> 1. How would you manage this?
By assuming this is a systems failure firstly and not to follow the all too
familiar NHS situation of focussing on the actions of one individual. If you
think having adrenaline present is important (see tangent) then look at your
system and ask why it is only one persons responsibility. The out of date
adrenaline would of course still work - so the consequences of this
"incident" are not as dramatic as the complete abscence might be
On a slight tangent - What is the frequency per 1000 jabs of anaphylactoid
reaction?
My practice has been immunising thousands over many years and we have not
one instance
In addition many district nurses give daily Insulin injections to many in
the community (not to mention B12,flu jabs, pnemococcal )
> 2. Is the practice nurse in a different situation from the other health
> professionals?
No, any professional who stabs/jabs/cuts/advises patients/clients has
established a duty of care - then has to practice with the skills that would
be reasonably expected of an average practitioner in that speciality
What is noticible is the disparity of the degree of risk absorbtion between
Nurses and doctors - this of course has more to do with the highly
hierachical over bearing diktats of the UKCC compared to the historical
independance of the medical profession than to individuals themselves
>
> 3. What would you do with them?
Buy them a drink and take a genuine interest in their morale and career
development
>
> 4. How far along the disciplinary route should this go?
Oh dear
>
>
> Thanks in anticipation of your replies.
> Margaret
--
Dr Mark O'Connor
www.physician.org.uk/
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