Nick... absolutely right. I'm a recent convert to this and you are
spot on that you need to do it yourself to show its ok. need to remind
junior docs about the aggressive head injury though: decision best taken by
middle grade doc in agreement with senior nurse.
steve meek-------
> From:
> [log in to unmask][SMTP:[log in to unmask]
> s.uk]
> Sent: 03 November 1998 21:26
> To: [log in to unmask]
> Subject: Re: Assaulting clinical staff
>
> >Although we have a duty of care to our patients, this duty of care does
> not
> >extend to being
> >bashed whilst in the execution thereof. The trouble is, I don't think
> many
> >employers are tough
> >enough with aggressive patients / relatives,
>
> I absolutely agree - we're all too leniant. You wouldn't expect anything
> but
> being thrown out of a shop if you went in and abused the staff. Anyway if
> I
> woke up one day with a stinking hangover (as if!) and remembered verbally
> abusing A&E staff the night before I wouldn't feel at all justified in
> moaning
> that my wound hadn't been sutured / # X-Rayed etc. Yet how often do you
> see
> staff chasing drunken patients trying to persuade them to be treated?!
> It's not
> just the nature of the job either - would you be allowed to stay in a pub
> / club
> if you were abusive? We operate a one-warning system - first f**k off and
> they're warned, second and they're out with no treatment unless it's life
> or
> limb saving. The problem is we need to empower our juniors to do that
> whilst
> we're not there - if they realise that you'll back them totally when they
> follow
> your instructions and actually see you do it yourself to prove it's OK
> they'll
> do it. Until then the drunken bum will rule A&E.
> Nick Jenkins
> A&E Consultant, Abergavenny
>
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