Nursing & Midwifery. (2 Viewers)

[rozymisty]

Yes I totally agree with that! Nursing is NOT about only about showering people. Sure if you do aged care, you will be doing more showers and stuff. And it TOTALLY depends on what ward you work in!

That attitude you have is exactly why i didnt go straight into nursing when I left year 12. Mum was a nurse ages ago, when mos of the time all they did was bed pans and showering and stuff. But things have changed! Nurses are the ones who are with the patient all the time and often know mre about what the patient is going through and is there to stand up for the patients support.

Who do patients turn to when they want to talk to someone fi they're concerned? The nurse, coz they are there pretty much straight away to listen to the patient.

And acutally I think unless the mother is expecting a c-section or complications, the midwife is the only one needed to deliver the baby. The reason so many doctors order c-sections is to know when the baby is going to be delivered, so they can be there if there are complications, and it means less likelihood that the doctor will get taken to court for damages etc.

Why do you think they brough out the nurse practitioner? Coz they have a big bag of experience, and know pretty much what a doctor does. Just not with the huge HECS debt etc.

 

[+Po1ntDeXt3r+]

I agree that there needs to be a comprimise..
im still not convinced about chiropractics.. but other allied health are important

about that OB/GYN they are old school i bet.. its true and as with mid wives we all have a bad bunch in the minority... i heard once about a mid wife advocating against episiotomies or epidurals to keep it 'natural'... and i was like thinking "if this was my wife/mum/sister/female friend..i would advocate to have it done..".. I agree the doctor needs to be the patients advocate and sometimes we do and sometimes we dont..

so yeah... i mean there needs to be communication and not egos.. its terrible some days.. we had a nurse go off at all the JMO and the medical students.. then the senior doc walked in.. *silence*.. we love the nurses but that one will be the one we wont like.. I guess its a minority that seems to speak for the rest of the profession tho..

this is not sumfing that will be fixed over night but once we get a good group of medical doctors and nurses that learn to respect each other.. and lead by example.. then there will be progress.

 

[+Po1ntDeXt3r+]

Why do you think they brough out the nurse practitioner? Coz they have a big bag of experience, and know pretty much what a doctor does. Just not with the huge HECS debt etc.

the NP are good.. but then given i am bias too.. id say that we do not have the data to say that experience trumps evidence based medicine.. i spend about 18% of my degree on research to better practise..and more in my post-grad training.. NP would be fine as a good triage method.. but u cant replace doctors...they are temporary measures i feel.. u need both the experience and training...

I will train for about 14 yrs before im qualified to work independently.. I think that NP would need to match this if they wanted to replace GPs... that train for 9-11 yrs minimum.. even in the US physicians assistants cannot practise independently..

overall this is a govt funding issue... and health is the ping pong

 

[rozymisty]

the doctor is the patients advocate!!! excuse me while i throw up from hearing that ridiculous comment. Most often than not, the NURSE is the patients advocate. The patient feels more confident telling the nurse what they want than telling the ego's of doctors what they do and dont want. Doctors are just interested in getting their money.

sure some doctors do advocate but others dont.

For example when i had to go and see a gynaecologist last year, he was more interested in getting me into theatre like the next day, didnt care how i felt about that. The fact that I had to get my head around the fact that something was in fact wrong with me, that I needed to go into hospital, and have an operation which i have never experieneced before, and needed to pay the excess adn stuff, which I didnt have. Nor could i get to that hospital by 7am, or even want to go there for personal reasons.

With that midwife who was saying to go natural, maybe she felt that the mother would ahve less risks etc with a natural birth etc.

 

[Forbidden.]

im set for nursing then, i fail to be an engineer. oy quickchat lol, quick b4 i leave.

 

[+Po1ntDeXt3r+]

the mother now has permanent incontinences.. she wears an adult diaper..

doctors tend to have to make a decision quickly about the management.. like i said.. it depends on the doctor.. im more less surgery the better but if its the best option i aint stopping them..

actually i have seen a physician that is great.. he sits with patients to make sure that they understand what is going on...this is one of the reason for shifting the way medical school is selected..

frankly if u see the patient load of a doctor.. its not pretty or pleasant either.. I have made patients wait up to 1.5 hrs.. but its cos i was making sure i didnt miss a thing..

rozymisty: I have to say... my supervisors do consider the patients and the timing.. but the patients need to raise concerns.. I hate when i see my family members goto a doctor and feel unsatisfied with the visit..
so come in and tell all that bothers u.. i rarely leave a GP office without feeling that i went for what i was worried about.

 

[brolgaballet]

im with aussiechika7

that girl (aforementioned) has the experience to make that judgement.

each to their own. i think that nurses, midwives, and doctors need to work as a team, together.

they are all highly demanding and stresssful jobs.

lets face it...how many obstetricians are there per births? it falls on the nurses and midwives who pull the grunt.

 

[brolgaballet]

that is the kind of attitude that totally shits me off.

okay there is no need for that. I have every respect for nurses and what they do..and i acknowledge that without them the health industry would collapse. they are central to the care and treatment of patients.

i dont mean to offend you.

i am honestly talking about a future career not setting out to insult you or annoy you.

but i am looking at my future...not a part time jo. dont you think it is essential for people to enter that career only with 100% dedication?

 

[rozymisty]

Absolutely, especially if your going into healthcare you need to be 100% dedicated for the patients benefits.

ha risk of incontinence and all that kinda stuff is why I dont want to have children, along with the expense and other personal reasons.

 

[+Po1ntDeXt3r+]

dont you think it is essential for people to enter that career only with 100% dedication?

nope.. u dun have to.. it just a job.. but a 90% is usually good enough

 

[vodkacrumble]

okay there is no need for that. I have every respect for nurses and what they do..and i acknowledge that without them the health industry would collapse. they are central to the care and treatment of patients.

i dont mean to offend you.

i'm not taking your statement personally, it's quite obviously not a personal attack on me. but the attitude that you and most of the general population have that all nurses are are mindless drones who 'spend all their lives showering people' is highly irritating.

 

[lengy]

Indeed it is.

 

[vodkacrumble]

i heard once about a mid wife advocating against episiotomies or epidurals to keep it 'natural'... and i was like thinking "if this was my wife/mum/sister/female friend..i would advocate to have it done..".. I agree the doctor needs to be the patients advocate and sometimes we do and sometimes we dont..

far out, she sounds nasty! i'd like to know what she's basing that on. and whether she's had children herself.

so yeah... i mean there needs to be communication and not egos.. its terrible some days.. we had a nurse go off at all the JMO and the medical students.. then the senior doc walked in.. *silence*.. we love the nurses but that one will be the one we wont like.. I guess its a minority that seems to speak for the rest of the profession tho..

i make it a point to let everyone i work with know that i appreciate their help - i can't do my job without drs and allied health and vice versa - so i would never pull rank on a JMO or a student just because i can.
well....there may occaisionally be exceptions to that rule

honestly, we all pretty much are on the same level bowing down to the gods (also known as the consultants). except where i work, of course, because it's awesome

 

[+Po1ntDeXt3r+]

yea consultants are self-appointed Gods.. i swear im going to try and not be a jerk when i become one

 

[rozymisty]

Nurse practitioners often have like over 20yrs experience with lots of other degrees, and are often the ones who have helped change ways that health care is delivered through research.

 

[+Po1ntDeXt3r+]

but what role do u see them doing in our system?

 

[rozymisty]

They've only integrated them into the system this year, well at least in QLD, the first graduates from teh further study they do graduated last year. And they are making a great impact on say emergency wards and areas like that. Of course they stilll work with the doctors but are there to help.

 

[+Po1ntDeXt3r+]

yeah in SA they are currently the ED triage ppl.. they are very good..

but until they do about 9 yrs of intensive work-study i dun see them replacing medics..

personally i think that the NP introduction is good but as long as we still have competent medics/allied health..and good support training.. and pay.. mainly this is about pay and times too..

if an NP does an interns job at the cost of 75% of one.. and minimal extra training.. then why arent they being paid or trained more?.. esp when interns are lik on minimum wage anyways

 

[rozymisty]

The role wasnt designed for nurses to overtake the role of the doctors, it was to help the doctors who are often overwhelmed in ERs. As far as i know the nurses who become NPs are often experienced NUMs and clincial specialists etc, ie theyve had years of expierence and lots of extra training and study. They can get like 100K a year apparently, well like NUMs, not sure about NPs.

 

[+Po1ntDeXt3r+]

well thats the thing if they are gettin 100K per yr.. then id be satisfied.. but other wise its just the Govt short changing them.. ..