In article <[log in to unmask]
nhs.uk>, [log in to unmask] writes
>
> In response to Jel - it's not purely down to definitions. When you
> do an A&E locum it is the responsibility of the A&E Consultant
> looking after that unit to ensure that you're clinically competent
> and up to the job
I agree - but this is seldom done in my experience
>In these Governance
> days that means the Consultant working with and assessing the locum
> and then either saying "OK you can do the whole job" or otherwise
> "you're only allowed to do tasks X & Y, but not Z". If you're
> doing a Clinical Assistant session your a "permanent" member of A&E
> staff who should have received induction and continued education
> with appraisal by the Consultant.
But am a primary care doctor with an assistantship in A+E - the edges
are blurred - although I agree that the legal position and line of
responsibility is perhaps not
> This is surely not the same as a
> primary care doctor (whatever your definition) without initial and
> ongoing A&E training treating minor injuries.
I would agree - but did anyone say anything about the primary care staff
not having any training in this in the proposed situation - and if they
do have some training in minor injury care does this automatically make
them A+E staff? I think it does come down to semantics and the
individuals own concepts of what is intended
>Which takes us back
> to the point made by Andrew and Robbie of appropriately trained
> staff - the problem seems to be training primary care staff in A&E
> and maintaining the training - where do they find the time?
I don't know where I find it - I guess some of the time I don't - but
there is no-one else to do the work so it gets done to the best of my
ability
I agree the important thing is 'appropriately trained staff' surely. At
which state a primary care worker becomes a minor injuries unit or A+E
worker by definition is not clear cut - and of course those definitions
do not necessarily imply training or competence.
So I will stick to my guns that it is all a question of definitions and
how they are perceived ;-) whilst at the same time accepting your point
of re lines of responsiblity
>-
> they're already more overwhelmed with primary care than we are with
> our lot!!! ;~)
I know! In the rurality the GPs provide all the primary care, usually
without things such as hospice support, run cottage hospital beds and
see nearly all the medical emergencies and most of the trauma (well,
that is the situation around here) - and yes, I do feel overwhelmed at
times - but I also have a lot of fun and enjoyment
Cheers :)
--
Jel Coward
The UK Wilderness Emergency Medical Technician and Command Physician course
site has been updated - take a look for course dates in 2000!!
http://www.wildmedic.org
http://www.wemsi.org
'There's no such thing as bad weather - just bad clothing"
Anon Norwegian
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