some neurosurgeons today finally cottoned onto the idea that its good to take a patients blood pressure before they turn up to an anaesthetic room at 220/120.
all i got to do now is find someone to do it…
why not the nurses who do it for every other speciality already?
“that sounds fairly easy” preassessment nurse says..” go to admissions and they’ll tell you how to do it”
who knows where that is? the admissions reception?
got to them ” err no idea” they say “,but every speciality has an admissions officer…except of course the neurosurgical…try office in admissions office for ENT outpatients…”
“neurosurgeons don’t have one of us” says ENT admissions manager ” but all thats needed is to book the preassessment on the booking form and the activity gets coded.you just red some one to book it.try the neurosurgical secretaries”
enter secretaries :”yes its do-able and we could have stab at it but we need the all clear from the manager to know how to code the activity”
manager “great do it…we ve been trying to get something like this for years” !!??
ok…its within my grasp
back to secretaries “your boss says its ok”
secreratries “well…err..ok but give us some time because there will be a backlog which will result in new letters and reschedulings”
nevermind ..at least theres a plan.
hmmm.maybe i should go back to the nurse who said it all would be fine in the first place as long as the powers that be are happy..it all seems too easy.
back to nurse :” they all say fine”
nurse ” aah well.wheres this going to happen?”
nurse “we dont have a room.”
nurse” and who’s going to see them.im not comfortable seeing neurosurgical patients ”
me “i thought you said…”
nurse” and we have quite a lot of patients already”
me “but i told you earlier it would be 4 a day”
nurse”and who’s going to pay the extra nurse”
me “pay? aren’t you guys already doing it”
nurse”we al have our own speciality clinics for preassessment”
me “why?i thought you agreed with me it didn’t need any specialist knowledge…just blood pressure,ECG,basic stuff…”
nurse ” all the directorates pay their own nurse”
me”to do blood pressures,ECGs and ask the patient what drugs they take??”