----- Original Message -----
From: "Adrian Kerner" <[log in to unmask]>
To: "Martyn Hodson" <[log in to unmask]>
Sent: Saturday, March 08, 2003 12:08 PM
Subject: Re: Emergency Services Collabarative
> Yep...this all sounds familar..project managers..facilatators....data
> collection...patient tracking....
>
> I keep telling them that the problem lies outside the dept...thats why we
> keep seeing 4 day old ear aches, and well kids with temps...
>
> Surely its the PCTs that need auditing.
I have to agree with Adrian about this
i saw an absolute gem of an example of this, before we get on - exactly how
useful is NHS (re)Direct and the results it has had for the workload of the
ambulance service.
some one presenting with a five day history of back pain, no previous hx of
back or joint problems , no hx of trauma, only change in circumstances - was
constipated ( and had been taking co-codamol for the pain !) - dialed 999
because he couldn't get a primary care appt.- got the crrew to document it
ontheir PRF ( suggested to a few of the crews that they do this when the
patient explictly states this - then ambulance HQ and the A+E dept known
about this.
and because it was 'only' five days old it was triaged to cat 4 ( recent
injury , i.,e. <7 days old) then he whinged about waiting time and being
uncomfortable despite all but one of our cublciles being full or doubled up
with sick patients ( and the empty is the one reserved for 'higher
dependency ' stuff like chest pain because we can't convieniently pop
someoen into resus without tying up a member of staff )
Martyn Hodson RN
[log in to unmask]
opinions expressed entirely my own and no one elses
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