I attended the Leeds "See and Treat" bunfest.
The co-ordinator or whatever she was patronised us to hell and beyond. I
have experience of her style from her former life in A&E!
The general feel from the clinicians on the floor was that with adequate
staff levels, exercises such as see and treat would not be required.
The demand to do this as well as take on ECL,Streaming, Education, Audit
and see patients and manage a department is excessive.
The presentations I saw were for the use of ENP's managing the minor stream
with a nominated middle or senior clinician, and another for a dedicated
minor side.
We had a dedicated minor side in Sheffield at the Hallamshire and Hull for
years but still would get overloaded when the numbers rose.
I have three MIU's run by ENP's who also get overloaded.
We have never Triaged in Scarborough because we have never had enough
staff. Now they tell us Triage is passee! I never thought of it as I have
seen it performed, as anything other than a crowd management tool. I am
trying to install "Empowered Triage" which is realy low level ENP function
on protocol.
The only real way to cope with the patient numbers is to have Expensive
Trained clinicians, ENP or Medical of sufficient numbers and seniority so
that we can assess and treat. Where is the miracle cure in that?
APV
>Colleagues
>I see from the attendees list that there was a large turn out for
yesterday's study day in Manchester on the above topic. Unfortunately I
couldn't attend. Through the list I would like to canvas people's
opinions. Without wishing to offend some of the quasi acaedemics who seem
to flourish on this list I will keep my own council but I would value other
comments.
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>Danny McGeehan
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