I am the stainless steal rat! Minus the stainless steal. But not the super villain from Harry Harrison.
Today I was a member of team R.A.T. (I’m not entirely sure what it stands for, maybe Rapid Assessment Triage, or Really Artrocious Treatment) My entire job was stripping people, doing there Obs, ECG, and moving them to the bay they were going to. I get more patient contact, but do considerably less. I’m not sure if I like it.
I got to meet chest pains, ? pneumothorax, ODs, head injuries, all of the tooing and frowing that makes up majors. I go to meet a proto-consultant in the guise of Reg Potter. And a new consultant whom I shall Dr facial-hair-monger until I come up with a better name for him. I’m sure he is too young to be a consultant but never mind.
Have you ever heard the expression If you can’t say anything nice don’t say anything at all. Well the SHOs have 360 appraisals to do, asking 12 people what we thought of them. One of the SHOs who shall remain nameless, asked me to fill one out for him or her. I do not have much faith in this Dr, but s/he sat over me while I filled it in. So I could not write bad things. So I decided to say nothing. Not what I should have done I guess, but I could not be honest with him/her sitting over my shoulder. Should I have filled it in honestly warts and all? Oh well.
I snuck into resus with HCA neuro (the HCA previously known as Hot HCA), when a trauma came in, a gent who had been run over by a horse and cart. I left before he went to the donut, but I did get to see some nicely broken ribs. Dr Furnace thought he had a pneumothorax and (if I eves dropped properly) trauma induced pancreititus.
I went for a run at my parents house over the weekend. And got lost. My half an hour run ended up as an hour and fifteen run. Now my knees hurt, as do my hips. I like ibuprofen.
Tuesday, 6 May 2008
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2 comments:
"I do not have much faith in this Dr, but s/he sat over me while I filled it in."
Aaaarggh!
No no no no no, for the love of God, no!
360 degree appraisal should be anonymised. I've had to go through 360 degree appraisal. To do this I had to generate a list of names of Consultants, junior medics, nurses, physios, OTs, secretaries, clerical staff, support workers, 30 consecutive patients, carers and chaplains. A personal assistant then sent many of these folk a questionnaire to fill in about me. The Royal College collated this, giving me the results.
Of the people filling in my 360 degree appraisal, I've no idea who was asked to fill them in or what they said.
How can 360 degree appraisal have any utility if it's done with you being scrutinised?!
I'd see that as something I'd be taking huge issue with if it happened in my corner, i.e. disciplinary and directive You Can Not Do This sort of action. Which is why our current system of 360 degree appraisal is if not wholly anonymous at least it's all confidential.
I had to do an official complaint about this Dr over the weekend. So i'm going to see his/her supivisor to talk about it. All very pants.
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