Today I needed to admit a patient who had been awaiting a booked admission for
pleural tap and diagnostic bronchoscopy.
The respiratory senior reg said i'm on my knees to the bed manager no beds.
Ok no problem-my patient is now acutely short of breath I'll admit under the
on call medics.
Fine he said we'll take her over straight away in the morning(this is usual)
Medical reg on discussion of the case says "Fine no problem taking her but
we're not clerking her get the other team to see her in casualty."
I refused to get involved in their demarcartion dispute and addressed the
letter to the pair of them jointly.
Gillian Braunold
In your message dated Thursday 1, August 1996 you wrote :
> At 05:35 01/08/96 +0100, you wrote:
> >>
> >>Toby Lipman replied:
> >>
> >>I NEVER do a PR on a suspected case of appendicitis. It's a
> >>TO>waste of time and unnecessary humiliation for the patient.
> >>
> >>And I almost never take the temperature either......
> >>
> >>The decision to admit (or not) is usually obvious and if not,
> >>more likely to be revealed by seeing the patient again in a
> >>few hours.
> >>
> >>And don't you just love those hosp docs who want to know over
> >>the phone the temp and PR findings .....!
> >
> >do they need education...? If I have a patient with severe abdominal
> >pain,sweats and rigors, I am going to get him/her/it into hospital ..
> >regardless of PR *or*temperature - or even of hosp docs :-)
> >Mary
> >
> >--
> >Mary Hawking
> >Kingsbury Court Surgery
> >Church Street
> >Dunstable
> >Beds LU5 4RS
> >tel:01582 601289 (home)
> > 01582 663218 (surgery)
> >fax:01582 476488 (surgery)
> >
> >Too damn right!
> mickey Seltzer Glasgow
>
>
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