----- Original Message -----
From: "s.carley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 26, 2001 8:56 AM
Subject: Re: Reforming emergency care
> This document is very different from some of the earlier drafts I saw. It
is
> also more realistic and does not suggest the abandonment of emergency
> medicine as a speciality as previous drafts seemed to.
>
> Andrew Hobart makes a good point, that the studies of Nurse Practitioners
> suggest that they are no better than our most junior SHO's (not something
I
> think we should aspire to).
>
but is this where the bolam level stands? and don't the studies show they
are no worse rather than no better , or is that spin related?
> There are several nurses who hold extreme views that EM doctors should
have
> no role in the management of "minor" injuries (diagnosis in retrospect),
and
> that such departments should on principle have no EM doctor input. The
> argument is that it restricts their practice and makes them subserviant.
restriction of practice for Nurses ultimately lays with the law ( e.g.
current prescribing law), unless many of us are reading the Scope of
professional practice wrongly, AIUI there isn't statute law which says what
interventuions belong to each professional group as such.
>
> Most NPs (that I have worked with) do not think like this and seem to want
> to work as an integrated unit. This would seem to be a more realistic
model.
Absolutely, as surely it's about teamwork to achieve best ends for the
patient or i am being idealisitc here?
> Unfortunately, those with the most extreme views are often those that
shout
> the loudest and get noticed.
true,
>
> Simon
>
Martyn Hodson
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or [log in to unmask]
Student Nurse Sheffield University
SJA Ambulance Attendant
writing for myself, views expressed are entirely my own,
and may not reflect those of Sheffield University or St. John Ambulance ,
Nationally or locally
-Duct tape is like the force, it has a light side and a dark side,
and it holds the universe together.
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