Very good question. Is there a transcript of the original Crown Court trial in circulation now?
Which reminds me, @HodkinsonAlice, you never did answer this tweet. Do you have access to this transcript?
#BawaGarbahttps://twitter.com/c7rky/status/1022980701287849985?s=21 …
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It’s similar to friendly fire incidents in warfare eg in Iraq allied aircraft shot each other down - we need huge unavoidable identifiers for eg DNACPR but often a form misfiled deep in paper notes far from the incident
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I know plenty who'd cheer you on re the idea of huge, unavoidable DNACPR identifiers. Esp if it included a date and initials of the staff member who had discussed it with the pt/family.
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The identifier has to be on the person who is DNACPR. A man with advanced cancer was adamant he wanted to be
#DNACPR went out to Hospital car park for a smoke, died and passing paramedics had to do the DNACPR he actively didn’t want -
Makes sense. A wristband, perhaps? Probably better idea than hats saying 'I'm having a bad day, don't make it any worse by doing CPR on me'.
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They have
#DNACPR wristbands in#Seattle - see end of this essay of mine on#Wristbands & Washing Machine Icons (and#Anaphylaxis)https://www.dropbox.com/s/ezo5u9og8z86vzt/Wristbands%20and%20Washing%20Machines.doc?dl=0 … -
Well, well.. I've spent time in one of those Seattle Hospitals - Harbourview Medical Centre, I think it was called? Probably a bit before they brought out the wristbands though - 1984. God I suddenly feel very old. :)
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I do wish you could come see the melee - it’s like guerrilla warfare in the dark and mist At Oban I have started consultations with the incorrect patient more than in my whole career because of a fact dangerous tradition of not having patients’ name over the bed
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You've no idea how much I wish I could do that. I want to better understand because I want to fix things. I don't want pts, relatives or HCPs to feel under threat from this insanity & I think all 3 groups do right now. But I also want 'truly exceptionally bad' to mean something.
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Indicative of wider problems... ward based staff didn’t continue or question it. Questions about communication on ward if nothing else
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It undoubtedly highlighted wider problems beyond individual concerns. Communications yes, but also a lack of apparent recognition of where control/authority sits. If I walked past an army barracks and shouted 'Ready, aim, fire', I wouldn't expect to provoke the sound of gunshots.
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Yup. I’m trying to think of a situation where my nursing team would let me do something they weren’t happy with... ironically, wonder if it would have happened on CAU?
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Many factors influence whether team will challenge/intervene...self-confidence, experience (clinical) and experiences (past events), management & leadership and levels of empowerment,who they‘re challenging, hierarchical thinking, +++ cultural conditions and conditioning...
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I got Medical Students to challenge me on
#WardRounds within minutes of first meeting. Gave them my Considerative#Checklist and said ‘This is important for the patient, tell me anything I miss’ https://www.dropbox.com/s/satkng5d88pbjwe/Checklist%20Clinical%20Medicine.pdf?dl=0 … https://www.dropbox.com/s/hap0gkzp5k3kpl9/Student%20Learning%20from%20Using%20a%20ward%20Round%20Checklist.pdf?dl=0 …@nialldowney -
Unfortunately, Gordon, I fear there are still few who are so open to challenge & critique as you. Have you asked your students/team members how they feel about challenging behaviours/decisions in workplace? Be interesting to see those that even speak openly about negatives
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In general staff say they would speak out if they saw a Senior about to do something wrong or omit something important eg failing to use alcohol gel between patients on
#WardRounds But In general they don’t#TooMuchFear@DrUmeshPrabhu Doesn’t say much for our Professionalism -
It’s a pick your battles thing I think
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