I've now finished intensive care as of last week and am proud to say that there were no deaths on my watch. As morbid and poor taste as it is though, I've never had to deal with the coroner and it's something I should know how to do. Unfortunately I think it's learnt practically. I did really enjoy the term. The nurses were really helpful and the registrars really keen on teaching. From what I hear, I think I was lucky in that respect. I had hoped that I would get to do more procedural stuff with respect to lines and such but c'est la vie.
I'm doing my emergency term now out at one of the peripheral hospitals and so far it's ok. I'm not so sure how last night went though because in the wisdom of clinical administration, the 10pm til 8am person was on holidays and they didn't think it important enough to provide a leave reliever. That left ONE person to manage the 14 cubicle department. Crikey, I'm glad it wasn't me. And it's going to be like that for the next two nights again. The department itself seems pretty good though. Again the nurses are great but given that it was a little mad last night, there were basic things that didn't get done that should have...like obs. Fortunately there weren't any REAL emergencies. Believe it or not but most EDs tend to be used more as a GP service than an emergency service. It's all the people who feel that they don't want to pay for their healthcare as it's free. That's why I think that there should be a fee for any non-emergency services provided, but that's a whole can of worms right there. The one thing about this department in comparison to Man's Best is that it isn't on a public transport route so it makes people need to be a bit more determined and motivated to get there.
Now for an update on the last entry: it's got to the stage where I'm meeting one of the anaesthetic educational people this week to go over my cv and discuss any questions I might have. It seems option 2 is the way I'm tending.
I'm doing my emergency term now out at one of the peripheral hospitals and so far it's ok. I'm not so sure how last night went though because in the wisdom of clinical administration, the 10pm til 8am person was on holidays and they didn't think it important enough to provide a leave reliever. That left ONE person to manage the 14 cubicle department. Crikey, I'm glad it wasn't me. And it's going to be like that for the next two nights again. The department itself seems pretty good though. Again the nurses are great but given that it was a little mad last night, there were basic things that didn't get done that should have...like obs. Fortunately there weren't any REAL emergencies. Believe it or not but most EDs tend to be used more as a GP service than an emergency service. It's all the people who feel that they don't want to pay for their healthcare as it's free. That's why I think that there should be a fee for any non-emergency services provided, but that's a whole can of worms right there. The one thing about this department in comparison to Man's Best is that it isn't on a public transport route so it makes people need to be a bit more determined and motivated to get there.
Now for an update on the last entry: it's got to the stage where I'm meeting one of the anaesthetic educational people this week to go over my cv and discuss any questions I might have. It seems option 2 is the way I'm tending.
No comments:
Post a Comment