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Jill Rakowski

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Comments (2)

  • Comment on: Union attacks trust for district nurse mileage rate cut

    Jill Rakowski's comment 29 January, 2012 4:20 pm

    It is evident that those who have made this decision have no idea what community nursing involves.

    The only logical step forward if management do not see sense, is to travel for their work by public transport - preferrably accompanied by the office staff who made the decision. In my patch I might get one or even two visits done on a good day, but I'm not too sure how I'd get to patients in a timely fashion or if I had to take in controlled drugs etc. Patient facing time will plumet - as will staffing levels.

    We have been subidising the NHS for transport for decades. There have only been two increases in mileage allowences in the last 15 years as far as I can remember.

  • Comment on: Supporting staff nurses to train as community specialist district nurse practitioners

    Jill Rakowski's comment 1 May, 2010 5:22 pm

    When the first Anonymous is an 'old gimmer', she/he will find an ITU nurse with 10 years experience will be far less helpful and effective at planning and delivering the care of her/his leg ulcers than a District Nurse/Specialist Practitioner with 3 years community experience. (Ask any ITU nurse what they know about leg ulcers).

    Over time, all nurses develop skills and experience appropriate to the needs of their clients and area of practice. In the Community this includes extensive Tissue Viability knowledge, supporting patients with Long Term Conditions and Palliative Care. We may not be as High Tech as the ITU staff, but we still give IVs, manage Chemotherapy, PEG tubes, set up and manage syringe drivers and actively participate in decision making about appropriate dose adjustments for palliative care.

    We cannot develop these skills without good leadership and managers; the Course includes management modules to help develop the skills we started with but as observed, only more experience (in a supportive environment) will allow people to become good managers.

    And yes it is great that this area has developed some career pathway for its community nurses.