Even that close to CCT, or even as a consultant, thrown in at deep end, no induction in unfamiliar place, unfamiliar team, unfamiliar systems after prolonged period off work...even a new consultant should have option of ‘phone a friend’- and when that friend isn’t there... ?
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How steady was the environment you worked in? Were you subject to large variations in volume or complexity of tasks, or access to supporting services (IT and human), or wild variations in types of tasks required of each of you?
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Or lots of incidents where the policies/protocols/guideline didn’t actually fit the circumstance, so you had to fill the gaps yourself, or go ‘Off-piste’?
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Healthcare probably isn’t the only such industry with such variability and strains, but it is one of the most heavily scrutinised and criticised, just because of the fact that it affects virtually everyone at some time in their life, and we all pay for it in our taxes
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Healthcare is the one industry that you can't easily walk away from and choose not to engage. It's not a choice. But I still think any exceptionalism arguments should be avoided at all costs. History teaches us that such thinking rarely ends well for the rest of society.
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It’s not exceptional it’s, its realist. And I agree it should not be that way. For now we are stuck with these realities, and in many ways getting worse. Personally, I think continuing efforts to try to ‘improve’ but using same limited methods is adding to problems.
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With respect, you started out suggesting the need to document everything accurately was exceptional. When I pointed out it wasn't, you've looked to try & identify another distinction instead. I don't doubt your world is a challenging one, but we expect health records to be right.
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I think you mistake me, John. I agree, accurate, contemporary notes are extremely important. My point was that the ‘ideal’ and the ‘real do not always match, for a multitude of reasons...
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I’m not excusing it, but acknowledging that the ideal ‘work-as-imagined’ is faced with challenges+++ in the messy reality of real life as a Dr/nurse, made all the worse with increasing, unchecked complexity and workload.
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