Orthopods non resident? What about hosing pelvic
fractures? It's wrong I know, but we probably won't
often call them at home till we have seen the x-ray.
How long would it take after that for the ex-fix to go
on?
Does this reawaken the case for trauma centres? What's
a few more minutes ambulance ride to a dedicated
centre compared with the wait for the
surgeon/switchboard doesn't know/mobile phone switched
off/sho only a locum/didn't think I was covering!
Alan
--- Sunil Dasan <[log in to unmask]> wrote:
> Has anyone had a request to move Orthopaedic and
> General Surgical Registrars
> to a non-resident on call?
>
>
>
> Our Surgical Registrars are now on a full shift rota
> so that they are EWTD
> compliant. As a result, I understand from some of
> them that they get to
> operate only once a fortnight in some cases. As a
> result, a request has
> been made to make the Surgical Registrars
> non-resident on call but within ½
> an hour of the hospital so that this means they will
> get better experience
> for their training. This suggestion sits
> uncomfortably with me because of
> the possibility of either a trauma call with
> significant abdo trauma or a
> case such as a AAA coming in which needs an
> immediate surgical decision.
>
>
>
> Our orthopods, suggested something similar about a
> year ago for their
> registrars, and we agreed to it as we felt that the
> need for an orthopod to
> take someone to theatre within 1 hour of arrival of
> a trauma call was low.
> Therefore they are now non-resident.
>
>
>
> Do any of you have non-resident genral Surgical
> Regsitrars? If so, have
> there been any near misses or cases where management
> has been less than
> ideal?
>
>
>
> Sunil
>
> Redhill
>
>
> http://www.surreyandsussex.nhs.uk
>
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