Epocrates Online

Thursday, March 31, 2005

YB in patient care issue
Well, there is a patient with uncomplicated bilateral close fracture admited in the ortho ward for 3 days. Waiting for his turns for surgery.

Some how this guy knows some YB and this YB called up my Pengarah and wants the ortho team to fix the fracture STAT.

Surprisingly all the bosses involved comes to an agreement to plate the fracture tomorrow morning. Since there is no ortho OT tomorrow, we are going to use the emergency OT for the said case.

Imagine allowing the only emergency OT to proceed with a non-emergency case which are going to take a few hours... Knowing that we have very high trauma and LSCS rate, I just pray that there won't be any dying emergency tomorrow while we are doing that case.

Today we have had 6 emergency LSCS with 2 babies needed a SCN admision. The emergency OT has been operating on cases after cases from 8am untill now which is already 11:45pm and we still have 3 cases on the list.

Will the YB or the pengarah or the ortho consultant going to bear the responsibility if there is a real dying emergency needs to use the emergency OT while we are doing a non-emergency case in it?? I think it will be the Anaest department, which are going to bear the responsibility! It would be very unfair to the other patient!

If the YB really care about patient welfare, please work on getting this over utilised, under-staffed, over crowded, high turn over hospital upgrade its facilities and human resourse!!

Tak boleh tahan!
There have been shortage of housemen for sometimes and O&G has been coming in for LSCS with a MO alone.

Imagine performing LSCS alone with just a scrab nurse doubling as assistant and scrab nurse... It's very dangerous to the patient and also slowing down the speed.

Have voice out numerous times even in last OT commitee meeting but nothing had change so far...


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