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Even the greatest nurses and best-trained physicians make mistakes.In order to mitigate these potential medical errors, nurses and doctors must obtain a level of communication where it is okay to question a medical decision or provide productive feedback on any aspect of patient care.Many studies and literature reviews have touched upon the dynamics of the doctor-nurse relationship in a hospital setting (see here, here and here for more on this).Even so, I found that by simply asking my nurse friends straightforward questions about what irks nurses the most about their workplace relationship with doctors, I got most of the answers I needed to start self-improving on this vital component of patient care.The website has features to make it easy to find new friends and you can register for free.
One must take on a higher level of responsibility, carry out new job objectives, and must quickly form new working relationships with colleagues at the office.(Remember, if a plan needs to be carried out "stat," a simple phone call to the nurse relaying this information can get things moving that much faster.) I have also found that doctors tend to underestimate the clinical training that many nurses carry via years on the job and/or through advanced education.Engaging them on their thoughts of the patient case as well as getting their angle on how the patient is reacting to your choice of medical interventions will most certainly improve patient care.So much so that I imagine a few jaded reader comments are already in progress describing in detail how I'm wasting their treasured coffee break.However seamlessly evident this may be, the fact that subpar communication still remains a matter of concern to many nurses implies that we as physicians have room to improve.
Having this lack of knowledge is not only inefficient when it comes to carrying out effective patient care (e.g., ordering scattered labs throughout the day instead of in sets), but it also creates a series of unreasonable expectations (e.g., having a nurse come to unkink an IV that you can do on your own).