Does this redirection happen at triage? or does the patient wait to see
the doctor to be told to see the GP. I know outside the UK, triage
nurses 'triage away' and I had heard rumours that Bradford Royal
Infirmary had also started to do this. I work in a department that does
not recognise  any nurse practitioner qualification, given this
situation can the triage nurse still 'triage away'? And how does the
legal land lie in this situation, are you on doggy ground or have I
missed out on something. Any information on this subject would be
gratefully received..
julie
 In message <[log in to unmask]
.nhs.uk>, Nick Jenkins <[log in to unmask]> writes
>    Sorry - should have made it clear that as we don't have GPs in the
>    Department we re-direct patient to the GP for GP appropriate cases,
>      dentist for dental problems etc.  The Triage category might
>    influence how you do that - Category 5 can make their own
>    appointment next week,  Category 3 GP appropriates I would expect
>    the Triage Nurse to be super-helpful and help them make that
>    appointment today.
>    Nick Jenkins
>    -----Original Message-----
>    From: Jenkins, Nick
>    Sent: 18 November 2001 10:46 AM
>    To: [log in to unmask]
>    Subject: Re: GP's in A&E
>
>    I think that people need to move from the idea that Category 5 (or
>    even 4) patients are synonomous with being appropriate for GPs to
>    treat.  Triage grouping surely relates to urgency rather than
>    stating which specialty is appropriate to treat the patient - thus
>    there may be cases appropriate for GPs but not for A&E docs who,
>    because of degree of symptoms,  may be (for example) Category 3.
>
>    Some places will employ GPs to see GP appropriate cases - others
>    don't.  I belong to the latter group.
>    What is important however is that the patient is seen by a
>    specialist who is appropriately trained to treat their condition -
>    thus a GP is no more the correct specialist to treat a Category 4
>    A&E appropriate ankle sprain than I am to treat a Category 4 GP
>    appropriate sore throat.  How we deal with Category 5 A&E
>    appropriates (my example would be a several week old ankle sprain
>    not getting better)is up to the individual Department (eg.  put
>    them in a clinic rather than see this busy Sunday morning!) - but
>    it doesn't mean that they should be fobbed onto the GP.
>
>    Nick Jenkins
>    A&E Consultant,  Abergavenny
>    http://www.ae-nevillhall.org.uk
>
>
>    -----Original Message-----
>    From: chris markwick [mailto:[log in to unmask]]
>    Sent: 17 November 2001 8:56 PM
>    To: [log in to unmask]
>    Subject: GP's in A&E
>
>
>    I am shortly to start as GP specialist in A&E. Does any one have a
>    list of
>    Manchester Triage Catergory 5 conditions, or a list of what a GP
>    could see
>    efficently in A&E that  I could give the staff?
>    (Lengthy replies/attachments off list please)
>
>    Chris

--
julie hassell