MegaSack DRAW - This year's winner is user - rgwb
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...in a 13 year old whilst in an ortho department without any painkilling of any description. Normal practice or a case for complaint? Registrar claimed that he couldnt give any painkilling substances of any description, even gas and air, because if they did so they wouldnt be able to tell if they were going in the right direction.
Bullshine and shoddy practice or legitimate reason?
Edit: No other complicating factors, pulses all present and correct, so not time critical.
I'm not a doctor or a lawyer, but that sounds like bollox. Gas and air allows people to answer questions whilst reducing pain. Even morphine allows people to answer questions... The pain is there still, you just don't give a shit about it.
I would question the practice. It certainly doe snot fit into the "First do no harm" part of the oath the doctors take.
You have a legitimate concern I'd say - especially for a 13yo, that doesn't sound good. Take your time and make a formal written complaint to the relevant NHS Trust / hospital manager.
They take things like that pretty seriously in my experience - may well be that others have raised similar concerns.
i am not a doctor or a lawyer but i would have told them where to go if they had tried that on me without pain killers.
Can yo usopeak to the team to see if thisis usual for Dr or just for this one?
Assuming you are new you may wish to give it some thought before whistleblowing
Hope the new career works out for you
It's not a place where I'll work. It's my sister's son that it happened to. She is weighing up whether or not to go for a formal complaint. She was prepared to let it drop until she got the probable bullshine excuse for doing it.
She happens to work in the hospital - handles the patient complaints process ...
She happens to work in the hospital - handles the patient complaints process ...
😆
LOL and superb
Can she not ask some other staff to see if thiis usual for all Dr's or just for this one?
Sounds like bollox to me.
We don't take an oath either- that's also bollox. 🙂
Is the reg claiming that they rely on the 13 yr old to tell them that the bones are lined up properly rather than their own clinical skills?
Midazolam, entonox (gas'n'air). loads of options I should think*.
*I last did an a+e shift in 1994
Not wanting to comment on this individual case...but....
When I worked in paeds A+E, we would [b]NOT[/b] (as in 100% no sir, no way, not happening, you're fired if you do type thing) let any of the ortho team manipulate fractures in the department, as they could not offer appropriate pain relief (unless there was immediate threat to the blood supply)
I think there was one surgeon who shooe'd the nurses away and manipulated a wrist - He didn't remain employed in the trust for long. Seriously.
Read into that what you will.
If they did that to my son, one would not be impressed...
DrP
We had an 8 year old with radius/ulna fracture, displaced by 20* and overlapping. One the hospital left him like that for three days until they could get him to a consultant, and two it was manipulated to get it flat at the x-ray without pain killers (apart from calpol) and without warning....
It seems to be 'normal'.... 😕
Seems that the head nurse in the dept is making a complaint about it.
Currently working in a&e in swansea.
Paeds fractures are never pulled in the department, always referred to orthopaedics to be pulled under GA, provided pulses are present.
Local policies may differ - but doesnt seem to me to be ever any reason to pull a fracture without any pain relief.