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- by karenG Feb 6, '03Am I the only sad person who had read this?? interesting to note that nurses are to get referral powers and authority to order stuff like X-rays...........have they told the Doc's yet? gives us 10 key roles including performing minor surger. we live in interesting times...............
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- Feb 6, '03 by jevansWe certainly do Karen
I work on a Stroke Unit and had to guide the SHO on CPR during an arrest recently.
We find that we tend to have alot of young doctors, first post in UK
It is a sad state of affairs when the nursing team are relied on to ensure that there is safe care from doctors for our patients
- Hi karen
Our department is keen on implimenting all of these ten key aspects that you are talking about. We as nurse practitioners already do alot of them already, refer to specialities, request xrays, precribe,looking into minor procedures like reducing dislocated shoulders/ colles and looking at the rest.
- Just another thought most of the doctors here aren't aware that we are planning to take over completly
- Feb 6, '03 by karenGthats what I meant! as a np, yes we do lots of these things already but this is going to across the board in primary care, and as such will mean a major mindset change for a lot of people. a friend has just had a referral to a dermatologist returned because it didnt come from the GP! (and thats in medway) so lots of good things happening and recognition for what we can do but not sure how our medical friends will take this!!!!!
- Alot of the old school people are not going to take this and are going to be very pedantic about who they take their referral from, even if that person has never seen the patient. They are not going to care if it is the best interests of the patient to see them. They are not worried about the patients best interest only maintaining their place in the pecking order of things, where they are at the top and every one who is not a doctor is beneath them and therefore not worth talking to, let alone accept referal from.
Saying this the majority of the new and younger consultants recognise that nurses are quite capable of refering a patient to them. They also recognise that seeing these patients ensures that a patient has smooth passage through their illness and their street cred doctor is raised.
- Feb 6, '03 by CliveUKIt does make me wonder though - what do any of these "new roles" have to do with nursing?
- The role of nursing is changing to accomodate these roles and part of this role is ensure that the patient always the best and most appropriate care at teh earliest possible opportunity and with the minimal amount of fuss.
- Feb 6, '03 by kittyaLots of radiographers and suchlike have been reported as refusing referrals from nurses (doesn't make the situation any easier) have seen lots of examples of nurses filling in referral forms, putting on SHO names and numbers and doing anyway, thus ensuring patients receive investigations/tests nurses deem necessary to enable them to provide optimum nursing care based on sound diagnosis!
- Feb 7, '03 by CliveUKDoes nursing care depend on medical diagnosis? I don't believe so.