ODP/RN Anaesthetists

**paris** · 07-05-2006, 01:36 PM

Originally Posted by Dr John Crippen

Ah, but you oversimplify.

This is know in the jargon as "the skills escalator". Actually, when I was a houseman, I did take all the bloods and put in all the cannulae and so on...

You are missing the most important point. Nurses who do nursing are not treated with respect and are badly paid. So, to improve themselves, they have to leave nursing and become NPs and NSs.

All well and good.

Who does the nursing?

People are dying from lack of nursing care, whilst over promoted nurse-specialists run round the hospital with their clipboards and their protocols, generally pissing eveyone off by telling them how to do their jobs. In the meantime, patients are getting Grade IV pressure sores.

Dr John Crippen

NHS BLOG DOCTOR

I think it seem like you had a bad experience with CNS. What you are saying is an insult to them and when you are referring to CNS “pissing everyone off by telling how to do their job”. I think this is because you are threatened the fact that you have been challenged by the CNS and you don't like it.

**yazoo** · 07-05-2006, 02:47 PM

Originally Posted by Varied A

The study also says care is optimum when it follows guidelines and recommendations - as you have already so vocally said, that doesn't always produce the best care

I suppose it varies on who is making the decision not to follow the guidelines, and their knowledge, reasoning and qualification to do so

**Varied A** · 07-05-2006, 06:05 PM

Originally Posted by yazoo

I suppose it varies on who is making the decision not to follow the guidelines, and their knowledge, reasoning and qualification to do so

Indeed it is, and that person can be a doctor, nurse, physio, or a whole range of others

**andy2** · 21-11-2006, 06:19 PM

Thought I'd reserect an old thread - Lucy's original argument was that it was difficult to find doctors to fill anaesthetic posts. With MMC nearly upon us it is clear that significant portions of current anaestheic trainees are going to be denied the chance to complete their training.

So do we really needs APs?

www.mmcdiscussion.org

**andy2** · 15-02-2007, 12:35 AM

3 years after this thread was started the AP program, in England at least, appears to have run into the ground. Sadly I fear it was a financial decision to scrap it, however the relative expense, inflexability and limited role of APs compared to even junior medical anaesthetists has conspired to bring down this experiment.

For the record, I feel genuinely sorry for those who have undertaken the training and are now likely to find their employment opportunities severely constrained. I'm sorry you were sold a sop. If the fire to be an anaesthetist still burns graduate medical school may be a way to further your ambitions. My feelings on APs aside, I feel those who entered this program have been shabbily treated as guniea pigs by a government who have singularly failed to understand the complexities of the NHS and medical treatment.

http://www.aagbi.org/pressoffice/sta...onersfeb06.htm