Crumbs. There are some extremely odd things being said. Look at this:
"Where is the logic in asking patients with fractures to wait for 1-3hrs in A&E and then either
a) wait another 1-2 hrs for the Ortho SHO to see the patient only to repaeat what had been said or done in A&E
b) patients have to come back to the fracture clinic the next day to repaeat the same performance.
I know the argument is to ensure that no mistakes are made, but then how will the A&E SHO get the feedback. Where is the
education value in our current arrangement.
60-70% is an overestimation (unless you include every little scratch and bump), not supported by literature. Realistically, you are
talking about 40,000 p.a. in Leicester. About 15,000 will come to the Orthopaedic department anyway so you are dealing with an
extra 25,000p.a. That's <70 per day. 4 SHO's should do it.
I know it sounds drastic but I think a radical change is necessary. Perhaps the bottom line is that A&E has to work much closer
with the Orthopaedic department. The idea of an Emergency Alliance is very much on the scene in my local hospital but I think we
have to go much further than talking."
This would seem to be an orthopeadic surgeon, with the name of Tony Hui.
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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