Hi
I have to agree with Diane. It concerns me that people are talking of not
employing someone who didn't feel competant to carry out a single task! How
would you know at interview? Are you going to give them a tick list of every
possible thing they may have to encounter during their career? What if
something new is introduced and the nurse feels she cannot undertake it?
Will she be dismissed? There are not enough OH Nurses as it is without
victimising the nurse who on the rare occasion feels he/she need to opt out
of something. Surely we should consider their skills and expertise above all
else? Shouldn't we consider why the nurse feels he/she cannot undertake that
task - maybe it relates to a previous unpleasant learning experience and
with patience and understanding they may build both confidence and
competance.
Obviously it is preferable for an OH nurse to be able to fulfill all
necessary functions, but condemning a nurse who believes he/she is not
competant to do something is dangerous and may push him/her into doing
something unsafe.
Su
-----Original Message-----
From: diane romano woodward [mailto:[log in to unmask]]
Sent: 08 December 2003 19:23
To: [log in to unmask]
Subject: Re: BCG Vaccinations: dissent?
Naz and all
This is exactly the right thing to be happening, giving support to other
team members
I well remember on my first ward as a staff nurse, one of the other Staff
nurses really didn't cope well with passing NG tubes, so we swapped some
tasks.. no big deal.
And with certain jobs in OH it maybe be cost effective/ work well to
outsource a particular task (vision screening?) and let the OH professional
get on with what their specialist expertise is. This could include
outsourcing BCG vaccinations to the local chest clinic., that is their field
of expertise...
best wishes,
Diane
----- Original Message -----
From: "naz bury" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, December 08, 2003 11:15 AM
Subject: Re: BCG Vaccinations: dissent?
> I like to think I am also a 'proper' nurse, even though I trained after
SRN
> days, in the late 80's / early 90's! Joking aside, I do agree that if a
> person has received relevant training and feels competent to undergo a
task,
> be it an injection or anything else, there is no reason why they should
> refuse to do so. I certainly would not be happy to have my workload
> increased because a colleague refused training in order to become
competent.
> That said, if I knew that a colleague had a preference over something, I
> would endeavour be helpful and flexible, and I find that a compromise can
> generally be found, especially when working as part of a team.
> ----- Original Message -----
> From: "Robert Dunn"
> <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, December 04, 2003 2:18 PM
> Subject: Re: BCG Vaccinations: dissent?
>
>
> > Dear All
> >
> > To add fuel to this particular fire, I cannot see for the life of me why
> any
> > nurse should refuse to give an intradermal injection provided they have
> been
> > given appropriate training and have been deemed competent in the
> technique.
> > When I trained as a 'proper' nurse (State Registered Nurse) 30 years
ago,
> > Intradermal, Subcuaneous and Intramuscular injection technique was not
> > optional, it was a requirement of completion of the training, and was in
> > fact taught within the first 6 weeks of our nursing career in
preliminary
> > training school. Refusal to carry out any of them would have led to
> > incomplete competancy and failure of the course. Has modern nurse
> training
> > gone so far into the realms of social sciences and academia that a basic
> > skill such as intradermal injection technique is no longer required?
Any
> > person (not just a nurse or physician) is able legally to give any
> > injection, provided the person receiving it is aware of the status of
that
> > individual, and that the individual has received appropriate
training.....
> > it is not rocket science afterall..!!
> >
> >
> > ----- Original Message -----
> > From: "Fields Shirley" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Tuesday, December 02, 2003 3:05 PM
> > Subject: Re: BCG Vaccinations: dissent?
> >
> >
> > I certainly wouldn't mind if any of the nurses declined to give,
> personally
> > I don't like intra dermal injections and have therefore always refused.
> >
> > Shirley Fields
> > OH Manager Burton NHS
> >
> > -----Original Message-----
> > From: diane romano woodward [mailto:[log in to unmask]]
> > Sent: 02 December 2003 15:02
> > To: [log in to unmask]
> > Subject: Re: BCG Vaccinations: dissent?
> >
> >
> > All seem to be very positive about nurses doing this.
> > Is this considered to be an extended role that one can chose not to do?
I
> > remember opting out when working in the NHS some years ago as (I think)
it
> > is possible to cause some disruption to the arm if they are actually
> immune.
> > On that basis I felt it was better to let OHP take responsibility, (they
> get
> > paid more..)
> >
> > For those of you in the NHS would you frown upon employing a nurse who
> > declined to do them, as long as they could do heaf tests, Hep Bs etc?
> >
> > Best wishes,
> > Diane
> > (independent practitioner)
> > ----- Original Message -----
> > From: "Fields Shirley" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Tuesday, December 02, 2003 10:49 AM
> > Subject: Re: BCG Vaccinations
> >
> >
> > Hi Chris (remember me)
> >
> > At Burton one of our nurses is currently undergoing training from the
> chest
> > clinic nurse to do BCG's. There is no reason why nurses cannot do this
> > procedure with adequate training.
> >
> > Say hi to Sally
> >
> > Shirley Fields
> > OH Manager
> > Burton NHS Trust
> >
> > -----Original Message-----
> > From: Baldwin Chris (RFF) Occupational Health Nurse Advisor
> > [mailto:[log in to unmask]]
> > Sent: 02 December 2003 10:01
> > To: [log in to unmask]
> > Subject: BCG Vaccinations
> >
> >
> > Good morning everyone,
> > a question particularly for NHS colleagues. Do NHS Occupational Health
> > colleagues allow the vaccination to be nurse or doctor administered?
your
> > comments and thoughts on this are appreciated.
> >
> > chris Baldwin
> >
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