>>Not going to be too helpful here. ;-)) Our PN was grumbling about the
>>workload and looking at it we found that she had taken on chronic
dressings
>>sometimes twice weekly for sometimes months. Doesn't take many of them to
>>cause a time problem
>>Decision made all leg ulcer dressings to be sent to ulcer clinic and then
to
>>District Nursing. (Easy when you don't have a Doppler) All chronic
dressings
>>to DNs direct.
>>Result time freed up for PN to do work that is more profitable.
>>Who's paying for the Entonox?? :-(( It ain't cheap
>>Paul Attwood
>>GP Ramsgate
>>(Before anyone comments, what no Doppler, they are expensive)
Maresah replied:
>Dopplers not THAT expensive and very useful in diabetic peripheral
>assessments. If you get one with an adaptor it doubles up as sonic aid for
>AN checks.
15 years ago I used to take pride in buying bits and pieces for my practice
(single handed) until I woke up one day and thought exactly who was
benefiting from this behaviour. The NHS (and perhaps a bit of personal
satisfaction). Now when I buy anything it has to made commercial sense. I
bought an audiometer some years back and it has paid for itself time and
time
again as more medicals require it. Similar Spirometer and to a lesser extent
an ECG.
Now a Doppler??? Seems several hundred pounds of doctor's money to reduce
referrals?? Not any more. If the NHS/PCG want me to do more in house then
they had better provide the means to do it.
Not a personal dig Maresah ;-))
Paul Attwood
GP Ramgate
Also in crusty old bollix mode.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|