Urgent advice needed!

allnurses Guide · Mar 6, 2007

I would personally talk to my consultant ASAP to see what he feels about this, at the end of the day they are his patients. What is the ward sisters rationale for changing this.

paris2 · Mar 6, 2007

I would personally talk to my consultant ASAP to see what he feels about this, at the end of the day they are his patients. What is the ward sisters rationale for changing this.

Ward sister feels why she should make exception for this consultant when all other consultant's patients are admited at 2pm. Also 1.30pm is handover time so it can get busy to attend to admisison too.

cariad · Mar 7, 2007

the ward sister has got a point, admissions at handover time are not good, but she is not dealing with it in a very professional manner.

paris2 · Mar 7, 2007

the ward sister has got a point, admissions at handover time are not good, but she is not dealing with it in a very professional manner.

thanks so how would you deal with this differently? and also do you think she should go directly to consultant rather disscusing with me? at the end of the she want change her mind and she will make it look as it is me that is chnaging. also i am sure when consultant will ask her she will say that i have okay it.

Silverdragon102, BSN · Mar 7, 2007

Thanks so how would you deal with this differently? and also do you think she should go directly to consultant rather disscusing with me? at the end of the she want change her mind and she will make it look as it is me that is chnaging. Also i am sure when consultant will ask her she will say that i have okay it.

I would suggest a meeting involving all concerned and then take it from there

allnurses Guide · Mar 7, 2007

I think that you should at least let the consultant know what is happening and if he wants to either attend or have input into the change then he has the option to. Obviously the ward sister has her reasons for wanting this change but it is basic managment to make sure that all interested parties are involved otherwise it is not going to work.

paris2 · Mar 7, 2007

Thanks to all of you for your helpful comments. Will let you know the outcome of the meeting which is on this Friday.

allnurses Guide · Mar 11, 2007

how did it go Paris??

paris2 · Mar 11, 2007

Hi

Our meeting was cancelled by the manager as she was busy. Next week she is on holidays but she said that she will discuss it with me when she returns.

In a mean time i have mentioned this to the consultant and he is not happy.

But he is going to wait and see what will come out our meeting.

At the moment he does the ward round at 1pm - 2pm with all his drs. He then goes and does his clinic, SHO (shared by other consultant) also goes to do the other consultant's clinic, SpR goes and dose acute clinic based in emergeny dept.

If the change would go head then the ward round will be done at the end of the day which mean consultant will have to make some changes to his workload and so will his junior drs. All clinic workload will have to be reduced in order for them to return back to the ward for ward round (mangement wont like that). Junior drs will not stay after 5pm.

However if the consultant decide that it would not be possible to do ward round at the end of the clinic then it would be done in a morning just before patient goes to theatre. In this case there will more op cancellation will occur (management wont like this either).

So will have to wait and see what will happen.

paris2 · Mar 25, 2007

Hi XB9S

Just to let you know nothing has been done yet about above issue, the manager has not mentioned again to me, she has either forgotten, or she is too busy!

But will let you know the outcome when it happends.

allnurses Guide · Mar 25, 2007

I was wondering how you were getting on, is it possible your consultant has had a word, maybe got her to back down a little I know thats what my docs would do if they didnt approve.