Brian Goldman, MD, is a veteran emergency room physician, best-selling author and host of CBC Radio’s White Coat, Black Art, and The Dose podcast. His new book isWhen I started working nights in the ER decades ago, I was pretty much a solo act. It’s not that I worked entirely alone; the ER has always been staffed by excellent nurses and other health care providers. I’m talking about a mindset.
The key is teamwork – for doctors, this means making a professional and existential journey from “me” to “we.” These days, I work in the ER alongside a team that includes nurse practitioners and physician assistants. Nurse practitioners have an independent scope of practice approaching that of a family doctor, and they confer with me regarding diagnosis and treatment. Physician assistants do many of the things NPs and MDs do, except they work under the direct supervision of physicians.
For example, when an older woman arrives in the ER with trouble breathing, I think she has heart failure because the diagnosis is common and because she looks just like a thousand other patients I’ve treated. The nurse practitioner thinks the patient has chronic obstructive pulmonary disease, because she’s pursing her lips in a way that helps reduce the work of breathing.
Depending on the patient, this team could include a respiratory therapist, social worker, physiotherapist, occupational therapist, pharmacist, geriatrician or even a nurse who specializes in the increasingly complex needs of frail seniors. And the health care team of 2022 would function even better if patients and their loved ones participated as equal members.has been a powerful deterrent to the input of families.
Source: Healthcare Press (healthcarepress.net)
If Health Care was a team sport, I wasn’t allowed to be on the roster or in the building to visit my dying sister from Breast Cancer that spread all over. Even though you had people working in the hospitals that were unvaccinated. Only 2 people allowed the husband and my mom
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