----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: "Martyn Hodson" <[log in to unmask]>
Sent: Wednesday, September 24, 2003 2:54 PM
Subject: Re: ECGs at the scene for thrombolysis
> I am certainly not advocating that we hold on to certain treatments for
> "clever doctors and nurses only" as that goes against all my principles
> of openness, and best care as soon as possible. My point is only that
> this treatment is now one that can and will kill even when used
> appropriately by paramedics, and that we must ensure that we have good
> support in place for when that happens.
>
You make a very good point there Rowley, any thing which is new will be
strange and there will be concerns over whether it's appropriate to do
something in a certain way. we are seeing a paradigm shift from the
ambulance service being viewed as ameans of conveyance with first aid
provided to being The provider of defintive care ( or part of the definitive
care) for some conditions.
An example of the issues surrounding new roles is used by one of the nursing
lecturers i had while at Uni, her mother had been a Nurse as well and
every time a debate opened up on nurses taking on a new role, her answer to
that was ' it was taking blood pressures that caused the debate in my Mum's
time ' - whether it was approrpaite for someone not a Doctor to take a BP- a
role now delegated to first aiders and HCAs, made quite a few people sit up
and think when they were expressing opinions aobut what is 'a doctor's job'
, 'a nurse's job' etc
> It is something that we as writers of protocols and advocates of
> expansion of service have a duty to think of and implement.
>
i think you are very much on the point and crux of it there, as it ia a
paradigm shift we will have to se many things change in the preparation of
those undertaking the role or intervention which will knock on to how we all
interact as different groups within the 'health community'
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