I belong to the "you get more from people with honey than vinegar" school
(though my kids may disagree).
Good working relationships are essential and I believe, currently, that ITU
staff should be involved early in patients requiring ITU, but they should
not be allowed to take over. I think the tendency of some individuals to
take over encourages us to not call them, rather than address this. Good
working relationships are built by politeness, consideration and respect,
and we get respect not just when we do a good job clinically, but also for
continued interest in patients on ITU.
Calling the gas board early can also be useful for those who are not yet
comfortable to do an RSI: if you have good rapport with them, they will
supervise you doing the RSI. That way SpRs, the next generation of
consultants, will soon be in the position to perform the procedure
unsupervised.Having received such excellent training, who could agree that
they are not competent?
Steve Meek
Consultant in Emergency Medicine
RUH Bath
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