tag:blogger.com,1999:blog-28089527.post-54715888463413584942008-03-14T22:06:00.000Z2008-03-14T22:06:00.000Z2008-03-14T22:06:00.000ZIt might suprise you fox in the sox but the patient was correctly triaged, at least according to the inquiry chair, Dr Ruth Brown, consultant in emergency medicine - ideally the patient should have been seen within an hour after this assessment.<BR/>http://news.bbc.co.uk/1/hi/health/1574652.stm<BR/><BR/>Are you suggesting that a nurse (or the C/N)should have made the diagnosis of AAA clinically, without the aid of x/ray, ultrasound, or C/T ?<BR/><BR/>I daresay there are one or two experienced A&E nurses who might have suspected this condition, but surely we are straying into very dangerous territory if thousands of patients have to rely on a nurse because they must expect to wait for many hours before being properly examined by a doctor.<BR/><BR/>It is also unfair to suggest that I cannot see things from an in-patient perspective - you can't just walk into an A&E nursing post without having done your stint on the wards first.<BR/><BR/>I am not a fan of managers.<BR/>I am not a fan of clocks.<BR/>But in my humble opinion clinical standards in A&E (overall) are probably better than say 10yrs ago, notwithstanding a certian % of gaming and hurried care.<BR/><BR/>Can I make a suggestion ?<BR/>EVERY time care is compromised in A&E (because of the target) ask your juniors to religiously complete clinical incident forms - I'll bet that within a few weeks steps wil be taken to try to improve things.the a&amp;e charge nursenoreply@blogger.com