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The nurse is in direct supervision of the team; then, with regard to patient care, together with the doctor, are the highest authorities here. The nursing technician cannot exchange dressing for central venous catheter. The nurse has autonomy. So much do we need to talk to her. [superviser nurse] to then move forward. There is control, even in caring. But you have to impose yourself and show that you have knowledge. I make decisions for the knowledge I have. There are things that are discussed and others that are decided, and we know it later. Also, physicians that are here have a little more open minded. With the callers the dialogue is open, it is possible to have direct contact. In four years of work, I never have a problem. It could improve, but we get along with the doctors. With the management we are free to speak, to expose. The manager is always available. Every time I needed it, I was very well received. I think the relationship with management is good. For example, the head of the doctors, she is sensational. As I said, we suffer a lot from management, there is a lot of pressure.
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At least in the morning, we can solve everything calmly; but in the afternoon it is not the same way. I think it does not have autonomy, I think nursing is a doctor's doormat. But I've worked in other hospitals that have a doctor who chooses which patient is going to stay with the nursing technician. Not here. On the contrary, they [doctors] give full support to the people. I quietly discuss with the doctor about the medication that I think could help the patient. I think the nurse has a good control, that part is quieter. The nurses question the doctors about the bladder catheters and, in many cases, they are withdrawn by the nurse's decision. With the doctors here our relationship is quiet. I've never had any problems, always have a good conversation, a good understanding. With the boss, we have a good relationship. It is more open to negotiation. You have respect. But sometimes we feel very charged, something that does not happen in other shifts. I get along very well with the management. However, it could be more flexible, really demanding what is needed.
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We have a bit of autonomy, even as nursing technician. Nurses listen a lot, maybe for experience. However, there are still many things that it is the doctor who solves. I think nursing has control. We have here in the hospital the Systematization of Nursing Care. This gave autonomy for the nurse to prescribe and also for the technician to perform. Often it depends a lot on the nurse, right? Because he makes a point of his autonomy in the sector. The nurse may make the decision to pass a catheter, for example, and usually in other institutions, the nurse will only do this if the doctor prescribes. There's a doctor who does not like you to speak, give an opinion. But in general, they are all very accessible. I realize a great relationship with the doctors. First, because we have been living together for a long time. Of course, there are doctors and doctors, but what stands out is this good relationship. We are wide open. When we come with a proposal, it is very accessible. The manager is an excellent professional, always interacting, making meetings, etc. If she can help, she helps.
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