By Nora - 12/11/2015 21:21 - United States - Fargo
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Nurses absolutely should not be diagnosing. They are not educuated to build differential diagnostic lists. That is nothing against them, physicians are trained extensively on this skill and it is not easily ascertained. Nurses often speculate with their physicians about what they think is going on, but physicians still enter the patients room with an open mind. In this case, there are details missing. Pneumonia is not a difficult case to diagnose. So that makes me think the physician didn't even enter the room, in which case it is entirely the physicians responsibility.
I'm a nurse and in my country we study and train pretty much like doctors. To become a nurse you have to go to University for 3 years and study about 80 subjects, including anatomy, phisiology, biology, surgery, pharmacology, cardiology, neurology, gastroenterology, and even psychology, ethic and medical law. Nursing school is full time, with classes from 9 am to 6 pm every day. All classes are mandatory and you can't skip them or attend them online. There is also a mandatory clinical training in hospitals, 3 months per year, 8 hour per day where you work for free. Doctors do the same thing, but split over 6 years instead of 3 because they only have classes in the morning (4 hours per day). It's the same amount of work, but not compressed like in Nursing school. And yeah, most of us are able to diagnose diseases on our own, even though we are not actually supposed to do that. That nurse is probably from the US, where you only study a basic subjects for a couple of years without much of a training.
Nurse practitioners do diagnose & treat. All without the pt. ever seeing a doctor. I went to a doctor (only because my NP was out of the country) twice over 4 weeks with a lingering cough & congestion only to be told it was just a cold. My nurse practitioner diagnosed me 2 days later with pneumonia, bronchitis, & 4 cracked ribs! Everyone makes mistakes, but it still sucks. Thankfully it wasn't life threatening OP.
Did she not listen to your lungs at your last appointment? lung sounds are definitely useful clues.
I had the exact same thing happen to me!! I sat there, hacking up a lung with a 102 fever while they told me it was "just allergies". Yep, pneumonia. That was 5 years ago and it still makes me so mad!