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Post by Toreador on Jan 7, 2023 15:59:12 GMT
I have all the other bridges. Can I borrow the one that goes over troubled water? Just in case. Just for you, you can have all of them.
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Post by Cartertonian on Jan 8, 2023 10:38:24 GMT
Even if he is, it's no more accurate and no less offensive. My wife is an HCA and she can take bloods, do ECGs, set up IV drips, and a host of other highly technical medical procedures, as well as comfort and counsel bereaved relatives, de-escalate violent, confused patients, diplomatically inform junior doctors when they're fucking things up and an inexhaustible list of other things...alongside starting early, finishing late and working through her (unpaid) break. Occasionally, she might change a bedpan!
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Post by Bentley on Jan 8, 2023 10:59:33 GMT
Even if he is, it's no more accurate and no less offensive. My wife is an HCA and she can take bloods, do ECGs, set up IV drips, and a host of other highly technical medical procedures, as well as comfort and counsel bereaved relatives, de-escalate violent, confused patients, diplomatically inform junior doctors when they're fucking things up and an inexhaustible list of other things...alongside starting early, finishing late and working through her (unpaid) break. Occasionally, she might change a bedpan! Indeed. If a patient is going to be cleaned up or a bed changed it’s almost always the HCA who does it but that didn’t mean all HCAs clean up patients or make beds. The point is that the qualified nurse almost always never changes bedpans afaik. So you can’t use an argument that nurses do menial work.
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Post by Toreador on Jan 8, 2023 14:17:54 GMT
Even if he is, it's no more accurate and no less offensive. My wife is an HCA and she can take bloods, do ECGs, set up IV drips, and a host of other highly technical medical procedures, as well as comfort and counsel bereaved relatives, de-escalate violent, confused patients, diplomatically inform junior doctors when they're fucking things up and an inexhaustible list of other things...alongside starting early, finishing late and working through her (unpaid) break. Occasionally, she might change a bedpan! ....and no doubt even qualified doctors on occasions.
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Post by Bentley on Jan 8, 2023 14:23:48 GMT
Even if he is, it's no more accurate and no less offensive. My wife is an HCA and she can take bloods, do ECGs, set up IV drips, and a host of other highly technical medical procedures, as well as comfort and counsel bereaved relatives, de-escalate violent, confused patients, diplomatically inform junior doctors when they're fucking things up and an inexhaustible list of other things...alongside starting early, finishing late and working through her (unpaid) break. Occasionally, she might change a bedpan! ....and no doubt even qualified doctors on occasions. You have got to be joking ! 😁
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Post by Toreador on Jan 8, 2023 14:28:22 GMT
....and no doubt even qualified doctors on occasions. You have got to be joking ! 😁 You think qualified doctors don't make mistakes?
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Post by Bentley on Jan 8, 2023 14:37:22 GMT
You have got to be joking ! 😁 You think qualified doctors don't make mistakes? I think it’s a mistake to think qualified doctors empty bedpans . You said nothing about them making mistakes so why ask?
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Post by Toreador on Jan 8, 2023 14:45:17 GMT
You think qualified doctors don't make mistakes? I think it’s a mistake to think qualified doctors empty bedpans . You said nothing about them making mistakes so why ask? I wasn't talking about the emptying bedpans; read the bolded part to which I was responding.
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Post by Bentley on Jan 8, 2023 14:48:49 GMT
I think it’s a mistake to think qualified doctors empty bedpans . You said nothing about them making mistakes so why ask? I wasn't talking about the emptying bedpans; read the bolded part to which I was responding. Ok.
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Post by andrewbrown on Jan 8, 2023 19:54:28 GMT
Borrowed from another site:
"Posted anonymously by an A&E doctor: Im writing this because I’m angry. Actually more than that, I’m fu*king livid.
I’m an A&E reg with 9+ years experience in A&E both here and overseas. This morning was the first time EVER that I cried in my car after a shift. I was on nights over this New Years period, but New Year was not the issue, every shift is like this now.
Where 5 years ago we had 50 patients in the department on handover at night, we now have 180. It used to be around 20 patients to see with a 1-2 hour wait for clinician, it’s now 60-70 with a 10 hour wait.
People used to lose their minds if patients were coming up to 4 hour breaches. Last night 60% of the patients in A&E had been there for more than 12 hours, some for more than 40. Many I saw the night before, still in the same place when I came on.
No triage or obs after 2 hours of arrival, no bloods or ECGs or gas for 4 hours. Regularly finding people in the waiting room after 4 hours with initial gases showing hyperkalamia or severe acidosis or hypoglycaemia.
87 year olds coming in after falls sitting on chairs for 18 hours. Other elderly patients lying in their own urine for hours because there’s no staff, or even room to change them into something dry. As the reg in charge of the shift, Ive had (on multiple occasions) to help the sole nurse in the area change patients by holding a sheet around the bed because we have to do it in the middle of a corridor. People lying on the floor because there’s no chairs left, trolleys parked literally wherever we can put them.
Things have been getting even worse for the last 3 months. 5 weeks I came home raging to my wife that people are sitting in their own **** for hours and it’s so inhumane. Now we’ve got to the point where people are actually dying. People who’ve been in A&E for 2-3 days, The media and public might blame the A&E nurses and doctors for this, but honestly what the fu*k are we meant to do with 180 people in a department built for 50. With 8 nurses rather than the MINIMUM staffing of 12. 1 or 2 nurses per area, giving meds, doing obs, trying to provide basic cares to 25-30 people, an absolute impossibility. And there’s less nurses every week, because honestly why would you put yourself through this day after day?
Resus patients are quickly assessed and stepped down to make room for the next pre-alert, going to the area with those same poor nurses, already overstretched, now inheriting an severely unwell patient.
We need to accept the truth, the NHS isn’t breaking, it’s broken. And the same ******** who broke it are doing reality TV shows and writing books about how they saved the NHS whilst refusing to increase nursing pay. We try and shovel **** with spoons whilst they pour it in with dump trucks.
The NHS as we knew it is dead, and it breaks my heart, because it’s a beautiful system. It shouldn’t be like this, and those of us who have been around for longer than 5 years know it wasn’t always like this.
The public have no idea, they don’t really know how dangerous this all is. When they come in they’re horrified, but most of the population don’t know how bad it is. This could be their mum on a trolley for 17 hours, or their wife or son or daughter.
I genuinely feel it’s now our responsibility to speak out. We don’t for fear that it will make our hospital look bad or harm our careers. But it’s not a hospital problem, it’s a national problem, and it’s a problem brought about by the politics of the people in power. We need to shine a light on what they’ve done, make the public so angry that they demand a change. Massive recruitment of nurses through a proper wage/paid uni/free parking/free Nando’s if that’s what it takes would be a start.
If anyone has any idea how we could coordinate some kind of campaign to show the state of emergency departments in the UK right now please write a response, because I can’t work in this much longer, and more importantly I’m not sure the patients can survive it."
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Deleted
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Post by Deleted on Jan 8, 2023 20:00:03 GMT
Borrowed from another site: "Posted anonymously by an A&E doctor: Im writing this because I’m angry. Actually more than that, I’m fu*king livid. I’m an A&E reg with 9+ years experience in A&E both here and overseas. This morning was the first time EVER that I cried in my car after a shift. I was on nights over this New Years period, but New Year was not the issue, every shift is like this now. Where 5 years ago we had 50 patients in the department on handover at night, we now have 180. It used to be around 20 patients to see with a 1-2 hour wait for clinician, it’s now 60-70 with a 10 hour wait. People used to lose their minds if patients were coming up to 4 hour breaches. Last night 60% of the patients in A&E had been there for more than 12 hours, some for more than 40. Many I saw the night before, still in the same place when I came on. No triage or obs after 2 hours of arrival, no bloods or ECGs or gas for 4 hours. Regularly finding people in the waiting room after 4 hours with initial gases showing hyperkalamia or severe acidosis or hypoglycaemia. 87 year olds coming in after falls sitting on chairs for 18 hours. Other elderly patients lying in their own urine for hours because there’s no staff, or even room to change them into something dry. As the reg in charge of the shift, Ive had (on multiple occasions) to help the sole nurse in the area change patients by holding a sheet around the bed because we have to do it in the middle of a corridor. People lying on the floor because there’s no chairs left, trolleys parked literally wherever we can put them. Things have been getting even worse for the last 3 months. 5 weeks I came home raging to my wife that people are sitting in their own **** for hours and it’s so inhumane. Now we’ve got to the point where people are actually dying. People who’ve been in A&E for 2-3 days, The media and public might blame the A&E nurses and doctors for this, but honestly what the fu*k are we meant to do with 180 people in a department built for 50. With 8 nurses rather than the MINIMUM staffing of 12. 1 or 2 nurses per area, giving meds, doing obs, trying to provide basic cares to 25-30 people, an absolute impossibility. And there’s less nurses every week, because honestly why would you put yourself through this day after day? Resus patients are quickly assessed and stepped down to make room for the next pre-alert, going to the area with those same poor nurses, already overstretched, now inheriting an severely unwell patient. We need to accept the truth, the NHS isn’t breaking, it’s broken. And the same ******** who broke it are doing reality TV shows and writing books about how they saved the NHS whilst refusing to increase nursing pay. We try and shovel **** with spoons whilst they pour it in with dump trucks. The NHS as we knew it is dead, and it breaks my heart, because it’s a beautiful system. It shouldn’t be like this, and those of us who have been around for longer than 5 years know it wasn’t always like this. The public have no idea, they don’t really know how dangerous this all is. When they come in they’re horrified, but most of the population don’t know how bad it is. This could be their mum on a trolley for 17 hours, or their wife or son or daughter. I genuinely feel it’s now our responsibility to speak out. We don’t for fear that it will make our hospital look bad or harm our careers. But it’s not a hospital problem, it’s a national problem, and it’s a problem brought about by the politics of the people in power. We need to shine a light on what they’ve done, make the public so angry that they demand a change. Massive recruitment of nurses through a proper wage/paid uni/free parking/free Nando’s if that’s what it takes would be a start. If anyone has any idea how we could coordinate some kind of campaign to show the state of emergency departments in the UK right now please write a response, because I can’t work in this much longer, and more importantly I’m not sure the patients can survive it." It truly is shocking what Tory austerity and constant real terms pay cuts for 13 years have done to the NHS.
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Post by The Squeezed Middle on Jan 8, 2023 20:09:31 GMT
It truly is shocking what Tory austerity and constant real terms pay cuts for 13 years have done to the NHS. Even more so that some think it will be any different under Starmer.
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Post by Deleted on Jan 8, 2023 20:17:01 GMT
It truly is shocking what Tory austerity and constant real terms pay cuts for 13 years have done to the NHS. Even more so that some think it will be any different under Starmer. Well I have no faith in Starmer either and shall be voting neither Labour nor Tory. I must point out though that the dire predicament of the NHS has gotten far worse than it was under New Labour.
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Post by The Squeezed Middle on Jan 8, 2023 21:00:25 GMT
Even more so that some think it will be any different under Starmer. Well I have no faith in Starmer either and shall be voting neither Labour nor Tory. I must point out though that the dire predicament of the NHS has gotten far worse than it was under New Labour. Hmmm...
I've worked in the public sector for the last 27 years and I can tell you that New Labour carried on with largely Tory policies which they only really started to modify towards the end of their tenure. And then the Tories got in (ish) and carried on with largely New Labour policies. And soon we'll be there all over again.
I was listening to the radio the other day and there was a former Labour Party grandee talking about Starmer and he pointed out how every one of Starmers current pledges is either contradictory to everything he's said previously or is already being done/or promised by the Tories.
I listened to that and I realised that there is no functional difference between Labour and the Tories.
So basically, again we agree.
Although, as I've said previously, there isn't going to be a great difference whoever is in power because they all face the same constraints and issues - most of which are largely beyond their control.
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Post by Deleted on Jan 8, 2023 21:16:12 GMT
Well I have no faith in Starmer either and shall be voting neither Labour nor Tory. I must point out though that the dire predicament of the NHS has gotten far worse than it was under New Labour. Hmmm...
I've worked in the public sector for the last 27 years and I can tell you that New Labour carried on with largely Tory policies which they only really started to modify towards the end of their tenure. And then the Tories got in (ish) and carried on with largely New Labour policies. And soon we'll be there all over again.
I broadly agree with this which is the whole problem. New Labour differed from the tories only insofar as they were prepared to throw a whole lot more money at the problem.
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