In article <[log in to unmask]>, Jel Coward
<[log in to unmask]> writes
>In article <"1005070652-Charging in-appropriate attenders"@MHS>,
>[log in to unmask] writes
>>Rowley - If the triage nurse is suitably empowered to re-direct these people,
>>makes every effort to help them (make GP appointments etc etc) and knows that
>>he/she has the full support of their Consultant I've found that very few will
>>actually demand to stay.
true -
however, the triage staff need to be skilled at handling irritablity
and resilient against being made to take sides in what patients portay
as an unreasonable/incompetent/uncaring GP.
> There are holes in the Primary Care service but that
>>doesn't mean that we should create more work for ouselves and provide what is
>>after all a second class Primary Care service.
>
>The re-direction thing is interesting - are patients both spatially and
>temporally re-directed as the triage nurse feels appropriate?
yes, using Manchester Triage category (ie 5 and 4 with discriminator
pain).
--
chris taylor,frcs cd a&e queen marys sidcup, kent, UK
"I am dying with the help of too many physicians." Alexander the Great
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