THE GAMBLING DEN
DB’s Medical Rants touches on Advanced Practice Nurses and the Dr Nurse.
On dealing with complexity:
“The problem with advanced practice nurses is scope of practice. I have worked with NPs over the years. They can do a good job with straightforward problems. They often have problems when dealing with complexity. Unfortunately, one never knows when complexity will rear its head.
Although obvious, The Witch Doctor is always astonished when this point is missed when discussing healthcare. It has to be acknowledged that if a healthcare system does not have within it, the ability to deal with unexpected complexity, then that healthcare system is playing roulette with patient care.
OOPS!
Most of the time, when treating Well Clients, the odds will be against complexity. Some may consider this is a risk worth taking. It is roulette, nevertheless.
It should be made explicit to Clients that they are playing roulette.
And if Clients are happy to gamble, so be it.
That is Client Choice.
Patients, however, are quite a different matter.
The odds that complexity will not rear its head are stacked against them.
With patients, The Gambling Den should be closed.
And in a society striving towards excellence in healthcare, it should be closed for Clients too.
Because Patients are sometimes disguised as Clients.
This, is one of the reasons why The Witch Doctor believes we need more doctors.
a red apple ……………………
The Witch Doctor - Link to a random page
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