Tony Good wrote: -
"Currently in our departments, as you know, the best consistent level of
patient are offered is that provided by the least competent SHO (or maybe
nurse practitioner). Increasingly I believe this will not be tolerated, and
with due respect to these SHOs (or Nurses) nor should it be"
I, being a senior nurse in an A&E department, feel that the best care for my
patients is given by the nursing staff of any grade.
I feel that the doctors that "pass through" the department for 3 or 6 months
do not have the time to settle into the procedures and policies of that set
department and this leads to a "disjointed" care for the patients.
The key to the assessment, prioritisation, treatment and continual
evaluation up to the point of admission or discharge is COMMUNICATION.
Communication between the new SHO's and junior staff and the senior medical
and nursing staff...
I feel that team work and shared governance ( everyone giving their view and
their view being valued ) will lead to a consistant level of care for our
patients...
and that experienced members of staff teaching junior members and junior
members keeping the older staff on their toes is the key!
John Horley
A&E Staff Nurse - Liverpool.
...and according to the Reforming Emergency Care document, no-one will have
to wait longer than 4 hours in an a&e department... Amen!
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