For a number of doctors to be defending her actions, has me thinking that the is generally the level of acceptable practice & care. Why else would they be screaming "it could be me next"? We accept it as service users or die.
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Replying to @Janine00050361 @lynn_laidlaw and
It’s. It about ‘acceptable’ or ‘unacceptable’ practice, its about seeing sharp end and realities 1st hand of what can happen when your mind is pulled from pillar to post + backup systems you rely on to catch issues are stressed/not as effective as usual +...+...
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Replying to @Cjw450Cathy @Janine00050361 and
In many cases reluctantlydrop our shoulders in resignation knowing that in same circumstances we may well have made same/similar/other equally disastrous wrong turns. Also, at end of day, systems often are just enough to work, but only takes one more thing to tip over the edge...
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Replying to @Cjw450Cathy @Janine00050361 and
And whether that one more thing happens, or contributes to adverse outcome is unpredictable or uncertain
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Replying to @Cjw450Cathy @Janine00050361 and
I do sympathise with this, but I also struggle to imagine any circumstance where I would confuse. 2yr old with a 6 yr old. Or where I would forget that it's not my job to stop those around me from conducting CPR - even if it hadn't been the wrong call.
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Replying to @C7RKY @Cjw450Cathy and
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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Replying to @doctorcaldwell @Cjw450Cathy and
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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Replying to @C7RKY @Cjw450Cathy and
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 want1 reply 1 retweet 1 like -
Replying to @doctorcaldwell @Cjw450Cathy and
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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Replying to @C7RKY @Cjw450Cathy and
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 …1 reply 0 retweets 1 like
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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