Ash,
A question regarding your recent posting:
When you were called OOH by that nurse, was that the first time the subject
came up? I don't mean the first time YOU were actually called for a
"breach"? Was it the first time ANY OF THE CONSULTANTS were called? Was it
the first time ANYONE was called in for this?
Why I ask is that I think this very issue was predicted way before the
targets and efforts to hit them actually came on line. They were raised
before anyone ever did anything. So, when you last covered this problem in a
senior-level meeting of YOUR department, what did you and your
fellow-consultants and senior nurses and whomever else decide should be done
when a breach is pending out of hours? What do the minutes say was expected
of the nurse/middle-grade in charge at the time?
Would it not just take for the nursing staff to be re-briefed about what YOU
wish YOUR practise to be in terms of OOH call-ins?
You could also send a liitle note to the relevant manager:
"... in the event that, at 2am on a Sunday morning, there are 2 surgical
cases about to breach and both have already been referred to surgeons, one
is being seen by the SHO and the SpR in in theatre... should the A&E nurse
call in the surgeon consultant on call? Or, do we need to get the physician
on call in if there is a breach about to happen with someone already
referred to medics?"
_________________________________________________________________
Express yourself with cool emoticons - download MSN Messenger today!
http://www.msn.co.uk/messenger
|