It is usually assumed that both the Doctor and the Registered Nurse are equally important in the medical industry. At some point in time they offered complimentary services to the patients. There were defined duties for the Doctor and those for the Registered Nurse. The rationale behind this was that system of learning gone through by a doctor and a Registered nurse were partially different. However, a doctor tends to give opinions and diagnosis while the nurse should take care of the patient by executing the duties proposed by the Doctor to the Patient.
The duties of a Registered Nurse and a Doctor vary from country to country but there is a slight variation in case of any differences. The practice of this professionalism will be based on the system of the United States, (Russell, Swansburg & Richard 2006) Although a Registered Nurse is considered to be the less knowledgeable, the practitioner doesn’t have a limited area of specialization as the opposed to the doctor.
He can work best in any field of medicine. This assumed duties created conflict of duties between the two medical practitioners.
In the recent past there have been contradictions about the duties of a Registered Nurse and a Doctor. The General medical Council of the United Kingdom among other councils which regulate the practice of physicians came up with comparative duties of both Registered Nurses and Doctors. This was meant to serve as a blue print towards improvement of the services tendered to patients. Duties of Registered Nurses and Doctors Just like doctors, registered nurses can be found in schools, private clinics and all health facility. Registered Nurses and doctors perform a wide variety of duties.
Some of the duties discussed are as follows; both the Registered Nurse and Doctors are accorded the responsibility of supervising other junior nurses, ensuring that all interns who are working under them perform all the duties necessary during their study. The interns are also helped to perform all the practical tests, patient diagnosis and examination by the Doctor and the Registered Nurse. Considering the interest of patients first, both the doctor and the Registered nurse should ensure that the care of the patient is prioritized.
This according to Kelly, Penz and Norma is meant to ensure that the physicians focus on the patient and ensure maximum care. Regular checkups by the two physicians should be done on patients to ensure that they have been attended to and that any emergence cases have been dealt with without any delay, (Kelly, Penz , Norma, Stewart, 2008) The dignity and privacy of the patient should be respected by both the Doctor and the Registered Nurse. From the fact that these physicians are allowed to perform any physical examination on any part of the patient’s body during their practice, all rights human right relating to dignity should be observed.
Most Registered Nurses and Doctors have been accused of molesting their patients both sexually and emotionally due to their submissive nature in a health facility. The patient’s autonomy will only be guaranteed if at Both the Registered Nurse and the doctor read from the same page. This would entail working hand in hand in ensuring that the patient is given accorded any medical assistance from the two practioners They are both supposed to perform a physical examination and document health records of the patient.
Before any medical tests and treatment are administered to the patient, the Doctor or the registered Nurse should give a health record that will enable sufficient tests to be carried out by other medical experts. The health records provided is vital for some predetermined purposes and for reference in future. Any Registered Nurse or Doctor can use the Health records to analyze the statistics about a patient’s health. Problems relating to human health should be channeled to the Doctor or the registered Nurse.
They are liable for giving necessary advice; for instance information about HIV/AIDS and any details on Family planning services. The General Medical council of the UK proposes that Both Registered Nurses and Doctors should assist in carrying out campaigns about how to reduce HIV/AIDS pandemic in the entire world. The world health organization also encourages both Doctors and registered Nurses to assist couples in family planning advice in order to avoid health- marriage related problems like impotence and barrenness.
The respect accorded to the Registered Nurses and Doctors is nowadays the same. In cases where the Doctor is absent and Patients are supposed to be treated, some patients will be comfortable with the medical examinations and prescriptions administered by the registered Nurse unto them. This is a show that even patient have confidence in the Registered Nurse just like the way a doctor could be respected and trusted. Statistics from the General council of Medicine in UK show that Registered Nurse can equally provide good quality medical services to the patients just like the
Doctor does. In the practice of medicine, the Doctor is given the duty of paying attention to what the patient says, explains or complains about. This is supposed to guide the doctor in preparing the health record which will be used for further analysis before treatment is administered. Registered Nurses and doctors are often affiliated to patient’s advocacy and community program. Although not so many Doctors usually participate in such programs, it still stands to be supported by the two physicians for reasons based known by their practice.
The community programs are among activities like immunizations and awareness programs. During emergence of health epidemics like Polio and measles, doctors usually provide the technical health advice as registered Nurses aid in gives information about the epidemics in a general point of view. Both Registered Nurses and Doctors are accorded the duty of updating their knowledge and professionalism. During their study or period of tenure, they are supposed to revisit their colleges so that they can update their studies thereby improving their skills and knowledge in their practice as medical practioneers.
It is advisable that all Doctors and Nurses should gather enough experience during their practice so as to avoid minor mistakes which might cause the serious effects to any causality. It is the duty of the Doctor to prescribe medicine and drugs to the patient who has undergone diagnosis during examination done by the Registered Nurse. In cases where minor health problems are involved, the registered Nurse can prescribe medicine to the patient after performing the necessary laboratory test that should confirm the medical prescription.
There are few exceptional cases where the Registered Nurse is unable to perform the duties of a Doctor. This happens with Nurses who went through the Old system of Education. Health histories sometimes involve confidential information. Since these records are prepared by Doctors or Registered Nurses incase Doctors are absent, the two medical practitioners should keep the information as confidential as possible. This is according to the ethics of medicine practice.
It states that unless the information is required by the law to provide any legal evidence, it is supposed to be kept as private as possible. If leaked to the general public may break one’s marriage or dignity in the entire society. It is not only in the UK and the US but the practice of medicine has up to date stated that the Registered Nurse and the Doctor should ne accorded the same duties now that there tend to be a deficit in the staff under that profession. However, each and every country has got its own way of response towards the regulation. Stress levels
After a long period of working under high stress setting in hospital, most Registered Nurses prefer shifting to different departments in nursing for instance; many prefer community programs which may be a bit flexible. Both the Doctors and Registered Nurses do not like serving many people for a very long time. The two medical practioneers may also wish to have their own relaxation time. Since they are the core central personalities in medical care, all vital responsibilities revolve around their duties. Before a patient gets treated, he must be served by either a Registered Nurse or a Doctor.
Emergency cases are supposed to be dealt with very effective equipment so as to guarantee quick recovery of patient. Lack of equipment to deal with risky cases like emergency poses another challenge. According to Fagin and Garelick, high levels of stress are encountered when the Doctor gets stranded on how to perform medical diagnosis, tests and administer antibiotics. Registered Nurses are usually stressed by their supervisors and by the doctors. The conflict of interest may arise at a result of delegation of duties.
If it happens that duties are delegated from other medical officers to Doctors and registered Nurses, then it becomes so hard for Doctors and RN’s to adapt to the new duties delegated to them, (Fagin and Garelick 2004) Another source of stress is from patients where the doctor and the registered nurse may have treated a patient for a long period of time without any show of recovery signs taking place. Human beings usually prefer working under motivating situation; working in an environment where one sees improvement. It is not always good for patient to die in the hands of registered Nurses and doctors.
The staffing capacity of registered Nurses and Doctors are very low causing overworking due to a large work load. The work load may be so large that Doctors and registered nurses are forced to work for a very long hours without eating and leisure. Due to fatigue, some of the ethical responsibilities end up being violated hence increasing the stress levels. There have been cases of patient who do not follow the Doctor’s or the Nurse’s instruction hence causing more effects on their health while undergoing treatment. For instance, there are some drugs r antibiotics which should not be consumed at given times or with given meals. Every employee prefers working at the comfort of his time and resources available. Doctors and Registered Nurses rarely secure working leaves to enable them meet some of their family members or perform some extra curriculum activities. Both the registered nurse and the doctor have a stress regarding taking decisions of life. Each activity or task within their professionalism is guided by the stipulated strict regulations which should be adhered to failure of which Doctors are subjected to severe punishment from their hiring authorities.
The health risk associated by the practice of medicine by both Doctors and Registered Nurses is so high causing even more stress. Most of the Nurses and Doctors do not have life policy covers and the act of relating directly to sick conditions poses a threat to their lives. Communicable diseases and other diseases which transmit by contact poses a challenge to health care administers. Most of the nurses and doctors do not prefer the integrating/dominance approaches to resolving conflicts with other physicians. This is usually a less-work related stress compared to the avoidance approach preferred by many.
The obliging situation comes along with many assumptions which are not realistically true. In a nut shell, the stress level of Registered Nurses and doctors are very high levels of stress which should be checked in order to ensure good quality services. It is a hard task for a registered Nurse or a Doctor to explain a difficult phenomenon to a patient. For instance there are situations where a “blue baby” are born; such babies tends to have problems with their respiratory system and rarely do they survive. It becomes so hard for a doctor to explain such a situation to a parent.
Most of the patients come with full expectations that they will get cured infant within the shortest time possible; the practice of medicine works on the principle of “probability. The doctor just administers relevant treatment in the hope that the patient will get cured. Incase this doesn’t happen, and then it is so stressful for a doctor or a registered nurse. There are situations where the beneficiaries to the patients have attempted to fight the doctor for reasons that their sick is not getting healed despite the cost incurred.
Working as a Medical doctor is so challenging that many keeps on complimenting and applauding your duties and at the end many Doctors end up having relationship with other hospital employees. This is so stressing and makes all duties performed by Registered Nurses and Doctors be interfered with. It is therefore advised that Doctors or Registered Nurses should not have any personal contact relationship with any hospital employee. Some of the ways by which these levels of stress can be minimized is that all persons practicing medicine as a profession should be insured against any risky healthy situations.
The licensing board should in conjunction with the relevant authority come up with defensive medicine which can offer resistance to attacks from communicable and other diseases. Doctors should devise mechanisms of dealing with complicated and disturbing patients. If possible the doctor should be given enough security. The licensing board should advocate for good working conditions for doctors and Registered Nurses. Such conditions include; leaves, good motivating remunerations and above all transport facilities to all doctors and Registered Nurses.
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