It is a bit hard to explain because it's an intellectual profession. I'm from Italy and even if society still believe we are like.. a slave XD (kinda like in this manga), we have to make assessments and take decisions constantly, in our field. I think it's better to make an example: is there risk of bedsore? I have to consider what this person eat, how this person can move, if the skin is often wet (does she sweat too much, is there urine leak?), this person'mental health...if the risk is high I have a diagnosis (a nurse diagnosis, not a medical one) and I have to: chose the right mattress, change the diet, tell the psychologist about it, put an urinary catheter if necessary, change the position of this person every three hours. This is only one little example. In some unit we don't even have a doctor, they only came when we call, so this can give you an idea of how many responsibility we have, far more than "do what the doctor say". When there is an emergency I have to know what to do and even if I can't make a medical diagnosis, I have to know what the problem can be, to give the person first aid. We have to study pharmacology, cardiology, internal medicine, urology, a little of all. The Injection or ev are, like, the most easy and stupid things we have to do.
I really admire some doctor, don't get me wrong, but they do their job... and us do ours, there are collaborations, of course, but they are two separate jobs.
Please excuse my poor English
Also...in that example all is about the risk of getting a bedsore..if the person have one I have to take care of that, make dressing, and that also is my field not doctor's (there are nurses that are specialist in dressing, and there are other specialization too).
Not in all countries is like that, though
-sorry, send before finishing - even if I admit dome people couldn't do this job or work in my unit I don't think I'm like..special or anything..we ALL have things we can do and others can't, so I like to think I'm just doing what I personally can di better. I lado worked in a pediatric unit with child with cancer, and while a colleague said to me he couldn't even work there, I told I wouldn't survive obese day in his unit, a psychiatric one. I love how each nor of us have a place in this world..there is this quote I love (it seems Einstein wrote that but we don't have clear evidence): "Everyone is a genius. But if you judge a fish by its ability to climb a tree, it will live its whole life believing that it is stupid." Oh, I LOVE this!!
Yes, we need people to do a proper work!! You know I worked in this care home before and I was the only nurse with 40 patien. 40. It was a nightmare. I couldn't sleep anymore, eat anymore...I had to let go of that job. Now I work in one of the biggest hospital in my country and because of that I work with many colleagues. Now I can sleep and eat ahaaahaah it can be difficult but patients are my strength. Sorry for this digression and thank you so much for your kind words
I'm feeling compelled to throw my 2 cents in, so here you go:
1. In my country you're supposed to learn half of what a doctor needs (anatomy, blood counts (norm values and what might induce changes and which sickness might be the origin), diagnostics (general, specific, smell, feel, appearance, signs and diagnostic tools), general surgical applications (which procedure for what and how it's done)) and then healthcare specific knowledge which allows you to incorporate the therapy the Doc decided on, into a wrap around the patient with the goal to "heal"(dietary, skincare, ensuring sleep and a profound effort to relax the patient as far as possible, otherwise all efforts go out of the window).
2. You're only allowed to use a third of that knowledge without the "go ahead" by some doctor. (Example: my patients blood pressure is through the roof. I am allowed to apply the emergency medicine noted down in this patient's file. One hour later, the blood pressure didn't lower at all, it rose despite everything and I have reason to fear that important blood vessels might rupture soon. So I page a Doc. And I resume to do so risking being reprimanded, for the pressure is STILL RISING and I'm not allowed to do anything else.... I got close to calling emergency call despite being in a hospital already)
3. BONUS
Depending on the doctor, your experience, observance and effort are recognized - or not. Some doctors view us as "team player" or "valuable assistants with 24/7 insight of the patients progress" and some as "the girl that changes the bedsheets". Well, I DID change bedsheets, no denying that. (Example: patient lying on fresh sheets and my mind goes "huh... She's sorta... Yellow" (which isn't normal, to say the least). So I went looking for the doctor in charge and told him about my observation. He scoffed (like, really dramatically), and started droning about my lacking knowledge and how this patient has had an implemented small tube and how it was "impossible", that she'd shown signs of icterus ("turning yellow"). Yes, your holyness, I knew about that as well. Fact is, she had a fast growing malicious cancer which pushed that tube aside... so she... turned yellow. And was dead within 6 weeks.)
This comes off as darker as intended, but I guess...I loved this job. The profession itself is demanding but also rewarding. It's the funny days (entertaining a young spastic with my black eye, discussing that I looked like I started a brawl with a truck and obviously lost), the crazy days (my former colleague - a former prima ballerina - entering a patient room in the night shift with clogs on his (!) feet, a bed pan on his head and doing a pirouette.... Or him assisting a Doc while performing coloscopy, chirping "Let's get some eyelet embroidery done, shall we?") the sad days when you lose a patient despite everything and the tiring days when you're just DONE with your shift about two hours in - but your shift isn't done with you, yet. (And then ER calls because they need 20 beds and everyone stays for 3 hours longer, for they're playing tetris with beds in rooms and corridors)
And truth be told, what I read lately in the news - at some point it doesn't matter anymore where or in which country you 're "healthcaring" it's the same all over and that is... really, really frightening.
5 years ago I had to enter ER on my own because appendicitis decided to make my week much more interesting. 3 hours of waiting. Another hour of waiting after having my first meeting with a doctor. Another 45 min (in which I was paraded in front of doctors-in-training, for I was such a "classic case"). Then I got a very young doctor who was supposed to practice on me, so he made me get up and JUMP ON ONE LEG (I was close to clobbering him with the IV-Drip)... which is actually really part of diagnostics... When you're not sure about the diagnosis.
For the next 3 hours I waited (told the anesthesist how I'm allergic to penicillin) got placed here and there with my bed - and every freaking time I got asked, I said I'm allergic to penicillin. The all noted it down. Finally in the OP, everyone bustles about, ready to knock me out and I get asked just before they apply anesthesia... YES. YES, I'M ALLERGIC TO PENICILLIN.
And everyone kind of froze Σ(  ̄□ ̄||)
This kind of chaos is an everyday occurance, so the most desired trait of a nurse nowadays might be a flawless pokerface ( ̄∇ ̄")
Whatever happens, panic as much as you like, but never ever let it show ^^
-sorry- as I was saying, as nurses we are pretty similar..in other countries they can have different responsibilities, like in England, where you can do little things, but you do can make a career. The saddest fact here in Italy is the salary: 1.200 euro is the base salary. If you do night shift you can get 1.500, sometimes 1.600, but that's it. Considering the cost of living we are the worst paid in all Europe and even in the majority of the world.
If that's not demotivational, I don't know what is. Well, it's the reason we're lacking in Healthcare workers all over, isn't it?
5 years in that profession and all I got out of it is lots of experiences of the strange kind, damaged knee, back and shoulder, crippling stories to tell and some bits and add-ons for my c-ptsd.
But!
I was "damaged goods" beforehand, so that doesn't really count ( ̄へ ̄)
(≧∀≦)
My little sis is a nurse too. She tell me a lo about her work - beside she know that I have hemophobia since childhood and I really hate hospitals, cause I was in hospital many times due to pneumonia - and se said that she and her colleaguea ask this many times because this is precept (sorry if i chose wrong word)
Okay I'm a nurse and I don't know if I'm ready to read this xD