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  • Emergency waits rise alongside savings target struggle

    JRT's comment 1 June, 2012 9:31 am

    Raw figures as quoted in this article do not help in determining why patients "waited"

    Waiting for a bed or waiting be examined/treated?

    The overall number of patients seeking care from A&E departments is increasing, why is this ? Maybe the lack of out of hours GP provision is a factor ?

    What are the age groups do the patients "waiting" ?

    Is the demand for trauma care increasing or is the demand for "urgent" care associated with with the elderly who need admitting to medical beds?

    What is the link between achieving "savings" and increased numbers of people "waiting"

    This is a mish-mash of an article which does not assist the reader in forming an opinion or conclusion.

    More research please Sarah !


  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 1 June, 2012 7:16 am

    Redpaddy 6:40

    Thanks.
    I wont take you up on your challenge because "they" might ban me from here !

    Love your comment about the "Beano" ! However I suppose everyone has a right to choose! I am always surprised by the number of "red top" tabloid newspapers which are scattered about in staff room or decorating nursing stations!!

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 1 June, 2012 7:01 am

    Anonymous 8:35

    Oh dear ! Perhaps if you used Google as a friend!

    Here are just a couple of paragraphs that you may find informative.

    Propofol can be used for procedural(concious) sedation, for example during endoscopic procedures, DCCV,or other minor procedures where the use of a general anaesthetic is not justified . Its use in these settings results in a faster recovery compared to midazolam.

    Conscious ( procedural) sedation is a type of sedation in which the sedated individual can respond to verbal directions, but he or she feels little to no pain, and has an altered level of consciousness.

    Used for minor procedures which do not merit the use of general anesthesia, and for procedures involving patients who cannot cooperate with care providers. Like any form of sedation, there are some risks to conscious (procedural) sedation, but it carries significantly less risk than general anesthesia.

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 8:03 pm

    NO !

    You really do need to educate yourself and quickly !

    Conscious Sedation and General Anaesthetics are different!

    Hey -------just use google ---- and inform yourself

    I really to loose heart and begin to believe all the bad press about ignorant nurses

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 7:31 pm

    Anonymous | 31-May-2012 6:12 pm

    Many thanks the link it did indeed open!

    The paper describes nothing new Midazolam and Propofol have been the mainstays of conscious sedation for a long time. I hope the flumazenil was readily available !!

    My experience would suggest smaller, weight related , doses of Midazolam coupled with Propofol also administered in a weight realted dose.

    For those who may not understand our discussion concious sedation produces amnesia in a patient undergoing a brief procedure like cardioversion or the reduction of a dislocated shoulder.

    Patients maintain their own airway and recovery is rapid. Full resuscitation facilities must of course be immediately available and the patients ECG, breathing and oxygen saturation level must be closely monitored during the procedure and the recovery period.

    Maybe a student will learn something !

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 6:43 pm

    Anonymous 6:19 pm

    That is not for me to say. My solicitor having reviewed my posts believes a case can be made against the Assistant Editor and the NT.

    I will keep you and everyone else updated on this matter as it evolves.

    It would of course be much simpler if Ms Woogara and the NT just issued a Public apology.

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 6:33 pm

    Anonymous 6:12

    Many thanks I will try the link again

    However , I have to say that in a career spanning many years I have never witnessed a GA being administered to a patient undergoing cardioversion.

    You do not need to explain in "simple terms" what balloon angioplasty is ----------I know !!

    My point relates to the original article which describes an anatomically impossible procedure !

    The original article made no reference to balloon angioplasty.

    Once again I feel forced to insist that student placements are not intended to provide "amazing" freak show entertainment. If students witness a procedure which they do not comprehend I would argue the student has a duty to inform themselves before rushing to publish nonsense.

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 6:07 pm

    Just to keep you all updated and to ensure the Acting Editor cannot deny receipt of this message


    Nadine

    You will have received my email dated May 31 2012 timed at 21: 36 and I note you have failed to respond.


    I am now advised to require you to respond within the next 48 hours .

    Failure to comply with this reasonable request may result in legal action being taken against you personally and the NURSING TIMES.

    Yours




    Apologies for removing my full name, I am sure you will all understand

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 5:15 pm

    Adam ,

    Well done ! at least you have put in an appearance.

    However , perhaps you would be better advised to pursue a career in Politics! You say you will respond to your critics but then sidestep the issues !

    Go back and look at my very early post and answer the question ----------Then I will be really impressed.

  • 'What amazing things have you witnessed while on placement?'

    JRT's comment 31 May, 2012 4:21 pm

    HEY

    Ladies and Gentlemen !

    I have just received received an email from Ms Woogara the "Acting" on line editor of the Nursing Times.

    I will not bore you by reproducing the whole document but invite your comment on the final sentence.

    Here it is ! :-

    I hope that you consider this warning and adapt your behaviour on nursingtimes.net accordingly. If you do not, I am afraid that we will be forced to disable your account.

    Fortunately a friend who just happens to be a lawyer was with me when I opened the mail.

    I am pleased to have been guided by her in formulating a response to Ms Woogara.

    We have asked for a full and open apology to be published in the NT. I sincerely hope that happens

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