Seems to me Twitter may have noticed another safety issue in the #JackAdcock case discussion?
This 'standard' hospital drug regime that Jack's parents were expected to understand, doesn't seem to be all that clear at all. Not to patients, anyway. >https://twitter.com/jim_crawfurd/status/959105852585234435 …
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Agree. We do elective procedures so fairly easy to manage and give information. I think it would be important to communicate key critical messages to patient’s’ family and friends - poster on the wall by each bed?
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Sounds like a small measure which could guard against a potentially very serious safety issue. Why wouldn't you? Seems sensible.
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Because I’ve only recently moved into secondary care following experience in community, primary care, secure environments, social care, urgent care. Having fresh eyes is beneficial on occasion.
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Someone who asks why... worth their weight in gold.
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Many people can’t cope with it. I like to needle the establishment to keep them on their toes. And I never compromise my principles
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Other issues around culture on the wards; decision making independent of doctor assessment IME anyway
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Good point
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Scary. And ended up being more time consuming as you would make a plan, document, communicate, then have it completely changed. Confusing for families; dangerous for patients. Buck still stops with the doctor. Even if completely different plan carried out
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In this case the mum did ask if she should give it though. I imagined there was a long delay in any being written up
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I remember the days [i feel old] you never used your own drugs from home. They would check & write them up, then they would be aware ‘when’ & ‘if’ they need to be taken. It all changed to save Hospital costs.
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Drugs from home are usually checked by pharmacy staff (or nurses) before being used to ensure they are fit for use and match the currently prescribed list from GP/other prescriber. If they aren’t then we’ll use hospital stock
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Whoever clerks does a med rec on admission, Mon-Fri pharmacist and pharm techs repeat the med rec via GP and advises notes of things missing. Electronic prescribing so all admission drugs are entered then suspended/stopped/modified as needed. GP sees changes
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