of the New York operating room. "You would think it was a place where patients would be relatively healthy and ready to go home after the procedure. But not that night. We had a very sick patient who should not have been exploited in a place without nurse without charge. She is already part for the day. After 20 hours, there is absolutely no one who can help you (get a crash car to the room). As a nurse, you are completely you - even - without the help of your colleagues! It is a very dangerous situation. That's why nurses call sick for mental recharge after these difficult changes. "
They also have bad bosses, too
"All our superiors are not good in their work," admits New York Nurse. "We absolutely hate when our charge nurse becomes so busy on his phone or his private topic that she forgets to relieve ourselves in time. This gets fucked in the operating room for hours, even if there are any people from other shifts available. It's a waste. of our time and hospital resources. "
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These are team players ...
"The beauty of nursing is the amount of a team we are," says Erickson. "When we are on the floor, we try to get an idea of everything that happens in our region. In work and on delivery, all nurses have their eyes on the monitor. It means that if something is going Not with any patient, many hands rush to the room to help. It's great, and it helps patients stay safe. This is one of my favorite parts to work as a nurse. "
"What patients do not see is a complex system of professionals working together behind the scenes to provide the safest and most effective care we can", addsNancy Brook, MSN, NP, a surgical oncology practicing nurse at Stanford Healthcare.
... but it's dog-eating-dog
It's not always on teamwork, Adume Brown. "A lot is going behind hospital bed curtains," she says. "One thing I have seen several times in my long career as a nurse, it's a lack of teamwork. Nurses often do not help each other. It's a situation of all men, in which other nurses make excuses rather than help. Often it is caused by too many nurses at work on their own plate to help others - but sometimes it's selfishness. Nurses must be ready to cope with all that itself. "
They distract you (for your good)
Ontimes, for a variety of reasons, nurses are trying to distract patients. "Patients such as dementia patients are often so worried about their loss of memory that they are not able to focus on something else and it increases their anxiety," says Brown. "We are trying to distract them from memory loss and we focus on the things they can do, such as knitting, social activities, exercising or listening to music. These techniques help these Patients to refocus their energies on more positive activities to help them empower them. And soothe their anxiety. "
They know you better than anyone
"The nurses are defenders of real patients," add Brown. "We answer a lot of your questions. We give you tips on different breathing techniques, even help you find the best position in bed. We are with the patient most of the day, and we know what's going on with them better than anyone else. "
They can make mistakes with your medications
"Stress and long hours are reasons why nurses may not have time to check if they have given the patients the appropriate doses of medicine", admits Brown. "The nurses are so busy, that when the doctor writes an order for a change of drug dosage, the order is sometimes neglected and can therefore lead to medical errors. Nurses are also responsible for verifying that doctor's orders are correct . (For example. Try to decipher if a doctor means a medicine on another similar similar medicine such as Ativan vs. Atenolol.) Sometimes it could cause big problems. "
There is a nursing shortage
Many hospitals are affected by a phenomenon is known as "nursing shortage". No other profession is in such a request.According to the American Nurses AssociationThere will be more nursing positions available to 2022 than any other profession in the United States. The US Labor Statistics Office, 1.1 million additional nurses will be needed to avoid additional shortage. "Most people want to avoid working long hours, half-changes and other forms of excess stress caused by responsibility and lack of staff. That's why nurses are trying to avoid working in hospitals , making the cycle even worse, "says Brown.
They know reality
Most nurses have performed their jobs for years, so when a patient tries to overcome things on the basis of FADS, nurses become annoyed. "For example, patients who arrive with their birth plan died out on how some things should go", admits a work nurse and delivery based in NYC former. "If something had to go back from their expected path, the patient could be obstinate and refuse help until the work naturally follows the birth plan. It could become too late to continue waiting, so that's why It can finally end with a C-section. We always try to rationalize with the patient rather softly, because you do not want to intimidate the anxious mother even more. "
They do not like when a family member makes decisions for you
"Some family members believe that the patient does not need pain management and answer for them," said New York's work nurse. "It's bad because sick patients often feel controlled and will not talk for themselves. I always tell them that it's not [family members'] the pain and they should not answer for you."
They hate when you exaggerate your level of pain
"It's natural of a little overestimate your level of pain, but when we see a patient expressing his pain as 10 on a scale 0-10 and the update of his Facebook status, it makes us really angry", The Nurse in New York warns. "Do not forget that we have taught the basic range of pain scale and the way the patient looks and acts when you feel a 2 compared to a 7."
Doctors can not often remember their names
"Several times, doctors do not know the names of their nurses, even if they have worked with them for a while," said a NYC veteran nurse. "Often, they are just too busy - they deal with life and death in real time after all-but sometimes they could show a little more respect. This is a team job - no operation would succeed if the surgeon worked alone in the operating room. "
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Nurses are not mediums
"We do not have a crystal ball and we can not predict the future", admits the New York delivery nurse. "If he could, we could take advantage of our lottery millions of people rather than working on 12 hours of 12 hours. So do not ask us impossible questions, such as the time of birth of your baby . We generally tell them that the baby knows only that. "
They want to know your medical history
Nurses are frustrated when you do not share your medical history with them. "Many patients retain information from the nurse for unknown reasons," said New York's work nurse. "Whether your number of pregnancies or surgeries - everything is important because it could potentially lead to complications."
They think you should breastfeed, but will not judge you anyway
"Every woman can breastfeed his baby successfully," says the labor nurse. "It's a huge effort of the mother, but it's worth the effort. If the mother does nothing to build her milk intake, she will not have enough milk. We provide constant support for mothers, but but They are tired. They are tired. Cry, so sometimes they give up and ask for the formula, which is always correct. "
They do not want you to see all the "business stuff"
"Nurses hope that patients never see the organized chaos occurring outside of their doors and their curtains," says Burger. "The change of work change in the management of the offer to assignment changes, nurses hope that patients see only an oiled machine and not the endless frustration that nurses last."
Sometimes they do not tell the whole truth to the family
"Nurses sometimes prevent family members, the fact that a patient should be placed on a" not resurrect "order", Burger, the contributor toRegistered nursing care, says. "Families are usually too close to the situation and manage their own grief to fully understand how the traumatic CPR is for a sick or fragile patient."
They are disgusted when you allow your children to crawl on the hospital floor
"Nurses are trying to be tactical when children visit patients and advise parents not to allow children to sit or crawl on the ground," says Burger. "However, we resound our true feelings of disgust because we know what has been on these floors in the last 12 hours."
Some do not like Doulas
"Many workforce nurses do not like to work with coaches of Doulas-Birt or post-birth supporters who can not perform clinical or medical tasks in hospitals," admits a work ban and Delivery based at NYC Ancienne. "Although most of the Doulas work well, they tend to get in the way, especially if something is wrong. There are already enough people in the room and it could add stress to nurses and doctors who help work. "
Sometimes they sugar the new
Burger told nurses "retain by saying patients with risks and benefits of surgery or treatment." According to the registered nurse in Arizona, "this information must come from the clinician executing the procedure or ordering care."
They do not always admit their mistakes
Burger also admits that nurses are not perfect. "Nurses sometimes hold patients who have made a mistake, such as giving bad medicine," she says. "Although the expectation of the nurse is to disclose the error to their supervisor and patient, nurses sometimes do not follow these rules."
Before Covid, sometimes they forgot to wash your hands
"Patients can notice that we do not always wash our hands," admits burger. "We are ready to use the gel by hand or washing our hands when we leave your room, but we could be better cleaning our hands entering your area." Of course, now that Covid has struck, the handwashing procedures are stricter.
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They do not like to give you medicine
"Giving drugs is frustrating. We do not like to do it. It takes a lot of time, especially when it's a lot and often frequent. Some think that's all we do not even do," says the PACU Nurse.
They do not want your family during a procedure
"Nurses do not want family members to be present during a procedure," says Burger, and the reasons are logical. "We generally give drugs to the patient so they feel less pain and do not remember the procedure, but the patient is always" awake "and speak," she says. "Families can misinterpret that the patient needs to be" stunned ", but we know how much to give and talk with the doctor to make sure they get only what they need."
They work several jobs
"Patients do not know that many nurses work more than one job," says Burger. "Especially for ministries with 12-hour changes, nurses are able to work in several facilities."
If in doubt, they will ask a professional
Doctors also need support, says Burger. "Patients do not see when doctors are worried about a treatment plan and call other doctors and nurses for help," she says. "Many practices are a weekly case review where doctors discuss the complex patient care plan and that all team members can offer advice," said Iowa nurse.
They know that doctors can use a little help
Nurses understand that some of the providers providing hospitals with sophisticated machines used in the operating room may have more experience than doctors in certain types of procedures, for example, orthopedic. "Suppliers often guide doctors during surgery and tend to be very good because they know their upright and other machines," says a nurse in the New York operating room.
They do not appreciate when you ask "Dr. Google" ....
"Most patients are fantastic and we are always happy to help them, but when patients are googling symptoms and quote ignoringly without understanding, it could make our life difficult," said NYC work and the nurse delivery.
... but they often look for online answers
"We google things all the time," says the Pacu nurse.
They chat on your reputation
"We chat. Patients have a reputation on the unit. You can be qualified as difficult patient based on your acuity or personality," said the Pacu nurse.
They want your cooperation
"We are waiting for independence. If you have at least one hand, you can eat. If you can walk a few steps, you certainly do not need a bed pan," says the Pacu nurse.
They hate unnecessary call bells
"We do not like unnecessary call bells. We are exhausted! We do much more than you think. We do more than give drugs. The patient life is in the hands of nurses. We are the link Between the doctors and we call a lot of shots, "says the Pacu nurse.
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They know better
"We can not fill your request to call the doctor in the middle of the night (or even the day) if we think it's useless or that we can answer the question or we know they're going soon," A declared the Pacu nurse.
They work while they are sick
"If we are sick, we are always at work with the stuffy nose that blames it on allergies," reveals a nurse.
Never ask them this question!
"We hate absolutely when you ask what the patient is present," says the Pacu nurse. Ask yourself: Would you like them to learn about you?
They will not be offended if you do not want help
"Sometimes the patients threaten the nurse they would leave against medical advice (WADA). They say," Well, if you do not admit to the hospital right now, I leave Ama, "or" You do not do anything for me, so I'll leave Ama, "" says a nurse. "Some patients only go out and refuse to sign anything. A nurse does not care honestly when you do it and I will gladly give the papers."
They hierarchize
"We give priority to our acuity-based patients and we may not be attentive to you because you are not so sick," says the Pacu nurse.
They will not tell you if they did not do it before
"We will not tell you if it's our first procedure," says the PACU nurse.
They help everyone
"Few people know we have to helpall Patients, "says the nurse delivery nurse." I often have to deliver babies of prisoners of rikers. Some mothers could be aggressive, but we have to help them, no matter what. "
They know how to talk to mentally ill patients
"Nurses retain patients when we think they're crazy," says Burger. "We listen to the stories and redirect the conversation where we need it to go, while considering the need for psychiatric consultation."
They never give up!
"Often we know what the probable result will be - but we always say that we do everything everything is possible to help them or help their family member," Erickson, an RN toPulling said. "The reality is that things will do well, but in the meantime, we all work hard to help them - in relation to the time to speak everything. However, we do - for the most partial families to be in the room (S ' They want) while we work to save people. "
They like their work
Nurses deal with extreme stress, they hide their emotions, they are bored when patients do not listen or when they have to manage lazy colleagues or doctors affected by the "complex of God". But despite all stress, nurses still love what they do. "I had the most rewarding career for 48 years and count," says Valerie Nisewarmer, a pediatric nurse. "I would not change a day!"As for yourself: go through this pandemic at your healthier, do not miss these35 places you are most likely to catch Covid.