-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of Mark Dawes
Sent: Sunday, May 14, 2000 4:52 PM
To: [log in to unmask]
Subject: Re: ENPs - a cheap option?
With reference to G grade nurses in A&E-
1) To achieve G grade status requires at least 4-5 years plus in A&E - which
means a hell of a lot of exposure & experience to not only 'minor' patients
but also critically injured patients
2) Almost certainly means that the nurse advises & guides the SHO who has
just finished his/her house jobs & has very little insight how to manage
both 'minor' and compromised patients attending A&E
3) The G grade probably has a far greater experience than most of the SpR's
who are just commencing their A&E placements!
4) G grade nurses don't only treat the 'minor of the minor' - I've observed
ENP's at certain trusts - manage cardiac arrests, manage & refer both acute
surgical and medical patients, reduce dislocated joints, reduce common
fractures and perform tendon repairs without the input of SHO's or middle
grade staff.
The NHS doesn't recognise and reward the hard work and dedication that any
of its health service professionals provide - whether its a D,E,F or G grade
nurse or casualty SHO.
I can honestly say - I couldn't give a monkeys who is treating me as long as
I can be assured that I am being managed by someone who is confident &
competent & proficient at what they are doing!?
Mark Dawes
A&E
Dear Mark
Why not go the whole hog and get rid of all docs from A&E? Clearly my 6
years at med school and 10 years post-grad training was a complete waste of
time, I could have skipped all those nasty, tiresome exams and sleep
deprived nights on call and instead done 3 years as a student nurse, 4 years
in A&E to get to a G grade and bingo the complete A&E practicioner! We could
always ask those nice Orthopaedic Surgeons to "oversee" the A&E department -
why bother with A&E doctors?
Or have we been somewhere like this before?
Bill Bailey
A&E Consultant [soon to be out of a job], Derbyshire
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