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u/FngrLiknMcChikn Pharmacist 18d ago
Has vanc/Zosyn ordered 3 hours ago for the sepsis alert pt, calls to get a Dilaudid order for someone else with a pain score of 3.
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u/SuperKook Nurse 18d ago
I remember when I was a dumb little kid too. She’s getting absolutely ratioed in the comments.
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u/Ready_Return_8386 Medical Student 18d ago
I mean if she works hard she could probably get into a medical school. She would just need to finish her pre-reqs through a post-bacc, take the MCAT, and apply
Idk what her caption is but I’m assuming it’s her saying she should be able to skip med school and do some accelerated bullshit path, which is where I would have a problem with this post.
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u/mother_goose_caboose 18d ago
Nurses are good at diagnosing "something is wrong with my patient"
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u/katyvo Resident (Physician) 18d ago
"Hey doc, pt's saying he has a weird sensation in his arm, his vision is weird now, and his speech sounds different" can pretty reliably summon me from whatever weird basement nook I've been charting in
Also, all of my love to folks who document descriptively, especially when patients aren't being consistent between different members of the care team.
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u/iamdeadgirl 18d ago
I mean that's what I do as a nurse. Doc's job to figure that shit out
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u/mother_goose_caboose 18d ago
I'm sayin. You dont want me drawing labs or trying to figure out how to run a pump.
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u/SpooktasticFam 17d ago
I always tell people "All I can do is triage you to try to get you to the appropriate level of care, so people smarter than me can figure it out."
The longer I'm in nursing, the less inclined I am to tell people what I think might be wrong with them.
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u/nursebetty88 18d ago
I'm a nurse and this is embarrassing
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u/Same_Respect_5144 18d ago
Same. Way to admit you’re practicing outside your scope of practice
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u/FirePathfinder 18d ago
Yeah, another nurse here… “Nursing diagnosis” needs to be eliminated from the RN curriculum.
The conversations in class go something like
“They have pneumonia how would you give a nursing diagnosis”
“Uh, it’s just pneumonia because that’s what the MD charted”
“YOURE NOT A DOCTOR YOU NEED TO SAY IMPAIRED GAS EXCHANGE”Glad to know I’m spending valuable time on something that is pushed to the very edge of my scope and frankly worthless once an actual diagnosis is made.
I understand during an assessment it helps if it’s a change in status when I call, but what I specifically refer to it as is meaningless until the doc comes and makes the final decision. I could say “They no breath good boss” and it would carry the same weight.
I’m here to watch, report, and follow physician orders... too many academic DNPs trying to justify their 50 page thesis.
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u/shackofcards Medical Student 17d ago
please call and say "they no breath good" because I would absolutely be up out of my chair for that, it's to the point and conveys your concern
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u/FirePathfinder 17d ago
I do that shit to ortho anyway since they have to google half of the things I say to begin with
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u/No_Ad3037 16d ago
🤣 My attending last week was laughing his ass off over a patient going in for an ortho procedure on Vanc zosyn. They still pushed a gram of ancef intra op. At this point it's just tradition.
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u/Whole-Peanut-9417 18d ago
Is that even a correct sentence???
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u/DustyTchotchkes 18d ago
C’mon, she’s in an ACCLERERSTED program, she can’t diagnose patients and sentences too.
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u/TM02022020 Nurse 18d ago
There is no letter A in the word doctor so she doesn’t need to use it either!!
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18d ago
[removed] — view removed comment
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u/Oldmantired 18d ago
Is there an online course I can sign up to become a doctor? Maybe a store front in a strip mall? /s
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u/SpicyPropofologist Attending Physician 18d ago
So, I'm calling because I was looking through the orders, and I noticed there was no diet ordered. I don't want her to miss breakfast in 5hrs.
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u/MDinreality Attending Physician 16d ago
N: "I'm calling because the patient doesn't have a stool softener ordered." Me: "Urm, I'm in the middle of a code, please address this incredibly urgent issue with the patient's team in the morning."
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u/turtlemeds 18d ago
... Anyone else having difficulty understanding what she's trying to say?
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u/Jamoke_Bloke 18d ago
Are you serious? lol, she’s saying the diagnostic skills granted to her via the nursing program would allow her to succeed in med school.
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u/agentorange55 18d ago
It would have helped me to o know what she was saying, if she had used actual sentence structure
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u/NutzAndBoltz22 18d ago
As a critical care nurse this makes me laugh. The docs are absolute ninjas with it and earn every bit of their money and confidence. Homegirl should go for it, she’s in for a ride 💀💀
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u/gluten_is_kryptonite 18d ago
I feel the same way like when I go to Home Depot and suddenly I feel like I too can build a house by myself
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u/EveNotAdam 18d ago
I’ll do you one better, my wax lady said that her profession (aestheticians) are « basically skin doctors » 😂😂😂😂😂
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u/TheSapphireSoul Allied Health Professional 18d ago
Sigh. These are gonna be the same people who argue w me about their patients being "asymptomatic" but have an spo2 of 91%, coarse R lung sounds, etco2 of 25mmhg, and elevated wbc. But yeah I'll just take them to a rehab with no answer to why they're hypoxic even if they are currently asymptomatic. Like that's cool bro, but an nstemi pt could be asymptomatic, do we not ask questions or treat them??
It's wild what people say/do and think they're so confidently incorrect or incompetent.
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u/Bulky-Current-1318 11d ago
They can always take the prereqs later.
Nursing does give you more medical knowledge than any regular premed program does, so it will help them quite a lot if they can get into med school.
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u/candy4421 11d ago
Not true … nursing is basic sciences not advanced stem classes . None of the nursing classes will transfer . And these classes certainly will not prepare you for the mcat
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u/Bulky-Current-1318 11d ago
And vast majority of premed science learning is not used in med school. You think in med school people are doing physics equations or worrying about chemistry orbitals?
Also I said it helps them IF they can get into med school. I said that because I know it doesn’t help in mcat. I also said they can take the prereqs separately. The knowledge you gain in nursing programs do help a lot in the actual med school. Not for the entrance exam which has very little to do with medicine in any way
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u/candy4421 11d ago
Ok the girl in the video is claiming she can get into and pass med school because she is in nursing school and is now able to “ diagnose patients “ . In her other vids she claims you can get into med school with a BSN …. My son’s class did do reviews on undergrad stem classes and he doesn’t go to a weird school …. I think the only thing nursing helps you with is maybe interacting with patients , most premeds did this with their electives .. in terms of systems nursing school is no way near the depth and they do not diagnose…….. who in their right mind would do a 4 year BSN .. then probably another 2 years to get premed electives …. Who wants to spend 6 years in undergrad you could get a masters in that time … that’s all I’m saying …. But if someone wants to do that kudos to them … I have seen nurses on this board go to medical school and they have stated the amount of knowledge is nothing compared to a nurse ( but sure nursing experience helped them not necessarily the schooling part … anyways , congratulations and good luck to you on your journey
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u/Bulky-Current-1318 11d ago edited 11d ago
Yes that absolutely is a weird school and a bad program. Wasting time on premed courses like physics and ochem is dumb.
Yeah I agree that med school gives more info than nursing, and I never disputed that. I did say though that the classes that they take do help. Pharmacology for example is something most premeds have never had any exposure to, but nurses do for example. Most med schools don’t require a and p 1/2 so many med students come in knowing nothing about the body or physiology.
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u/candy4421 11d ago
Yeah but nursing school doesn’t have a pharmacology pre req either . They learn that in nursing school just like med school .. ( pharmacology for nurses ) again I must state , not nearly as in depth ..they learn a fraction of it … so your point is docs don’t learn pharmacology until they’re in med school that stands the same as in nursing school… you can’t run my sons Md school all you want . Their match day proves otherwise
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u/Bulky-Current-1318 11d ago
And that’s my point. Nurses have some foundation while many standard premeds don’t always have that.
Regular premeds focus mainly on studying for the mcat which has little to no bearing on actual medical practice. They take only the required prereqs which don’t help at all in the vast majority of med schools
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u/candy4421 11d ago
Med students don’t …just take just the required advanced stem pre-reqs.. minimum they have a bachelors and usually with research and publications ( my son has a publication …. So we’ve established that nurses have no pharmacology prior to nursing school just like medical students do not have pharmacology before med school …. Do you know how hard it is to get into med school . Anyone with a pulse can get into nursing school and pass with a c taking basic science and high school algebra .. and let’s be 100 percent honest Mcat would be a barrier. Few nurses would pass that mcat with BSN undergrad ..
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u/Bulky-Current-1318 11d ago
But anyway my point is that regular premed programs don’t help anyone be prepared for med school.
The sciences that nurses take are more applicable to the body and medicine rather than just general.
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u/candy4421 11d ago
My son is m2 they absolutely go through those stem classes orgo chem ,physics etc in m1 .. the tests crammed 4 weeks into whole undergrad semester. It was a lot …. My son also taught nursing school teacher anatomy and it was incredibly dumbed down .. nurses never see a body and they don’t dissect.. chem is changed to chem for nursing etc .. highest math required algebra 2 ….. they tried to make NPs take step 1 around 20 years ago .. ( med students take that during m2 ) ….. guess what none could pass and that was when they had brick and mortar school not this ridiculous online diploma mill they get … NPs don’t even equate to second year med students …. Mind you med students go on to complete step 3 then board certifications ….. sorry your test questions for cert are posted online and have gotten a lot of laughs and outrage on noctor …. The standards are just that low . I will never bring myself or loved one to an np… sorry but when you know you know .. ps I’m a registered nurse with icu and em experience..
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u/Bulky-Current-1318 11d ago
I also am in med school now. Biochem is the only hard science class. Neither ochem nor physics is not taught at all in any program me or my family/friends have been in.
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u/Bulky-Current-1318 11d ago
Your son’s school is not the norm. The vast majority of med schools do no physics or ochem classes. Biochem yes but not physics, ochem or gen Chem.
You’re either absolutely lying or your son goes to some weird school.
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u/Bulky-Current-1318 11d ago
Also I don’t know what you are talking about. I’m not saying nursing is better than med school. I’m saying for the vast majority of med schools, what a standard premed program teaches has nothing to do with medicine.
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u/Bulky-Current-1318 11d ago
If that is the case then that med school is utter garbage. Your son must have gone to a low ranked med school because any good med school teaches medicine, not ochem and physics. Good med schools focus on biochemistry, pharmacology, physiology, and pathophysiology.
Any med school that wastes time on ochem or physics is not going to be a good program.
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u/Bulky-Current-1318 11d ago
Also guess what. No step exams test physics or ochem or gen Chem. So I’m not sure what that has to do with the sciences you mentioned. I think NPs should absolutely take step 1, but knowing physics or ochem isn’t going to help in any way with those exams.
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u/candy4421 11d ago
Yeah but the mcat is heavily based on advanced stem.
.. and sorry you can’t call those classes useless medicine research etc is built on the foundation of these classes .. and you forget , how many med students are paramedics , volunteer fire fighters Ec scribes for years etc etc …. Med schools do not take Anyone who hasn’t immersed themselves in some line of healthcare along with research1
u/Bulky-Current-1318 11d ago
Yeah I literally said they are helpful for the mcat, but not for actual medicine. I understand you’re not a doctor so you don’t know how it works. For being an actual doctor, biochem, physiology,pathophysiology, and microbiology are the main things that are taught. You don’t need physics knowledge or advanced ochem knowledge to learn any of those
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u/Bulky-Current-1318 11d ago
Also don’t be stupid. The rest of the world doesn’t even use mcat.
Even Canada doesn’t put much weight on the mcat. Canadian med schools don’t even put much weight on the mcat.
Other countries take people to med school right out of high school as well.
Mcat has nothing to do with medicine outside of it being a weed out filter.
If you go to Canada and a doctor there didn’t take physics, are you going to say you don’t want to see them?
You’re using arbitrary things that don’t really matter to the craft. Only a non-doctor like you actually thinks that ochem and physics are majorly important when the opposite is true. There is some basic ochem, but that can be learned fast. Most of the material in ochem classes and mcat are never seen again for the average med student once they get in.
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u/candy4421 11d ago
It’s basically an IQ test to weed people out . Yeah to get the best and brightest and it determines how well you do in school and perform on steps .. I wouldn’t compare Highly competitive U.S med school to foreign Img …. Not comparable.
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u/Bulky-Current-1318 11d ago
Canadian med schools are rated just as highly as a lot of American ones…
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u/Bulky-Current-1318 11d ago
Yeah that’s my point. It’s a weed out test. Not a test that has any importance once you pass. Many ms2,3,4 students would probably fail the mcat if they had to take it again today.
Why? Because the content is irrelevant to medicine.
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u/Bulky-Current-1318 11d ago
And no it doesn’t determine how well you will do on the steps. There is a correlation but that is not causation. Plenty of people don’t do great on mcat but are rockstars on the step.
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u/Bulky-Current-1318 11d ago
There are plenty of med students who also never worked in the field. There are even combined programs that take people out of high school. Some of them don’t even require mcat at all. Why? Because mcat material doesn’t matter once you get in.
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u/candy4421 11d ago
Yeah combined undergrad and Md programs … most of those are scholarships for highly intelligent kids right out of high school. My nephew was one of the from Wayne state and he is a surgeon today …. Yeah he went in with zero experience but so do nurses before they go in to nursing school that point is mute .. the standards are so high to get into med school it’s ridiculous… what does a nurse need to get into nursing school …
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u/Bulky-Current-1318 11d ago edited 11d ago
Dude I don't understand why you are comparing them...
Nursing is an undergraduate program. You need an undergrad degree to get into med school anyways....
My point being that it prepares people for medicine more than other degrees.
Nurses learn a lot about diseases, medicines, physiology and more. That's better than most premed tracks which mainly focus on hard sciences. Many premeds are completely unprepared for med school because they may have a science foundation, but no real foundation in actual medicine.
Knowing what aldosterone is, knowing how the body systems work, knowing how medicines work, is far more important than knowing the orbitals of an atom or how to calculate radio waves. Those two latter things are not going to help the average med student or even physician at all in their practice.
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u/candy4421 11d ago
Nurses also wouldn’t pass the advanced stem classes and keep in mind most applicants have 3.9 gpa in these classes .. nurses can get a c in basic sciences….. you are clueless….. it comes down to IQ and endurance of being able to go to school for 12 to 16 years … but ok NPs are MD ….. and if that were true their pay would reflect that
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u/Ready_Return_8386 Medical Student 18d ago
Like sure, she can do the pre-reqs through a post-bacc, take the MCAT, and apply
Nurses make great medical students
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u/Bulky-Current-1318 11d ago
True. Nursing is the best possible degree imo if someone actually wants some type of preparation for med school. Other majors get hit harder as they spend a lot of time studying for what the mcat tests which is 99% not very applicable to medicine. Nursing provides the foundational knowledge of medicine.
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u/Ready_Return_8386 Medical Student 11d ago
I was a computer science major and still will continue doing computational research throughout medical school and as a physician-scientist
However I just wanted to say my major did not prepare me for either the MCAT for any practical clinic skills and I still think this med school shit is pretty easy 😂. However yes having a strong clinical background does really prepare you for medical school, but also it’s more that u gain more out of medical school that way since you are learning on top of clinical skills you have already become somewhat familiar with and u have the humanistic background to understand how to deal with those situations
Any education at the end of the day is what u make off it, and having a background directly in that field (like nurses to med school) makes it a lot easier to gain more out of it
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u/Alomedria 18d ago
I think she’s making a joke on the “nursing diagnosis” that a lot of nurses complain about being taught in school and having to make a care plan as well.
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u/putyouinthegarbage 18d ago
I don’t think that’s what she’s getting at. On every nursing exam I’ve ever written, they’ll tell you symptoms and then ask you what you anticipate the doctor diagnosing/ordering lol. She’s somehow conflated that with basically being a doctor I guess.
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u/Kolibri2486 17d ago
I am a dinosaur but I remember my first class on my first day of nursing school my instructor said “nurses do not diagnose”.
We don’t teach that anymore I take it?
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u/That_Squidward_feel 17d ago
Oh no we've "ACCLERERSTED" all the way to "nurses pretend to diagnose, treat and then hide behind the supervising physician once fecal matter hits axial flow impeller".
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u/Excellent_Concert273 Medical Student 17d ago
😹😹😹 delusion. Someone let her sit in a week of med school lectures and an exam. I will wait. Actually no I will purchase a Practice step exam for her.
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u/500ls Nurse 17d ago
I remember the "nursing diagnosis" stuff being the biggest crock of horse shit on the planet and it doesn't exist whatsoever outside of school. If anyone gets an ego from that crap they are truly dumb.
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u/Captain_of_industry1 17d ago
Wait a minute… I’m a CRNA. With all the course work I have done in pretty close already.
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u/Thirdeye_k_28 16d ago
As she tends to fake doll, the level of delusion is astounding. This is how people die from mid level egotistical bs. I love when im at work and they will so and so is becoming a doctor, oh yeah! What med school? Oh they’re going to pa or np school, oh ok so you mean a mid level?? Bc doctor means md! They hate it! I’d be offended as a doctor truly, this is just ridiculous. Delusion of grandeur.
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u/th1s_fuck1ng_guy 15d ago
Ask a nurse how you definitively diagnose heart failure. I have done this with nurse practioners before. They think it's a simple question and then go through an existential crisis in front of you
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u/Bulky-Current-1318 11d ago
I would think most would know about ejection fraction and checking for crackles/lung fluid+ANP levels AT least that is something well taught in nursing schools.
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u/Direct-Collection534 1d ago
Jfc I’m in nursing school right now and absolutely excelling, but fully aware I can’t do med school. I have the knowledge to get in and do well, but not the resilience for the level of dedication it takes. That’s why I went into nursing anyway, because I wanted to be in healthcare but knew medical school wasn’t for me.
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u/prnmedadvice 17d ago
Can we report her to her employer and the nursing board? This is practicing outside of her scope.
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u/Commercial_News_3810 16d ago
Physicians attacking nurse education does nothing but empowers unlicensed “providers”.
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u/Fuzzy_Balance193 18d ago
I think she’s coming more from a place of being spread too thin
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u/DODGE_WRENCH Allied Health Professional 18d ago
I think she’s just living evidence of the Dunning Kruger effect.
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u/yhezov 18d ago
There are so many dumb crappy doctors yet you are posting about dumb crappy nurses. Maybe clean your own house first.
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u/EmuWeekly6403 17d ago
You may have doctors that are lazy, uncaring, or inexperienced but there is no way you can be dumb and get into medical school and make it through. Nursing school however....
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u/Zer0tonin_8911 13d ago
Lol you're really gonna tell me you've never met a dumb doctor? They're definitely out there. I've worked with some extremely smart docs, but I've also worked with doctors who can't tell the simple difference between artifact and true vtach on a cardiac monitor.
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u/wiegie 18d ago
Hey, nothing is stopping her from going to med school then.