Friday, 30 December 2011

Yes, They Really Should Have, Shouldn't They?

"I can't believe they did what they did. Someone should have checked everything they needed was there before they got my mum into theatre.

"I just hope we don't experience anything like it again."
So much for the NHS being the wonder of the world...
Adam Brooks, clinical director for specialist support, which covers operating theatres at NUH, said: "We're sorry that Mrs Taylor's operation was delayed on 1 December.

"The specialist equipment (metal plates and screws) needed for her surgery had not returned from being sterilised – which is vital for the safety of such a procedure. We apologised to Mrs Taylor at the time and were able to reschedule her operation for the following week.

"All of our theatres equipment at NUH goes through a thorough checking process to ensure everything is of the highest quality and within sterilisation dates."
Look, Adam, no-one's suggesting that it doesn't, or that it should be any different. What they do expect is that your surgical staff should ensure they have everything they need to hand before they start searching for a place to stick the epidural.

It's only common sense, after all. Haven't your staff ever put together anything bought from MFI or IKEA?

Monday, 12 December 2011

Oh, Well, So Long As The Paperwork's In Place....

A father has hit out after a York Hospital doctor failed to consult next of kin before filling in a “do not attempt resuscitation” form for his son.
Gosh, and they said this’d never happen!

… kidney patient Andrew Watson’s condition deteriorated one night while his parents, Peter and Sheila, were asleep at their home in Wigginton.

Peter Watson only found out the following afternoon about the decision not to attempt cardiopulmonary resuscitation if his son went into cardio respiratory arrest.

Whoops! However, the hospital has an excuse ready.

Not a good one, admittedly:
However, hospital bosses said a DNACPR form was not a consent form, but was intended as a record that a discussion about the decision had taken place.

Still wrong. Because no discussion had
Mr Watson said he disputed some of the findings of an investigation into the incident.

He said: “I do not intend to let this lie, as I do not want any patient, partner or next of kin to be put through the same distress that we had to suffer, and I don’t believe the trust will do anything constructive if left to manage it themselves.”
Does anyone? Anyone at all? Bueller?
Sarah Lovell, directorate manager for acute and general medicine, who investigated the matter, said in a report that Andrew had not been well enough for the decision to have been discussed with him and the doctor concerned had intended to discuss it with his next of kin.
Well, that road to hell is just paved with intentions, eh, Sarah?
She acknowledged staff could have made more pro-active attempts to arrange for a discussion much earlier in the day.
And could have, say, not simply filled the form in regardless….

Saturday, 3 December 2011

The Sinking Ship Suffers A Bit Of A Manpower Problem...

A leading surgeon quit an NHS hospital in disgust, claiming that patients routinely suffered due to a lack of resources.
But I bet the hospital administrator's office doesn't suffer a lack of deep-pile carpet and personal coffee machines...
He is one of five surgeons to have quit the hospital in the last year.
And you'd think that would prompt questions in high places, wouldn't you?