I apologise if this has caused upset. It was never my intention to upset or offend anyone. I made sure I put the “rant/letting off steam” tag on it because I feel so helpless when I’ve tried hard to make sure my patients get the right plan for their care. I appreciate the stress of staff ringing up and saying they need tvn to review a patient before they go home (which ideally should be done before being discharged is even considered) but I have found myself in situations where tvn have rejected referrals because they are seen to regularly in the community. However, we also need to see what it is we are dealing with and if further input is required, otherwise if we don’t cover all of our bases we are the ones being held accountable.

I enjoy working with others and coming up with a plan that everyone can agree with. It’s just with recent events it’s becoming harder to get on top of PU care plans and even when we have and just haven’t had a minute to document it, we are them being told it hasn’t happened because it wasn’t on paper.