The principle “be nice to the nurses and your life will be easy” is ridiculous

New F1 here too, started on MAU. All the nurses are really lovely, and since they are extremely skilled in bloods, cannulas, catheters etc it helps a lot.

However being super nice to nurses is a double-edged sword. I’m the type where I simply cannot ignore someone (which other doctors, including other F1s) have done when nurses do that ‘lurking’ thing where they hover behind you with notes/drug charts when you’re writing a discharge summary, or referring, or on the phone, I tend to turn around after 30 seconds because the silence is deafening.

We don’t use e-prescribing in my hospital (ugh, don’t ask, it’s like the Stone Age down here), but often times it will simply be like “this Rx looks unusual/this pt isn’t written up for analgesia” so I try to just do it quickly as such things are easy.

BUT because I’m relatively amenable, it’s become a situation where every nurse that needs something hones in on me.

If you are too nice, you’ll get minimal thanks when you do what people ask quickly, but be absolutely resented if you say ‘no’.

A nurse the other day came into the drs office and was like “anyone looking after bed #?” I was on the phone, whilst others were typing. They literally out rightly ignored her. I can’t cope with that, but maybe I should be that cold.

I’ve also noticed that if I put my initials on the board next to patients I’ve post taked with the consultant, other F1s will be like “oh I don’t know them, ask “(my name)”. But I never turn around to a nurse and say “oh I don’t know, they aren’t MY patient” - but maybe I should be.

And I agree with you about nurses asking things above either your competence or knowledge. I’ve had nurses come up to me saying “they’re scoring 7 on EWS” (day time) and I just say “you need to speak to a more senior doctor than myself” (our trust policy is 6+).

/r/JuniorDoctorsUK Thread