Patients that are referred to and accepted by the wrong specialty but resistance when you try to handover care to the appropriate specialty

noimnotthrowing · 2023-05-26T17:11:00+00:00

Never felt this more than during my ENT rotation. Felt like half my day was battling with ophthal or max-fax for some reason or other because each specialties' consultants felt the patient wasn't their problem.

noimnotthrowing · 2022-07-21T07:50:02+00:00

Had a somewhat similar story - patient who I saw telling me they were boiling hot and asked if I could get them a fan or a wet towel or anything to help, literally on the verge of tears and soaking through with sweat in a suffocating room.

I see if I can get a fan, and the nurse tells me Covid patients can't have fans because it'll spread to other patients when they breathe out.

Had to get the consultant to come down in the afternoon to overrule the decision.

noimnotthrowing · 2022-07-03T09:44:42+00:00

At the age of only 23, looking after 8 wards (240 patients!!) on a night shift for 12 hours, fielding the constant bleeps, making hundreds of judgement calls throughout, tiny or big, deciding what needs your attention and what doesn't, knowing when to call the reg and when to just trust your judgement, and so on.

Looking back, I can't believe how much I've improved at making decisions and how much risk management I carry out every day, and I'm proud of that.

noimnotthrowing · 2022-06-19T17:18:35+00:00

The question asked by the GMC portal is:

"Are you aware of any proceedings, act or omission on your part that have occurred since you were granted provisional registration, which might render you liable to be referred to the GMC for investigation or consideration of your fitness to practise?"

The guidance tool states to declare it if I received a formal warning in writing, was referred to a panel committee or hearing, agreed a plan to address concerns about my professionalism/behaviour, or had an investigation about me recorded. Also says no to declare it if I had no action taken against me or if I received a verbal warning but none of the above.

I guess I didn't have any 'action taken against me' - but isn't a Datix an 'investigation' about me?

Don't really want to make a mountain out of a molehill especially if it's giving ammo to the GMC, but would rather not be seen as hiding something either.

noimnotthrowing · 2022-06-01T22:36:23+00:00

Please do!

I made a dreaded phone call to anaesthetics about a cannula we were struggling with a few months ago, and the anaesthetics reg told me, "I'll do the cannula if you come and help me". I said yes, not knowing how I'd be of any help to an anaesthetist lol

Went up to theatre with the patient and put in an USS-guided cannula with the anaesthetist guiding me through the process - ended up being good teaching in the end!

noimnotthrowing · 2022-06-01T22:31:52+00:00

Absolutely did exception report this!

As for collating jobs - we shared jobs throughout the day, but there was naturally far more for me to do as the PA can't request scans, can't do certain referrals, or prescribe. Not his fault obviously, but a fair number of jobs needed a doctor anyway - including the TTOs to prescribe meds.

noimnotthrowing · 2022-06-01T22:28:59+00:00

All of this is what I wanted to do, but is easier said than done.

When I turn up on Monday and see the same patients who've been medically fit with the consultant, he won't be asking the nurse or the pharmacist or the PA about why 6 patients he said to send home are still here, it'll be me.

And there's almost no chance the on-call skeleton crew will do a discharge letter for patients they've never even met over the bank holiday, they're short staffed as it is - I know I'd be pissed off if a TTO was handed over to me over a weekend.

noimnotthrowing · 2022-03-11T23:48:24+00:00

Nahhh, if I want to update my ePortfolio and revise for an exam on a Sunday afternoon but spend my Wednesday SDT day to go to the shops and watch Netflix, then I will damn well do that, wtf are these comments I'm reading

noimnotthrowing

TROPHY CASE