tony summers

Do you think it is a good idea for DN or practice nurses provide IV drugs for community patients? This would to save patients from being unneccessarily admited for relatively minor infections that are not responding to oral antibiotics. Your thought...

Must be very different over here in the UK as we will dispense the full course of medication for a patient when our pharmacy is shut. The dr or nurse practitioner will prescribe from an abbreviated list of meds that are relevant to A&E and then ...

In the UK here we use something called Manchester Triage system. This is a system of flow charts that cover the majority of presentations to ER. The chart are clinical led and prioritise patients according to this criteria, i.e. a child with a temp...

Would be lucky if any patients i where i work could read let alone understand this. Would be fun trying to impliment though

the jobs have been profiled nationally so everyone who does a similar job fits into the same profile. A lot will depend on how your manager intreprets your job and then fits it into the appropriate profile for you to recieve the appropriate band. It...

I agree the vote would probably better after the pilot is established so as to find out in real terms if this going to work out. I think they are relying on everyone being interested enough to read the 138 page document they have produced to try and ...

We have practitce development nurses here that do an invaluable job. The one specific for our A&E provides us with details of many study days that we would not normally think we could be involved in. They act as link with the local colleges wit...

Got the papers yesterday morning. Will probably vote yes. I still don't like the way they are going to pay unsocial hours payment, but will accept the whole package as it looks like will probably better of in the long run.

Karen What are looking at being able to treat in the community, what are the restrictions going to be? Tony

Got it through yesterday. all very glamorous, still doesnot seem very clear as to how these unsocial payments are going to work, are they gong to be done on an individual basis or as a collective. Either way people are going to be very reluctant to ...

Legally i would possible suggest that there is abuse or possibly assault on the patient. Ethically what about neglect, and ?patient's right to recieve the most appropriate health care free from harm. Nurse managers attitude and the view that they are...

I think they are a good idea, as long as government funding is not reduced when further money is raised. This problem probably won't occur immediately but if they start to prove a success and raise money i can forsee that their central budget will b...

When i've had a trauma pateint in we've just one bag of fluid after another and not worried about counting it until the patient had left and just changed over when the blood has arrived and carried on regardless. We often will put up multiple units o...

A lot of nurses do not like to work in a&e. Tell me why and how a&e can improve their image so more people will work agency shift with us. We are often told when we request trained or untrained staff from the agencies that there is no-one wi...

5th and last night tonight all been totally bedlam, most unusually had to bed patients down in the dept every night. Just getting over the influx from two massive fights in the area. One nasty stabbing. Still only 5 hours to end of shift.

it works

As a&e nurse i've been physically assaulted several times and been on the end of many verbal assaults, which happens more and more now that i am in charge of the department on occasion. Still i love a&e and wouldnot change job, it may be wron...

I enjoy nights although there are more cons than pros. In a&e it can be more fun as you tend to get the more abusive drunks at night, that can certainly make night interesting

Hi Whisper Most students don't do A&E until the third year, so I would not worry this. I always wanted to work a&e, have an army background, and always found working on the wards very boring. I find a&e very interesting because it does co...

What are your opinions on the new pay scales that are to be introduced over the next year? Do you feel as if you are going to lose out? If so how?

Tortora is quite a nice easy a&p book to read, we used marieb when i trained good but very complicated.

PA do exist in the UK if you look at what they do and then compare them to someone like an ENP. I see, diagnose and treat a patient without them being seen by a doctor. I also prescribe drugs, suture, plaster, do some limited minor ops as the case ...

I agree nurses do care and then provide what a patient needs in discussion with the patient as to what the patient may want. Nurses do not rely on a medical diagnosis, they rely on discussion with the patient to find out what is best for the patient...

There are several surface anatomy books around that do what you want. You probably need to actually visit a specialist medical book shop to get one that particularly suits you, rather than rely on buying on the internet. They can be expensive like ...

Both times my partner was pregnant she stayed in her job right up to 36 weeks pregnant. She participated as a full member of the A&E team and was constantly invovled in Resus and traumas, the only thing she was not allowed to do was cardiac comp...