How do I speak up for my patient against senior staff?

You work well with the team now, and that took real growth. What still shakes you is the hard part, standing up for your patient when it means pushing against people above you. That fear is not weakness. It is the natural weight of challenging a hierarchy that has real power over your day. The nerves come from feeling like it is you against them. Reframe it. You are not challenging the doctor's authority; you are bringing them information they need, on behalf of someone who cannot speak for themselves. Most good clinicians want that. You are on the same side, aimed at the same goal. Next time, lead with the patient and the facts, not your opinion. Say what you saw and why it worries you, plainly and once. I am seeing this, and I am concerned about that. Let the facts carry the weight. The more you speak for the patient rather than yourself, the steadier your voice becomes.