So the senior doctors in your department care for no patients and can't
train their juniors? Do they speak that well of you too?
smiles... thankyou for that dig in the ribs Rowley...
The senior doctors teach and support their juniors as best they can but
personally i feel that 3 months is not long to learn anything more than the
basics of emergency care.
The senior doctors in my department work as a team with the nursing staff to
deliver a high quality care for the patients that come through the
department. The care that the junior medical and nursing staff give depends
on the support that the senior medical and nursing staff can offer. The
training that the sho's recieve is without fault but that is what it is ....
training...
Nurses have to be given the credit they deserve in an emergency care
setting.
The original post that i replied to suggested that
"Currently in our departments, as you know, the best consistent level of
patient care 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"
and my opinion is that the SHO's that pass through the department cannot
offer the best care possible due to their sometimes very limited experience.
in an ideal world the a&e departments would be staffed by specifically
trained emergency care doctors and nurses.
the doctors do not spend more than 3 or 6 months on a rotation... the nurses
knowledge of assessing and treating seriously injured or ill patients in A&E
departments quite often outweighs the doctors knowledge.
Not by any means putting the doctors down... they have a very significant
role to play but i feel that the team effort is the important thing to note
and that it must be recognised at a higher level that the doctors working in
emergency care are "training" and support should be there in the form of
more senior doctors in the emergency care setting.
John.
A&E Staff Nurse.
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