I lost my list, Only a nurse understands the dread of those words. Its funny how much your whole shift depends on the verbal report and the notes you make on your list of patients. We used to put sheets of carbon paper and write the lists now we print it off from the computer and add the notes from the verbal report. Mostly we record our reports on tape now. which makes it quicker no chatting so we get off on time but some vital stuff gets left off sometimes usually dont have time to read patient notes till the end of the shift when you are writing your reports. Sometimes there doesnt seem much point knowing the patients they are shoved thru so fast you cant really do much. I worked on a car assembly line once and we used to miss tightening some bolts cause the line moved so fast. Thats what it feels like in nursing and the more difficult things are to do or the more unsure people are of how to do something the less they are likely to do it. You could rank procedures in difficulty then match it to missed or done wrong I'm sure they'd correlate. Keep it simple stupid. I guess thats obvious but because the people ordering the procedures never think about the problems of doing it or if people can do it or even know how to do things themselves. I always have tried to be honest and say if I dont know something and ask.
We had a quiet shift so I was reading the Garling report just the summary at the beginning. I wonder why they get a judge who knows nothing much about the health system to recommend stuff about it. Very odd when you think about it. One recommendation that we go to computer generated rosters. I'm not sure what he means by that but our rosters are request rosters we write down what we want and they do their best to give us those shifts. Like the bit about establishing a kind of 2ndary A&E for lower category problems. Bit of a failure to understand the issues. Closing pubs at 2am would have more effect.
On to nicer things I am making Delia Smiths little salmon croutony things for tennis party tasty tasty. Her website is really good. I still think she is the best home food cooking writer and she owns a football club perfect. One day we will go to England and go and eat in her restaurant and go see a game we love English football Gotta go to work. I am having breaks from night duty doing afternoon shifts getting too tired from it.