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Different Roles. One Team. Creating Change Starts With You.

Aug 18
4 min read

Healthcare is full of titles.

Nursing assistant. CNA. Medical assistant. LPN. RN. Graduate student. Provider.

Each title comes with a different education, a different scope of practice, different responsibilities, and a different view of the patient.

But the worlds are intertwined in nearly every way.

The CNA may notice that a patient who normally jokes through breakfast suddenly isn't talking.

The medical assistant may hear something important while rooming a patient that never comes up again once the provider walks in.

The LPN may recognize a change because they have cared for that patient for days.

The RN may put several small pieces together and realize something bigger is happening.

The provider may use all of that information—assessment findings, history, diagnostics, and what the healthcare team has observed—to determine what needs to happen next.

None of those pieces should exist in isolation.

Know Your Role—And Respect Theirs

Every member of the healthcare team has a scope of practice. Knowing yours matters.

Don't jump your role because you want to prove what you know.

And don't diminish someone else's role because their title is different from yours.

Education matters. Licensure matters. Scope matters. Experience matters.

But so does the person who has spent the last eight hours at the bedside.

So does the person who noticed the patient's appetite changed.

So does the person who says, "Something isn't right."

One of the most dangerous things we can do in healthcare is become so impressed with our own title that we stop listening to the people around us.

Listen to Your Gut. Listen to Your Team. Listen to Your Patient.

Clinical knowledge is essential, but healthcare also requires awareness.

Sometimes the numbers haven't changed yet.

Sometimes the chart doesn't tell the whole story.

Sometimes a patient cannot explain exactly what feels different—they just know that something does.

And sometimes your coworker notices something you missed.

Listen.

Ask another question.

Take another look.

Speak up appropriately.

And when another member of your team comes to you with a concern, don't immediately dismiss it because of the letters—or lack of letters—behind their name.

They may be seeing the piece you haven't seen yet.

Be Present Where You Work

Being present is more than clocking in.

Learn your patients.

Learn your team.

Build rapport.

Know who communicates well under pressure. Know who needs an extra explanation. Know which patient is usually talkative and which one normally keeps to themselves.

Put the phone down when someone is speaking to you.

Look at your patient.

Listen instead of simply waiting for your turn to talk.

Follow through when you say you're going to do something.

Help when you can.

Say thank you.

And treat your coworkers with the same basic dignity you expect them to give you.

Rapport isn't something reserved for patients. Strong healthcare teams are built on it, too.

Work Together, Not Against Each Other

Healthcare is hard enough without us making it harder for one another.

There is no prize for making a new CNA feel stupid.

There is no benefit in an RN treating an LPN as though their experience doesn't matter.

There is nothing gained when one department blames another instead of solving the problem.

And having more education does not give anyone permission to become disrespectful.

I've experienced healthcare from different places along the path, and as I continue my graduate education toward becoming a provider, one lesson only becomes clearer:

Moving forward should never make you forget the people standing beside you—or the roles that helped shape you.

A good provider needs a good nursing team.

A good nurse needs good support staff.

A good healthcare team needs people who communicate, respect one another, understand their responsibilities, and are willing to listen.

And every single one of us needs the patient.

Because ultimately, they are the reason the team exists.

Creating Change Starts With You

It's easy to talk about everything wrong with healthcare.

Staffing.

Burnout.

Poor communication.

Toxic workplace culture.

People feeling unheard.

Patients feeling rushed.

Departments working against one another.

Some of those problems require changes much larger than any one person can make.

But culture is also built in thousands of small interactions.

How did you speak to the CNA today?

Did you listen when the MA brought you a concern?

Did you help the nurse who was drowning?

Did you explain something to the student without making them feel foolish for asking?

Did you actually listen to your patient?

Did you own your mistake?

Did you speak up when something didn't feel right?

Did you leave your corner of healthcare a little better than you found it?

We may not be able to change the entire healthcare system during one shift.

But we can change the experience of the people sharing that shift with us.

Respect your role. Respect theirs. Listen to your gut. Listen to your team. Listen to your patient. Be present. Build rapport. Work together.

Because creating change in healthcare doesn't always begin with a new policy, a new title, or another set of letters behind your name.

Sometimes, it starts with you.

Precision Beyond the TextbookLearning the material matters. Learning how to be part of the team matters, too.

 
 
 

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