May be contorversial, but I tend to agree with patients being sent for CT
being seen by the A and E consultant. My reason is not that SHOs can't
decide who needs a CT, but that any patient sick enough to need an emergency
CT probably needs an A and E consultant; and after report of the CT, a
senior clinician needs to make management decisions. (Although there may ba
a case for the A and E SHO/ nurse practitioner to request the CT, then the
radiologist to come in and contact the A and E consultant...). Also, form a
more personal point of view, these are often the most satisfying patients to
deal with, and it seems a pity to miss out on them.
Matt Dunn
Warwick
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