On The Receiving End

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On The Receiving End

• Wednesday
• 3rd September 2003

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What its supposed to look like!
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Ribs
haemopneumothrax
Dislocation R L SI joint
Open book Severed artery and nerve
Dislocation
Olecranon
Dislocation
No diagnosis but God it hurts
Femur
Tibia
Dislocation L pubic Rami Tears to urethra
Bladder neck Lacerated Scrotum Mysterious
missing testicle
23 Toes
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The Journey Begins

• Communication
• Your Husband
• Possible fistula
• Amputation
• ITU Psychosis??? RMN Outreach?
• Pig pens in Vietnam
• Demons Physios
• Fat man in a white sheet
• Ill torture him

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Abandonment

• No one around
• Buzzers and Phone
• Nurse Nurse
• From one to one, to the Marie Celeste
• HCAs doing Trachy Dressing?
• Who is responsible for nutrition?
• Patient handling (multiple trauma)

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Tales of the Unexpected.

• The Good The Bad The Indifferent
• 10, 10, 80
• Right Tibia Roys Scapula
• Venogram
• Micturating Cystogram
• The Human watering can trick

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So What?

• Greater involvement in nutrition
• Dressing Technique OSCEs (non blame culture)
• Manual Handling Outside the Box
• Make Contact with bed 7.3
• Cared for Nurses Care Better!
• Do it right or dont do it at all

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