----- Original Message -----
From: "Adrian Fogarty" <[log in to unmask]>
To: "Martyn Hodson" <[log in to unmask]>
Sent: Wednesday, September 24, 2003 10:49 PM
Subject: Re: ECGs at the scene for thrombolysis
> ----- Original Message -----
> From: "Martyn Hodson"
>
> > > Basically this needs to be carefully thought through. At the end of
the
> > > day these are very expensive drugs with very serious side-effects; I
> just
> > > don't see paramedics in my patch taking on this level of
responsibility,
> at
> > > least not when judging by the levels of decision making that they're
> > > currently required to undertake. [AF]
> >
> > i suppose the same arguements were trotted out when acute chest pain
> > specialist nurses were first proposed? [MH]
>
> Not at all comparable, Martyn. Chest pain nurses have mostly been "bred"
> from CCU backgrounds, where they've spent years dealing solely with
cardiac
> patients, and interpreting 12-lead ECGs to a high degree of competence.
semantics time, but do CCU nurses 'officially' 'interpret' these 12 leads?
or do they report changes and patterns to their medical staff or NP/ CNSes
?
However you are still looking at a huge shift in roles and responsibilities
when Nurses take over the primary responsibvility for something, despite
all the assistance they give junior doctors and knowledge they have
visibily accumulated working alongside Doctors in a role clearly visible
to the doctors?
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.518 / Virus Database: 316 - Release Date: 11/09/2003
|