Hawthorne is not only a nurse; she’s the chief nursing officer (CNO). I must admit, I didn’t exactly know what the responsibilities of a CNO were, not being a nurse myself, until I asked one of our nurses on staff, Christine Moffa. With that said, you may wonder what attracted me to the show in the first place.
One word: drama. I sensed that Hawthorne would be just as dramatic as other drama-filled TNT shows I watch, such as The Closer and Raising the Bar, despite some early critiques saying that Smith’s characterization was boring and the storyline predictable.
I appreciate Smith’s new role as Hawthorne. If she isn’t protecting her nurses from physicians (who are too busy to give the patients the attention they deserve, and too quick to point the finger at the nurses when something goes wrong) or mentoring a nursing student (whose first day consists of a patient throwing up blood on her uniform and a doctor yelling at her with an accent that’s so heavy it’s impossible to understand), she’s making sure her nurses provide the best possible care and that they consistently look out for their patients’ best interests.
The love–hate relationship between the doctors and nurses is a big problem confronting characters in the show. Christina Hawthorne makes it her responsibility to be the leading advocate for her nursing staff. She makes it clear that she will hold her nurses accountable for their mistakes so long as doctors are also held accountable for theirs.
Sometimes, it turns out, this isn’t so simple. In the first week’s episode, a diabetic patient ends up “coding” after a nurse goes against his instincts (yes, the show has a male nurse character, another plus) and follows a physician’s order to give the patient a dose of insulin that’s too high. In the aftermath, both the nurse and the doctor blame each other—all the while the patient’s irate father is threatening to sue the hospital.
In the end, the lesson learned is to stop placing blame on one another and work together as a team to prevent such incidents in the first place. We all know how easy that can be. How frequent are these conflicts? Are all nurse and doctor relationships this difficult? What are some ways your staff deals with these issues?
—Amanda Geer, AJN administrative coordinator