NHS frustrations

[screenman]

It must be frustrating when you tell a patient to do something and they take no notice, six weeks later they are back with the same ailment. Which if they had taken notice may have been on the mend. I have a family member who does just that, takes no notice and is assisted in doing so by my brother.

I wish they would listen.

 

[classic33]

HEADS? I don't really know.

Heads I doubt, pans however...

 

[Saluki]

It must be frustrating when you tell a patient to do something and they take no notice, six weeks later they are back with the same ailment. Which if they had taken notice may have been on the mend. I have a family member who does just that, takes no notice and is assisted in doing so by my brother.

I wish they would listen.

We have a neighbour on dialysis - different unit to my Hubs though - and she refuses to stick to her fluid limit of 1 litre a day. Stuffs tomatoes and bananas like they are going out of fashion, even though they are high in potassium and you need to watch potassium levels on dialysis, ditto calcium but she eats tons of cheese. She is really peeved off that the renal specialists have removed her from the transplant list because of her lifestyle choices. She spends a lot of time in hospital because she is so bloody minded.
We have no sympathy for her. We just walk away when she starts whinging.

 

[gavgav]

[QUOTE 4705578, member: 9609"]they keep patient notes on their personal mobile phones, is that secure ?

anyway, the two at reception were watching youtube videos, I know this as I asked what was so funny, they showed me a very funny clip of a dog and a big puddle of water - the reality of 2017[/QUOTE]
They wouldn't be personal mobile phones. They are more than likely fully encrypted mobile devices that sync to electronic patient record systems.

 

[KnackeredBike]

A trust who permitted clinicians to access PID/PCD on their personal mobile devices... and didn't restrict what they could access, so they were able to see PID/PCD for patients that weren't theirs. [Insert facepalm smiley]

At least in my trust any clinical staff can access any patient record because hospitals work 24/7 but admin don't and it would be awkward if you couldn't give a patient their medication until the ward clerks get in at 8am.

Asides patient records are generally very dull and clinicians very busy. I'm sure there are the odd few who look up their neighbours but nowadays your electronic fingerprints would be all over it anyway and you would have to explain why you accessed a patient who you had no clinical relationship with. Probably not worth risking losing your job to read something rather boring.

 

[PK99]

[QUOTE 4705669, member: 76"].

And where has @PK99 gone in this thread?[/QUOTE]

@User76

I'm afraid I have been rather busy.

One of the things I was busy with was cooking for a few people coming round last night. One of who has worked for many years at nursing director and then general management director level in a range of Hospital and other NHS functions.

MrPK described her experience, including a bit of information I did not put in my OP (as I did not have it at the time) - when she went to the desk after her first discharge to query the antibiotics, she suggested they might like to send a cleaner along to deal with the puddle of blood on the floor she had left where she and been sitting. ie after discharge she bled through the dressing sufficiently to leave a significant pool of blood on the floor is 10/15 minutes That is why the consultant took control when she went back to the treatment area. The wound required 15-20 stitches.

Our friend immediately told us we must make a formal complaint as the events described would rate as a "serious incident" - discharge with an untreated open fracture and without antibiotics would put the patient at significant risk.

So, Maggot, I will "stop posting this nonsense on the internet" and will instead follow the NHS senior manager's advice and post it to the hospital complaints department.

 

[classic33]

[QUOTE 4707597, member: 76"]You say her broken toe was misdiagnosed, and that the consultant came and diagnosed a broken toe, which was what they treated her for. The dressing was obviously considered adequate at the time, which turned out wrong. This was pretty much immediately rectified. She was not, as your NHS Director friend has said above 'discharged with an untreated open fracture'

You had some friends round, cooked them dinner, gave them your massive tale of woe and they agreed and thought you should complain? Invite me round for dinner and let me offer an alternative.

What do you want from the complaint? Money, sackings or what?[/QUOTE]
I'd say the correct treatment in the first place would have prevented it going further.

Not everyone is willing to post every little detail. I've done so to try and break down the mystery that surrounds epilepsy.

 

[classic33]

[QUOTE 4707761, member: 76"]I get that. Strange how it got worse when someone disagreed with his position though.

Presentations of patients can change quickly, one dr sees something, 30 minutes later another sees something else. That is not dr number ones fault.

Still an already pushed Trust can now get a couple of people to spend 2 days looking into how someone was made better, that'll help everyone eh?[/QUOTE]
There's a seperate deparment that handles that. And if it takes only two days, I'd be suprised. Two years and counting, in my case.

And if it prevents the same mistake, then yes it is a good thing.