@kcisc Be interesting to know how they meet IIR regs and what private clinic is doing the scans or is it on NHS
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Expat Pharmacist
8.2K posts
Expat Pharmacist
@PharmacistExpat
Pharmacist with musings on life, work and food, 36 years young Dad to 2 daughters
Fareham, England Katılım Nisan 2018
992 Takip Edilen450 Takipçiler
@KenZeroHarm @nhsswipecard @MedRegoncall1 @UHSFT Is it, having worked with them a few years ago, they do a lot of the punch biopsies and other minor procedures after seeing consultant/reg allowing more to be done and over 5 days. Plus meant they could no more of the melanoma/non melanomas
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Has anyone ever heard of the “nurse surgeon” role before? @UHSFT
Does that mean they have MRCS and other qualifications that consultant surgeons have?
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@Dr_JSA @TheSnoozeDoctor I remember watching surgeons on edge of life on BBC , 10 years ago and this role being on there and no-one said anything
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Also warning for gen surgeons...
PAs don't have prescribing rights but there's no barrier to them performing surgery (with "supervision" of course). The introduction of surgical care practitioners set a precedent.
Don't get upset if your lunch gets eaten in the years to come.
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Because the doctor can prescribe. The PA is effectively useless on the ward solo.
It is unfortunately the logical solution to a problem caused by a desire to substitute doctors with lesser trained staff.
If the public are happy with non-doctors performing their surgery...
Mr Man@UncleZubs
Wildest thing I've seen. Reg calls in sick so no assistant in theatres. CT1 who was scheduled for theatre (his only slot that week) was "demoted" to the wards to cover the wards because......... The PA on the ward had to go replace the sick Reg The core trainee went to the wards
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@cannula_service @nhsswipecard @anaesthetic_spr @NEndoscopy Devils advocate, if it was a gastro trainee who made the error, who would be blamed, the trainee, the consultant supervising or the two surgeons who didn't act
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@PharmacistExpat @nhsswipecard @anaesthetic_spr @NEndoscopy Two wrongs don't make a right.
The swiss cheese model doesn't mean there wasn't clear negligence from the person doing the procedure. Should they have ever been in a place to do so?
If the consultant gastroenterologist was present, they have also failed in their supervision.
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The likes of Prof John are the main reason why medicine is a joke in this country.
Nurses perform risky endoscopies, while gastro regs draft discharge letters on the wards and catheterise patients.
Prof John Leeds@NEndoscopy
@MedRegoncall1 @RotherhamNHS_FT Seeing as that’s not a diagnostic scope it wouldn’t be offered. My daughter has had nurse endoscopists do her IBD lower scopes. If a nurse has been rigorously trained and JAG signed off then they can practice under that scope in the U.K. bsg.org.uk/getmedia/d470c…
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@19MW98 It's two trusts so surely consultants would have asked what's happening
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All the people who enabled him & allowed him to work beyond his competencies, failed to challenge or stop him shld be held accountable. That includes, R.Colleges & unions in partic who've colluded to downskill & introduce a scab workforce putting their members & patients at risk
Ben Southwood@bswud
- there is only ONE nurse in Europe allowed to perform ERCP (usually carried out only by specially trained surgeons), in Rotherham in England - this nurse regularly introduced himself as ‘a consultant interventional radiologist’ to patients, obfuscating the fact he’s a consultant NURSE - even his supervising surgeons were not themselves trained in ERCP as it’s so specialised! - in one case he continued with surgery despite the supervising doctor instructing him to stop - he made mistakes dosing sedatives and I n the procedure itself, leading to the death or harm of at least 68 patients Doctors wanting to perform ERCP must pass rigorous speciality exams and enter special training programmes under close supervision. Why do we have lesser standards for nurses? Patients must now routinely ask their ‘doctors’ if they are actually doctors if they want proper care in the uk!
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@DrHuw Question why wasn't this being flagged in balance checks as surely excess stock would be being used
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We are only just uncovering the tip of the iceberg in terms of what harm non-medically trained healthcare workers have been inflicting on UK patients
This is a ‘clinical endoscopist’ acting way outside any acceptable scope of practice
8mg midazolam & 175mcg of fentanyl FFS
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@NEndoscopy @MedRegoncall1 @RotherhamNHS_FT Why was nothing checked or on switching trusts a plan of observation put in place
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@MedRegoncall1 @RotherhamNHS_FT Not sure about ladder pulling. This guys training was extraordinary when looked at. Trained by a different trust in IR of all places and not sure there was much GI med or surg input at all. Went to Roth claiming to be signed off on some IR things and ERCP. Bonkers
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🔴Dear public,
Why would a NURSE be allowed to perform an endoscopy procedure (ERCP) + seriously harm/kill 68 patients in Rotherham NHS Trust @RotherhamNHS_FT 💀☠️
⭕️ERCP is an invasive procedure strictly performed by consultant hepatobiliary surgeons.
⭕️The spineless doctors have also failed their patients by allowing this “self-confident” nurse consultant to even think about performing ERCPs.
⭕️She obfuscated her role and misled the patients.
These are the repercussions of a flat hierarchy.
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@MedRegoncall1 @nhsswipecard Intriguing, I asked the nurses in the oncology day unit, they are all signed off to do them all but when on bank they are not as "doctors need the numbers for their logs"
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@nhsswipecard @anaesthetic_spr @NEndoscopy But a Dr observed them do jt, and then two surgeons didn't investigate it
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The “Nurse Endoscopist ” perforated the transverse colon while trying to insert a PEG tube into the stomach and killed the patient.
@NEndoscopy
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@anaesthetic_spr @kcisc I wonder if the better information/better shared decision and better bed side manner is a common thing as they have more time to explain and ability to build a relationship as not rotating as often- so IF a Dr was able to be fixed would they get more experience in x procedure
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AHPs will always claim a nurse is better than a consultant urologist until their urinary bladder is perforated.
Change my mind.
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@MedRegoncall1 @nhsswipecard Have you asked the nurses why they are not signed off to do it?
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I am only concerned that more than 90% of nurses claim they are not signed off to cannulate, take bloods, or catheterise, and get the F1 doctor to do such basic tasks. How are they competent to perform endoscopies unsupervised?
Prioritise your gastro trainees for endoscopy lists.
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Random question, signed up for a half marathon in Ireland in October (same weekend as a friend's wedding) and they have sent 2 reminders that no headphones are allowed, how strict do they enforce this
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@henrywinter @FootyBoardroom Like Salah said earlier in the season the club wanted him out and threw him under the bus… Salah has now obliged their request. It should be Slot gone.
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Mo Salah will rightly be given an emotional send-off. Liverpool legend. Premier League great. But what are the financial considerations behind his exit? Ex-LFC CEO Christian Purslow analyses why and how the club will take Salah’s departure in their stride. @FootyBoardroom 1/2
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@AliceInW8 Just curious how he is funding his lifestyle or do enough people pay him for consultations
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@galalaxyquest @anaesthetic_spr What about the consultants who have signed them off to do the procedure and allowed it to happen- going to be at least 5 consultants
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The trust should be sued and investigated for corporatemanslaughter, The Nurse Consultant and the manager who authorised this person to perform these procedures should be prosecuted and spend time in prison
NHS Swipe Card@nhsswipecard
This nurse consultant didn’t study anatomy in depth. Do they really know the location of the sphincter of Oddi? Patients are no longer safe in this country.
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@ColeFusionHQ Boy at school was called St John, as he always injured someone playing sport
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British nicknames are an unregulated industry. a 5'6 tradesman called Anthony is professionally known as Shetland Tony. a man who lost an eye is called Keth. a quiet man wore a yellow jumper once and became
Mumblebee.
what's the best nickname you've ever heard
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@AlanStout19 Genuine question, how many more rooms would you need to make it work,
Local GP surgery they have a GP everyday working from home due to lack of rooms to allow GP registrars to train and they only have 2 ARRS in clinical rooms, a FCP and a pharmacist who is in the blood room
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To make GP work well we simply need 1 more full time GP, 2 more admin staff and 2 more nurses (and some space to put them). This is for my practice, just over average size.
We don’t need fancy phone lines, ridiculous access targets, failed MDT rollout or tricky new strategies…
Alan Stout@AlanStout19
@ursulaamason I’m impressed by the public accounts committee as they seem to see the problem and the obstacles. Lots and lots of talking, meetings, planning and new strategies, but next to no meaningful action…
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@BlackM1710 @kcisc Would love to know this, plus surprised the army hasn't kicked them out
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@MedRegoncall1 Isn't this also on the universities, for not checking qualifications etc
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🔴 This is concerning.
Did you know that some completely unqualified paramedics (with no degree) are working as advanced practitioners and are paid at senior registrar level?
⭕️You are paid at Band 8a with no MSc degree, which most ACPs brag about.
⭕️You are looking after critically ill people with no basic knowledge or expertise.
Most patients cannot verify the qualifications of the HCPs reviewing them.
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