Monday, 21 January 2013

Why

is it that manager who used to be nurses try to sort out staffing problems by getting bank/agency nurses in at five minutes noticed or who take nursing staff away from one ward do this? Surely it would be more effective if they did the shift themselves? (and more cost effective?)

Why is it that doctors who are now managers continue to tell the people on the shop floor what to do, as opposed to working next us?

Thursday, 10 January 2013

Dear

annoying medical student.

Please don't sound surprised when I say I don't have time to teach you when you earlier stated you don't have time to help me with bloods

Regards

Fuddled Medic

Tuesday, 1 January 2013

Dear

Respiratory nurse.

Please do not demand I drop everything to run and do an ABG on a patient with infective exacerbation of COPD, who the respiratory consultant has stated is doing absolutely fine, so that you can have a look at the results before you have to go for lunch instead of afterwards.

Regards

Fuddled Medic

Sunday, 23 December 2012

Thank you...

to all the nursing staff who

1)didn't bleep me to come and prescribe paracetamol when it was already prescribed PRN
2)looked at all the drug charts to see if the fluids had been prescribed there before bleeping the Fuddled Medic
3)wondered if the FM had gone into AKI during her shift and made her a cup of tea
4)had an ECG done, taken some bloods whilst the FM was on her way to see the patient with chest pain
5)didn't get annoyed when the FM asked why a patient needed fluids or when she took five minutes to look at the U&Es
6)who bleeped the cannula nurse instead of me (as opposed to the FM asking down the phone if they had bleeped the cannula nurse)
7)who thought my request to await for a patients INR to come back before I prescribed warfarin was reasonable, as opposed to me "being funny."


Tuesday, 20 November 2012

Weekend

The Fuddled Medic agrees with the Medical Registrar on call that it would have been nice for his registrar to review the patient before calling the Med Reg, but is confused as to how useful the trauma and orthopaedic registrar would be in dealing with an acute stroke. Besides he was in theatre and wasn't answering his bleep

Wednesday, 17 October 2012

On call

How to survive an on call

1) Have a good nights sleep beforehand. Be tucked up in bed with a nice hot chocolate by 11:00pm.

2) Have a good breakfast, preferably involving kippers or bacon. It may be the last time you eat that day.

3) Keep a copy of the oxford handbook in the one ward you cover and the foundation programme in the over.

4) Buy the nurses chocolate, it really does work.

5)When calling the med reg be very clear what you want him/her to do. When on the phone they will be coming up with questions in the hope you don't know the answer to so they can tell you to go away and come back when you do know the answer.

6) When/if the med reg comes worship him. And have two pieces (at least) of clerking paper ready for him.

7) If you can, find the sho's/cts in anaesthesiae and butter them up so that they'l come and do a cannula for you.

8)When the cannula nurse agrees to help you with bloods, cannula's etc, have stuff ready for you. They'll remember it.

9) have something to EAT AND DRINK. At least so you don't have the irony have treating somebodies AKI when your technically in it to.

Friday, 28 September 2012

Cynical?

Am I right to be a bit annoyed and cynical about a colleague who was seen in a nightclub last night very drunk last night who did not turn up for work today? Especially as it doubled the workload for one of my colleagues.