You're kidding us surely... In DMG's words, you don't have the problem of
the SHO ringing in sick on Friday afternoon and you just cannot close.
Sorry, but GPs don't have that kind of pressure any more. When their slots
fill up, the patients simply get diverted to A&E. That's not my cynical
attitude playing out, that's reality in this part of the world. And it's not
GP bashing either, it's just the present system. GPs = controlled access in
office hours. A&E = open access all hours.
AF
----- Original Message -----
From: "Vic" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 16, 2005 8:37 PM
Subject: Re: Rape & confidentiality
> Funny how the GP's think along these lines, but A&E just want to get
> rid....
>
> Vic Calland
>
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Jel Coward
> Sent: 16 June 2005 17:10
> To: [log in to unmask]
> Subject: Re: Rape & confidentiality
>
>> But why is she telling your SHO these details at all? One for the
>> psychologists among us, not me.
>>
> Very loud bells ringing.
> Protect her, protect her, protect her.
> This disclosure may well be a sign that she is in danger and she may or
> may not consciously know that - from herself, from the alleged
> assailant, from her family, from her boyfriend.
> She likely offered this information for a known or unknown reason. Lots
> of time - gentleness - not pushing into anything that we think is the
> 'right thing'.
>
> Some follow-up provision- of some some - negotiated of course.
>
> She may need lots of offers of different things to do so that she can
> select something.
>
> Use of staff member who shares some cultural identity - but be careful.
>
> Hard to to make the time to do these things - but is probably the most
> important thing you will do that day.
>
> Huge opportunity for SHO to learn how to 'save lives' here - don't let
> that slip by either.
>
> Just my thoughts
> Jel
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