At Lewisham we also have practice nurses in GPs surgeries making
requests to protocols.
We should encourage this approach using the various NSF guidelines such
as that for diabetes. The nurse requests are well written, legible &
with all the necessary information - you can spot them easily.
We too are about to start an identical process in A&E as in Harlow with
a senior nurse at the triage stage making requests for a range of
diagnostic investigations according to " guidelines ". The aim is to
ensure results are there when the Drs see the patient so that decisions
on patient management can be made faster. Pathology staff, Emergency
Department Assistants, (MTOs), will perform many of the tests within A&E
with results recorded through the Pathology LIMS and on to the hospital
information system.
As this has been funded by the DoH we shall be writing up a report once
it has been running for some months which may add yet more to the debate
on whether rapid testing has any affect on improving patient care.
Paul
Dr Paul H Eldridge
Clinical Biochemist
University Hospital Lewisham
London SE13 6LH
UK
Phone: (44) 020 8333 3255
Fax: (44) 020 8690 8891
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