Thursday, 21 May 2009
If you want to have your patient mobilised just ask, it is one of the things I do, I'm good at it. I can assess a patients mobility as well as a physio and tell you if they are safe to go home or not, or if they need a formal physio referral. But, I have to be able to trust you and know that you have assessed the patient properly. If the patient came in with a possibility of a hip injury I need to know that you have excluded a fracture so that I can mobilise her safely. So when you tell me she has had her analgesia a while ago and we should try her on her feet I expect her to be able to make a bit of an effort. When she struggled and was unable to move even with 2 of us I let you know that her mobility is poor and she is a danger to herself and anyone trying to help. The last thing I expect to hear from you is "OK, lets get her hip X-Rayed!" WHAT? That should have been done before I went near her. She has been in the department long enough to have been X-Rayed and it makes me look incompetent and negligent to attempt to mobilise a patient who may have a fractured hip, as well as the fact that when she was being 'mobilised' she hurt me with her pulling and gripping. So now I have had to take analgesia and avoid patients for a bit because you did not do your job.
Posted by GrumpyRN at 22:00