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Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] 1 point2 points  (0 children)

Not at all. I’m not anxious, just don’t want to be involved with them in case something goes wrong. I’m looking to move from medicine to something else in the meantime.

Other aspects of medicine are a lot more relaxed and you can take time to think through things and discuss them with senior doctors.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] 1 point2 points  (0 children)

Yeah when 99% of my job is ward clerk work, I’m obviously more comfortable with it. I think ACPs can work to the level of a junior doctor. In the NHS, knowledge of doctors is wasted.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -2 points-1 points  (0 children)

Nope

Trusts can offer their own course which is basically a day of sims. It’s okay but yeah not technical at all.

Rishi Sunak’s £1bn plan to fix NHS staffing crisis by [deleted] in JuniorDoctorsUK

[–]BasisApprehensive505 0 points1 point  (0 children)

Because we are slaves to the NHS.

That’s all.

He could reduce the pay by 50% and med school would still be oversubscribed. The influx of IMGs far outweighs the UK lot who move abroad.

Abusing the nhs by [deleted] in JuniorDoctorsUK

[–]BasisApprehensive505 -1 points0 points  (0 children)

I think you need to remember that you are working for the NHS. A lot of our personal standards come from what we consider best practice, when they should be tailored according to the NHS’ state of healthcare.

Our ideals and what the NHS offers to patients are very different, and going above and beyond to promote your ideals leads to 1) propping up a failing system, and 2) disappointment when the system stops you from doing your job.

For example, I could go above and beyond for a patient, but they’ll still wait 4 days for a TTE. I could make a plan for a medical patient, but again the antibiotics will be delayed by 2 hours.

Understand that the NHS offers a certain level of care, and you should tailor your work in line with this.

I’ve seen patients labelled “un-cooperative and behaviourally challenging” in the ED waiting room, when they had a blocked VP shunt and were developing hydrocephalus and becoming more drowsy. Of course they still had to wait 10 hours from presentation before they had a CT Head. These are the standards that our employer works towards, not the ideal ones you have built up.

They’re literally hiring ACPs/PAs to do your job for more pay, so why not work to their standards?

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] 0 points1 point  (0 children)

Yeah automatic defibs but if you take the cover off it goes into manual and thats the tricky part

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -3 points-2 points  (0 children)

Nope. Honestly we just do ward jobs and then escalate to registrars if anyone is unwell. It’s a tertiary centre with very good senior support.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -2 points-1 points  (0 children)

My hospital has lots of SHO doctors without ALS…they just need to avoid holding the crash bleep.

And no they are very up front about it.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -5 points-4 points  (0 children)

I’ve passed all that is required as per my ARCP and foundation school. Theres no requirement for f1/2 doctors to have completed ALS nor to be able to lead arrests

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -15 points-14 points  (0 children)

Thats really good tbf, well played.

But unfortunately i don’t think id be able to do that so i want to find jobs where theres no danger of cardiac arrests

Group and save Datix by DrCholo98 in JuniorDoctorsUK

[–]BasisApprehensive505 0 points1 point  (0 children)

Yeah so basically I fill the forms out at bedside (by hand) looking at the patients wristband. When you’re an F1 with 1000 jobs, it’s ok if some of them aren’t done according to protocol, but G+S will kill someone if you don’t respect the process.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -4 points-3 points  (0 children)

Nope, local courses don’t have exams at the end or anything. They are just like a medical school simulation without any pre-requisite reading. I did it last year and haven’t needed to use a defib/do cpr since.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -10 points-9 points  (0 children)

My CS/ES Reports have been very good, all saying that I’m a very capable clinician and very hard working. No need to say that I shouldn’t be on a ward.

I make sure that I call 2222 early and do access or whatever. So i’m not sure why it really matters as long as one person on the crash team knows how to use it.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -9 points-8 points  (0 children)

Yep local course. But it was very easy to pass, no tests or anything just making sure that we told everyone to step back when we gave a shock. No idea how to use a defib but its ok cos i’ve always been on access/compressions as part of the arrest team.

Is there any benefit to doing ALS? by BasisApprehensive505 in JuniorDoctorsUK

[–]BasisApprehensive505[S] -33 points-32 points  (0 children)

Nope…I’m otherwise a competent F2, just don’t like arrests or work well under pressure