AIBU to want and Dr and not a Nurse when I ring for an appointment?

(80 Posts)
M0naLisa Mon 08-Apr-13 08:14:44

Rang the drs for my 18 week old.
The reception says 'is it anything a nurse can help with'
I say 'I dunno he was treated last week but he's got worse'
Reception: yes a nurse can deal with it.

What if she can't? What if he needs a dr?

Bloody ridiculous!!!

Can anyone tell me what is the difference between a dr and a nurse practitioner?

Message withdrawn at poster's request.

ilovechips Mon 08-Apr-13 08:18:26

If he was treated by the Dr last week then ideally he should be seen again by the Dr. Otherwise it's perfectly reasonable to see a nurse practitioner - most will have done a lot of additional training in history taking and examination and many have prescribing qualifications. They will also refer on to the Dr if the problem is outside of their competency.

doublecakeplease Mon 08-Apr-13 08:18:35

Ring back and ask for a Dr. If a small baby has got worse since treatment then i think they need seeing by someone who can prescribe further treatment

Gorja Mon 08-Apr-13 08:18:45

The nurse can check him out and prescribe medication if needed.
If the nurse can't diagnose or is unsure they will get the doctor to come and check. So if its needed the doctor will see anyway.

chickensaladagain Mon 08-Apr-13 08:19:46

GPs oversee the nurse clinic and the nurse can call the gp in if they have any concerns

Nurse practitioners receive additional training and are good for sore throats, ear ache, uti etc

However if I had a baby that was seen by a doctor a week ago and is now worse, I would want them to see a doctor, I'm surprised the receptionist suggested it

doublecakeplease Mon 08-Apr-13 08:20:50

Actually - thinking about it i suppose it depends on the ailment??

M0naLisa Mon 08-Apr-13 08:21:16

The nurse in question is a good one. She is the only practitioner there. I'm just worried for him. He sounds like an 80 yr old man :-( his chest is sooo rattly, mucousy, coughing like a good one :-(

At our surgery seeing the NP is a fast track to the GP if there are no appts!

Lovelygoldboots Mon 08-Apr-13 08:22:36

The receptionist has decided this, because you weren't sure. I would ring back and ask to see gp as your ds is so little.

M0naLisa Mon 08-Apr-13 08:23:43

He was treated for a Chest infection by a dr who was duty - kept getting knocking on his door and phone calls and that was within the 5 mins we were there. He listened his chest, checked his throat and ear and prescribed antibiotics - I expressed concern about the antibiotic as it would e the first time he would have had penicillin and DH and DS1 are allergic - dr said 'take them anyway if he develops a rash or allergies come back or go to A&E' so far he has been ok on them, just no effect at all and getting worse :-(

M0naLisa Mon 08-Apr-13 08:24:46

Constantly on Neurofen and Calpol to bring temp down

ThreeWheelsGood Mon 08-Apr-13 08:27:30

Getting worse? Why not follow doctors original advice and go to A&E?

Message withdrawn at poster's request.

Youre not being Unreasonable but IME our nurse practitioner is nicer, has more time and is pretty damn good compared to the rushed dr's with no bedside manner.

M0naLisa Mon 08-Apr-13 08:30:39

He's not worse cos of antibiotics. The antibiotics have taken no effect. He said to A&E if he develops allergy to penicillin.

Lovelygoldboots Mon 08-Apr-13 08:31:18

Ring back and tell receptionist. I have been through all this with youngest ds. It's horrible, he had his first chest infection at eight weeks. Keep going with antibiotics until he is well. My ds is 5 now and seems to be a bit more resilient. He had endless chest infections as a baby and toddler. Also, ask whether you need some inhalers. Good luck, hope he feels better soon.

ilovechips Mon 08-Apr-13 08:31:30

Threewheelsgood - I read that as GP said go to a&e if signs of penicillin allergy are seen, I think

Hope he gets better soon

ENormaSnob Mon 08-Apr-13 08:31:34

So when asked if a nurse could help why not say no?

You had the opportunity to say you'd prefer a doctor confused

Mountain out of a molehill.

M0naLisa Mon 08-Apr-13 08:36:26

When she asked if a nurse could help I said he was seen by a dr last week but he's got worse.

When I ring up to make an appointment with a DR why can't I have one with a DR!!

doublecakeplease Mon 08-Apr-13 08:38:43

ENorma - op is probably shattered and emotional. Sometimes when we're not feeling top notch it's not easy to male decisions - she's after advice and perhaps the confidence boost to ring back and ask without feeling demanding

ilovechips Mon 08-Apr-13 08:40:22

Maybe you should've been more forceful with the person on the phone - I'd lay money on the NP putting you straight into Dr anyway given that the Dr prescribed the original treatment, so don't panic I'm sure you will get to see the Dr.

Lovelygoldboots Mon 08-Apr-13 08:42:31

Whoever you see get him down there as soon as you can. It can take a while for antibiotics to kick in. But don't stop giving him the antibiotics.

M0naLisa Mon 08-Apr-13 08:42:57

I just called back and got a different receptionist. They are now fully booked. She said if nurse can't deal with it she will pass over to a dr. Or I could cancel my appointment and do what I did last week. Go sit and wait for a space to see the dr. Which last resulted in waiting 1 hour and 45 mins!! IV kept the appointment and hopefully something will be done.

WeAreEternal Mon 08-Apr-13 08:44:05

Nurse practitioners are just as good as GPs, they can prescribe and diagnose.
You have to do a postgrad style degree to become a nurse practitioner, they are not 'just nurses'.

Tbh I prefer to see a nurse practitioner, they always give better advice and more practical advice that GPs who usually prefer to fob you off with antibiotics and try to get you in and out of the office as quick as humanly possible.
A NP will spend more time with a patient and actually diagnose them rather than just throwing them ABs and hoping for the best.

Sirzy Mon 08-Apr-13 08:44:31

If he has chesty symptoms and antibiotics haven't helped it could be bronchiolitis which can't be treated anyway.

If he is has got worse and your worried I would be going to A and E though

Lucyellensmum95 Mon 08-Apr-13 08:44:46

MonaLisa - I know you are worried but just go along and see the NP, they are perfectly equipped to make an assesment. If he has got worse then she/he will probably get the opinion on the doctor anyway. How long has he been on the ABs? If you are not happy once you have seen the NP then ask to see the doctor there and then.

The reason, sadly, that you can't get an appointment with the dr is because they are probably all taken - we have this system of what i call the 8am lottery and often by the time i get through all appointments are taken - its wrong but what can you do?

Panzee Mon 08-Apr-13 08:45:03

I reckon if you had been making an appointment for yourself you wouldn't have even got the nurse appointment. It's a way around a daft system that GPs have found themselves in.
My surgery don't use nurse practitioners like this but they will always find space for a sick child. Sounds like the receptionist has done her best.

Poor you and baby, hope he feels better soon.

Onetwothreeoops Mon 08-Apr-13 08:47:56

It does seem strange that they have given you a nurse appointment. Could you ring back and double check that you have been advised correctly? Surely if a certain type of antibiotic isn't working then it would need a doctor to decide the next course of action.

Lovelygoldboots Mon 08-Apr-13 08:48:05

Thats shit Monalisa. I think a NP should be able to sort this but if you are at all unhappy demand to see a doc. You can't afford to mess about with chest infections in babies.

mrsjay Mon 08-Apr-13 08:48:10

the nurse will get the Dr to see him if she needs to I hope your baby is better soon sounds worrying ,

M0naLisa Mon 08-Apr-13 08:58:17

Yes second receptionist said she will contact a dr if its something she can't diagnose.

He's been on antibiotics for a week tomorrow. They haven't touched him and he's getting worse - cough wise. He's not feeding. He should be having 7pz every 3-4 hours. Il lucky if he has 4oz every 3 hours. Last night he had 5oz at 6:30 at 1am he had 2oz and then 6oz at 6am. He's hungry now but won't take his bottle confused

ChunkyPickle Mon 08-Apr-13 09:02:31

Go to A&E - I waited to take my DS to the doctor the next morning (He'd got much worse the evening before, but I'd assumed it was just a bad cold) and we ended up spending nearly a week in hospital with him on IV Antibiotics/oxygen mask/nebulizers etc. because it was so bad.

Your description is just how DS sounded - almost like he was trying to breath through a wet sponge.

Lovelygoldboots Mon 08-Apr-13 09:05:16

Is he snotty? I remember my ds being like this because he couldnt breathe when he was feeding. Think I had nose drops for him. Try feeding him off a spoon.

XBenedict Mon 08-Apr-13 09:05:19

YABU nurse practitioner should be able to deal with it but if she can't she (or he) will have access to a GP - in our practice immediately! Hope you little one gets better soon.

Bugsylugs Mon 08-Apr-13 09:10:11

Our nurses do not see children that young. If you are concerned whilst there ask them to get the duty Dr to have a look

M0naLisa Mon 08-Apr-13 09:11:13

He is nasally. Sounds like an asthma sufferer. I have asthma so know it sounds hmm

Sirzy Mon 08-Apr-13 09:12:20

Look up the signs of bronchiolitis, everything you are describing sounds like that. If it is that it is normally at its worse between days 5 and 7 then pretty quickly starts getting better.

Hope he is ok

M0naLisa Mon 08-Apr-13 09:13:43

I can't go to A&E. the minor injuries unit here would send me to major A&E 34 miles away. I can't afford to get there :-( plus DH started a new job on Friday. Last thing we need is for him to get sacked. It's been 6mths since he last worked :-(. If drs send me to A&E then if have to ring my mum and see if stepdad to come through if he can or at least my auntie or someone who can drive to take me and have my other DS' until someone can get my boys. hmm

M0naLisa Mon 08-Apr-13 09:14:53

He started Good Friday. Got him in the drs Tues. started antibiotics tues and now is worse :-( day 10 today.

ChunkyPickle Mon 08-Apr-13 09:17:16

Ah, well, we went to the doctors and they sent us in an ambulance they decided it was so serious that he should be on nebulisers for the 15 minute journey rather than me packing him into his carseat and taking him myself. - so be prepared that it might happen!

Make sure they check his blood oxygen level (although they'll probably only have adult ones.. but they kinda work)

M0naLisa Mon 08-Apr-13 09:18:10

How do they check blood oxygen levels

Sirzy Mon 08-Apr-13 09:19:34

i really think you need to get him to A and E however you can. He is a young baby who has had a bad chest for 10 days.

They check blood oxygen by putting a probe on his finger or toe (probably toe given his age) its painless but they need to stay very still to get an accurate reading.

mrsjay Mon 08-Apr-13 09:20:39

what time is your appointment mona

M0naLisa Mon 08-Apr-13 09:21:48

10:10. Can I request a blood oxygen level test? And can they refuse to do one?

mrsjay Mon 08-Apr-13 09:23:14

not long no the nurse will look at him I know he isn't very well but try and not get yourself worked up before you go in, smile

ChunkyPickle Mon 08-Apr-13 09:23:33

THey just stick a little clip on their finger - the doctor will probably have one sitting on their desk next to the blood pressure thingy (adult ones will read a little low compared to the real result, just to warn you) - then in the ambulance/in hospital they had sticky ones that actually fit a child....

BikeRunSki Mon 08-Apr-13 09:27:25

YANBU

Our nurse practitioner has
1 - prescribed a cream for ds's infant eczema that we later found out aggravates eczema. (it did).
2 - Diagnosed DD's infected eczema as Chicken Pox (it wasn't, but we only realised after we'd stayed in for 4 days)
3 - Diagnosed DS's Chicken Pox as molluscum (so i sent him back to nursery, fortunately nursery diagnosed it properly).
4- Said that Bronchitis was "just a bit of a cough". 24 hrs later DS was at A&E.

I now have very little faith in her. Fortunately she no longer works at our surgery.

McNewPants2013 Mon 08-Apr-13 09:27:44

I would be getting him to a&e, I know it is difficult but it sounds like antibiotic are not working and there isn't much a GP can do apart from maybe giving him a pump.

ChunkyPickle Mon 08-Apr-13 09:30:12

It's half nine, your appointment is at 10:10 - so actually going to the clinic is the fastest thing you can do now, and as I found out - if it's serious then they don't mess about with little-ones, you'll be sent in an ambulance.

OddBoots Mon 08-Apr-13 09:30:42

If you go to A&E often the first non-receptionist you see is a nurse who knows enough to decide how urgent your need is and who you need to see, in a lot of cases nurses in GPs are doing the same job and it's a job they are more than able to do. If you aren't happy with what the nurse has to say you can always still stay at the surgery and wait to see a doctor but I am sure the nurse will get your ds the treatment needed anyway.

soapnuts Mon 08-Apr-13 09:37:16

sounds like what DS2 has at the moment - yucky brochiolitis - he's 15 weeks and we just spent the weekend in hospital having nebulisers every two hours (that 3am one really wasn't fun!) and on oxygen. they didn't take his blood oxygen levels at the docs but when we got to the ward it was very low.... and i'd been considering cancelling his doc appointment!! glad DH convinced me to take him.anyhow if it is bronchiolitis it's viral so antibiotics won't do anything but it does need watching v closely in babies this small.
Hope your little one gets better soon.

JakeBullet Mon 08-Apr-13 09:37:36

MOna, a nurse practitioner won't muck about if she feels your baby is unwell.....most would want a doctor to see a baby. The likelihood is that of you see her she will ask a doctor to see your baby which means you won't have to wait.

Hope your little one is soon feeling better xx

M0naLisa Mon 08-Apr-13 09:47:06

If she says he's fine etc etc and fob me off. If I had te money I'd take him to him A&E and drop DH at work at 2 then go straight to the A&E where he was born at Doncaster but I don't have the petrol money or any money till tomorrow. So may have to just go with what the nurse says and see how he goes overnight. If not better tomorrow then il take him to A&E at Donny.

EggwiniasRevenge Mon 08-Apr-13 09:57:43

Nurse prsctitioners can be excellent. They can also be rubbish just the same as GPs just the same as any job. Our last nurse practitioner was rubbish. Our current one is ace! Our walk in is staffed mostly by nurse practioners and they are mostly ace.

You were diverted to the nurse practitioner because you didn't assert yourself on the phone. You were asked if a you were happy to see a nurse practioner. You didn't say no. You described the scenario and the receptionist 'decided' an appointment with the nurse practitioner was the route to go and you accepted the appointment.

However. You say that last week the dr kept being interrupted. You say that your nurse practitioner is good. In this case I would rather go with the NP.

You also have right to ask for a second opinion.

Lucyellensmum95 Mon 08-Apr-13 10:05:38

Don't take him to A&E unless you have to, you'll wait ages if you are triaged as non-urgent. Much quicker route to see NP, i really can't see what your problem is, you have an appointment with a medical professional which is what your DS needs. I hope he improves soon

x2boys Mon 08-Apr-13 11:06:16

nurse practioners are not as good as gp,s and i say this as a registered nurse yes they have done extra training to allow them to prescribe [ only certain things though] if they wnt to be as good as a gp prhaps they should do the training which takes years it takes six years of training just to become a junior dr and then many futher yrs of exams whilst working to become a gp so yes i would always prefer my kids to see a fully qualified gp than a nurse practioner

x2boys Mon 08-Apr-13 11:17:22

and from personal experience a couple of yrs ago my then 4yr old had a nasty chest infection it was just beforev xmas i couldnt get him in to the drs for love nor money i kept being diverted to walkin centres and being promised he woulld be seen by a dr it was always a nurse practioner and because his symptons didnt tick their little boxes they were not allowed to prescribe antibiotics and i was assured that it was perfectly normal for a four year old child to be ill for weeks and whilst i know he would nt want food when he started refusing fluid i became very worried i was assured this was perfectly fine too [ i know its not and very dangerous] i eventually got him in to the drs he prescribed antibiotics immediatley and guess what my son got better within two days!

DoJo Mon 08-Apr-13 11:35:46

It's possible that the receptionist gave you the quickest route to seeing someone qualified to at least decide whether your son needs urgent treatment in hospital or can be treated at home. Hope he's ok.

MrsHoarder Mon 08-Apr-13 11:41:52

How did you get on M0na?

M0naLisa Mon 08-Apr-13 11:43:04

Well we are back.

She was fantastic (as always blush)

She listened to his chest and immediately put him into the treatment room and put him on the Nebuliser (sp) with Ventalin. He sounded better when it finished. She has prescribed a Ventalin inhaler and a spacer. She says its Bronchilitas and he should get better soon. If he's bad at night give 1-2 puffs of Ventalin into the spacer and hold to his face (I'm asthmatic and so is DS1 so hve used before)

She said if he doesn't improve and it's out of hours call out of hours number. If I don't feel confident with not getting a call back within the time they say, I've to call an ambulance.

She said if an ambulance is called they can calm down his breathing and open his airways by placing him on the nebuliser on board.

M0naLisa Mon 08-Apr-13 11:44:27

We went in at 10:15 and we were in there till 10:50.

mrsjay Mon 08-Apr-13 11:45:11

aww I hope he is better soon it is such a worry when they are so little and ill mona we go into panic mode i think,

M0naLisa Mon 08-Apr-13 11:45:57

Yes we do. hmm

mrsjay Mon 08-Apr-13 11:49:41

the ventalin should sort him out bless him have you calmed down now ?

I'm glad to hear it went well, it sounds like you got a much better service than during your Drs appointment last week.
I'm happy to say that YWBU. smile

M0naLisa Mon 08-Apr-13 12:08:08

Yes I was being unreasonable grin

Yes got a good service. I have to say I should know cos every time I see the NP she's good. I just worried with him being so little.

He's fast asleep and not half as chesty as he sounded. smile

JakeBullet Mon 08-Apr-13 12:09:18

So glad he has been seen....hoping he starts to feel better rapidly poor little mite.

M0naLisa Mon 08-Apr-13 12:09:26

And it's all my doing hmm that's what upsets me and makes me angry confused

That could be a whole other Aibu smile

M0naLisa Mon 08-Apr-13 12:10:04

Thanks so do I as I don't fancy calling an ambulance confused

Lovelygoldboots Mon 08-Apr-13 14:02:15

Glad he's feeling better. If you are at all worried just go back. Ywnbu. I know how panicking it is though.

Pasflo Mon 08-Apr-13 14:25:13

I think it is hilarious that some people are equating NPs to GPs. A 6 week prescribing course does not give you the same level of competence as multiple years at medical school and postgraduate training. All my medical friends would not be treated by an NP and would ask to see a doctor.

Sirzy Mon 08-Apr-13 14:31:24

It may not give the same level of training but is some cases nurse practioners are generally much more useful than GPs. In my experience asthma/chest problems is one of those areas.

XBenedict Mon 08-Apr-13 16:21:31

Pasflo - a 6 week prescribing course does not make you a nurse practitioner either but it might make you a nurse prescriber - quite different smile

XBenedict Mon 08-Apr-13 16:27:47

Try a 2-3 year degree, usually at masters level and you'd be a bit closer than 6 weeks wink

ilovechips Mon 08-Apr-13 17:08:17

God is this going to turn into yet another nurse bashing nurses v drs thread yawns

JakeBullet Mon 08-Apr-13 17:17:48

Pasflo...the thread has moved on.

Oh and a six week course does not make you a NP...you are quite right....more like a nurse presciber. I have a degree as a nurse but I am not a NP or am I ever likely to be. But I would far rather see an NP rather than one or two doctors I have come across in my time.

As for your "medical friends" I am sure they would indeed much rather see one of their colleagues. On the other hand I have one or two medical friends who wouldn't have an issue with seeing an NP and in one case has done so for help with his asthma. He found her far more knowledgable than his GP was.

M0naLisa Mon 08-Apr-13 20:14:39

I wanted to see a GO this morning. I was worried about my son I was hasty to say aibu to want a dr and not a nurse. I'm glad I saw the nurse practitioner. She was thorough and she was bloody good today. She listened to his chest and put his straight on the nebuliser. No pissing about no pussy footing around, straight to it.

He is much better tonight at the moment

Message withdrawn at poster's request.

M0naLisa Fri 12-Apr-13 23:06:16

Sorry I didn't reply. He is much better since being on he nebuliser. Still has a nasty cough but he isn't as bad as what he was. Thanks for asking

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