I don't care where you're from

If you:

Tell me my patient is shivering because his body temp is 36.5 I will think you're stupid.

Tell me that my patient's kidneys won't start working until I stop the CRRT I will think you're beyond stupid.  If you then tell the nephrologist that and disbelieve him when you are schooled to the contrary I will think you should choose a new career.

Tell me that the person who awake enough to answer yes/no questions and has broken through two sets of soft wrist restraints trying to self extubate is "comatose" I will always provide you with plenty of subsequent telephone conversations regarding level of arousal.  You are wrong and I will badger you until the end of time, or the end of my shift, until I get what the patient needs.

Tell me to paralyze my patient instead of sedating her I will report you as far up the chain of command as is necessary to have you in time out long enough to think about what an asshole thing that is for you to do.  If I can, I will ensure that you are paralyzed without sedation should you ever need to be intubated.  I want you wide awake to experience what you made sure you would not witness the first time.

Tell my patient's family that their family member is in pulmonary edema because they (read: I) gave her too much fluid yesterday for "low blood pressure" I will find a way to embarrass you as publicly as I can.  You know as well as I do that not only did I not give any fluid for hypotension, I was on the phone to your lazy ass all day for beta blockers for the hypertension/tachycardia YOU caused by previous unfavorable decisions.

I will not accept that you are "culturally" impaired.  You are here now.  You may only bring your MD license in the door.

We (the nurses) will continue to save you from yourself all day every day and save our patients from your bad decisions too.  But remember: there will come a day when your poor decision will not adversely affect my patient and I will leave you out to dry.