> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]]On Behalf Of Rowley Cottingham
> Sent: 19 May 2004 23:10
> To: Martyn Hodson
> Subject: Re: Acute Medicine
>
>
> In this country maybe. In the States you call the iv nurse. We do
> these psychomotor skills because
> nobody else did or would. If you practised enough, you'd be the
> ace bottom-wiper, too. We need to
> move on from this cupping of the hands round any particular
> single skill to protect it from other
> people. I wouldn't trust myself with a pair of lift-out forceps
> any more although I was once taught to
> use them. Wallace cannulas are now withdrawn because so many
> people were useless at inserting
> them the serious complication rate got a bit worrying. (Can't
> have been doctors that did that,
> surely? Anaesthetists even......?!)
>
> Bottom line - we should not be the backstop for psychomotor
> skills we need not possess.
>
I agree with rowley's sentiments here entirely
just because something was a "doctor's job" in the past doesn't mean it has
to be preserved as unless there is an arguement that it is so integral to
'doctoring' that it needs protection. or do you want BP taking, needle
sharpening, lab pathology and sterilising back?
especially when we speak of pure psychomotor skills
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