NHS overtime

getmore4less

If a patient deteriates

999 and get them admitted

ohreally

What post does she hold?

Cooper18

She works in a radiology department. She's a band 6 or 7, I'm not sure. She has previously been told she can't make any decisions without going through her managers so she definitely isn't allowed to manage - though aren't ward sisters band 7s? Or are they 8s? (Sorry, I'm a medic and a bit clueless with stuff like that). Anyway, she can't just take decisions independently.

Her department is isolated from the main hospital. There is no A&E in their hospital. All her incident forms go to her manager for action, she can't send them elsewhere. Her managers have asked other areas to help out and they have refused. I fear she is already labelled as a nuisance for trying to sort this and not just accepting it. She knows she can phone 999, and when to. But I imagine its that time between the patient being ok and being in total crisis is what worries her the most. She has no medical training, no nursing training. Except the mandatory stuff which amounts to jumping up and down on a crashed patients chest, not what to do if they start bleeding out their backsides, get short of breath, start vomiting rings round them, etc etc.

Patient experience? Poor. Though if she bills it as that sort of problem they'll likely buy her a kettle and a toaster and tell her to get on with it!

ohreally

Cooper18 wrote: »

She works in a radiology department. She's a band 6 or 7, I'm not sure. She has previously been told she can't make any decisions without going through her managers so she definitely isn't allowed to manage - though aren't ward sisters band 7s? Or are they 8s? (Sorry, I'm a medic and a bit clueless with stuff like that). Anyway, she can't just take decisions independently.

Ok, at that level she almost certainly can (and should) be taking decisions to resolve.

If she hasn't already make contact with the SOR http://www.sor.org/

keithdc

Cooper18 wrote: »

She works in a radiology department. She's a band 6 or 7, I'm not sure. She has previously been told she can't make any decisions without going through her managers so she definitely isn't allowed to manage - though aren't ward sisters band 7s? Or are they 8s? (Sorry, I'm a medic and a bit clueless with stuff like that). Anyway, she can't just take decisions independently.

Her department is isolated from the main hospital. There is no A&E in their hospital. All her incident forms go to her manager for action, she can't send them elsewhere. Her managers have asked other areas to help out and they have refused. I fear she is already labelled as a nuisance for trying to sort this and not just accepting it. She knows she can phone 999, and when to. But I imagine its that time between the patient being ok and being in total crisis is what worries her the most. She has no medical training, no nursing training. Except the mandatory stuff which amounts to jumping up and down on a crashed patients chest, not what to do if they start bleeding out their backsides, get short of breath, start vomiting rings round them, etc etc.

Patient experience? Poor. Though if she bills it as that sort of problem they'll likely buy her a kettle and a toaster and tell her to get on with it!

Patient experience is what its all about these days!!

Don't quite understand how she can have a band 6/7 'clinical' role if she is not a registered professional.

If it is isolated, may be worth a chat with a resus officer pointing out she is not trained to defibrillate and that it would take more than 3 minutes for arrest team to arrive from collapse. Ask them if that is acceptable??

If she is in a radiology department then it should be one of the registered professionals (nurse or radiographer) that stays with the patient.

Cooper18

Pretty sure there's no nurses or radiographers in the department. She's a technician or technologist, I don't know the difference! I don't think they are "registered" as such. Are they? Maybe I made that up. Though there's some discussion about new uniforms as they can't have the word "registered" on it. I'm confusing myself now!

ohreally

Cooper18 wrote: »

Pretty sure there's no nurses or radiographers in the department. She's a technician or technologist, I don't know the difference! I don't think they are "registered" as such. Are they?

Any of these ring a bell...http://www.nhsemployers.org/PayAndContracts/AgendaForChange/NationalJobProfiles/Documents/Diagnostic_and_Therapeutic_Radiography.pdf

LondonDiva

Your friend needs to:
Follow keithdc's advice about incidents - each and every time
If she has been left with a patient and needs to go home, she needs to contact the oncall managers / director and ask them to take over responsibility as she needs to leave - then log an incident.
She needs to follow up with an email to her manager and the LSMS (Local Security Management Specialist) stating her concerns and also asking for the escalation plan to be put in place when such things happen for the patients and staff concerned.
She also needs to ask her manager and HR (by email) what the TOIL or overtime arrangements are and asking if this can be backdated to April.

She needs to be handing this over to the service manager, LSMS and site practioner.

getmore4less

There is obviously a problem with the transport my guess is they don't get ordered on time and they are not prioritized because they know they can turn up when they like.

Someone should be on the phone to them from 4.45pm kicking off and not let go.

Cooper18

getmore4less wrote: »

There is obviously a problem with the transport my guess is they don't get ordered on time and they are not prioritized because they know they can turn up when they like.

Someone should be on the phone to them from 4.45pm kicking off and not let go.

Lol! Their kicking off time is 4pm, that's when the phonecalls start! (That's when I got the first text with "I'm not sure this dinner thing is going to happen..."). The ambulance is prebooked days in advance from what I gather, but if there aren't enough to go around, there aren't enough to go around.