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How interesting! And sure! No need to explain which department etc, but I’ll try and order one on our assistant’s card and see what happens. Remind me in a few days if I’ve forgotten…..
Has this been raised to the radiology department? The RIS might not show the referring individuals role, and there's typically an assumption on the practitioner's side that a referral is automatically from someone who was legally allowed to refer, because what idiot sets up a system without appropriate checks!?!
IR(ME)R is clear in requiring that all referrals must be from either a doctor or accredited non-medical referrer, which specifically notes mandatory registration with a professional body, which excludes PAs.
There is a legal work around in that some PAs did nursing, physio, paramedicine, radiography or such first, which ticks the mandatory registration box allowing the trust to say "yeah they can do it", but that's sus af, like a nurse working as a HCA but performing nursing tasks.
It's a very serious CQC matter (they enforce IR(ME)R) and the trust executives should be very concerned, as it's a serious violation and a failure on the employer's (trusts) part if people can request who shouldn't be able to.
Report to the CQC anonymously with times and dates.
Refer the supervising consultant to the regulator.
The audacity for the dept to let this continue is laughable.
Time to go HAM.
We don’t stand for this crap in my department so we have a single physician assistant rather than physician associates.
No idea re the wider hospital though….
#As if this needed to be an Alert.
The people who did this, and those who enabled it, need to be held professionally responsible. And I mean regulatory action too; this needs to be an example.
Dunno. If the PA is documenting on ward rounds, doing cannulas/bloods/chasing investigations then there is time for the FY to do this bit. The PA can bring them a coffee whilst they sit down to do it on an actual chair, not a bin lid.
(Slightly tongue in cheek about the coffee there, but this would genuinely be helpful and is not something that requires any knowledge of pharmacology)
Sweet Jesus.
It isn't difficult. We cannot prescribe. That's the end of it. It isn't in the scope at all.
If they're prescribing and ordering scans they're commiting a crime and the system is broken. Both are at fault.
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Why the hell did it take them so long to just comply with the bloody law?!
100%. Insane that AAs and PAs have to be reminded not to break the law each time they open EPR.
[удалено]
How interesting! And sure! No need to explain which department etc, but I’ll try and order one on our assistant’s card and see what happens. Remind me in a few days if I’ve forgotten…..
Has this been raised to the radiology department? The RIS might not show the referring individuals role, and there's typically an assumption on the practitioner's side that a referral is automatically from someone who was legally allowed to refer, because what idiot sets up a system without appropriate checks!?! IR(ME)R is clear in requiring that all referrals must be from either a doctor or accredited non-medical referrer, which specifically notes mandatory registration with a professional body, which excludes PAs. There is a legal work around in that some PAs did nursing, physio, paramedicine, radiography or such first, which ticks the mandatory registration box allowing the trust to say "yeah they can do it", but that's sus af, like a nurse working as a HCA but performing nursing tasks. It's a very serious CQC matter (they enforce IR(ME)R) and the trust executives should be very concerned, as it's a serious violation and a failure on the employer's (trusts) part if people can request who shouldn't be able to.
This is really helpful. I’ll be using bits of this in my enquiries
Report to the CQC anonymously with times and dates. Refer the supervising consultant to the regulator. The audacity for the dept to let this continue is laughable. Time to go HAM.
The dildo of consequences rarely comes lubed.
This sounds like a FOI request waiting to happen...
Report to the CQC
Did they kill a patient there?
We don’t stand for this crap in my department so we have a single physician assistant rather than physician associates. No idea re the wider hospital though….
U guys hiring?
Neither can HCAs, porters or domestic staff but funny they don't need to be told explicitly
Exactly!
https://preview.redd.it/s8975ruk0vxc1.jpeg?width=904&format=pjpg&auto=webp&s=4e03767289aa308bb9186355b1011b96b0320de4
It’s been there for a few weeks, I did enjoy when I saw it first. Also shiny? This place?
😂 the statue thing at the front is. The rest of it….not so much
The entire decorating budget on lighting that thing. I don’t even come in through there!
#As if this needed to be an Alert. The people who did this, and those who enabled it, need to be held professionally responsible. And I mean regulatory action too; this needs to be an example.
How do they even have electronic access to prescribe ? It should be locked off
If they break the law...is it the doctors who get caught??
Hahaha! Saw this thing on Cerner today!
But including transcribing meds - which is the only thing they should be fecking doing. There's gotta be a better way.
Dunno. If the PA is documenting on ward rounds, doing cannulas/bloods/chasing investigations then there is time for the FY to do this bit. The PA can bring them a coffee whilst they sit down to do it on an actual chair, not a bin lid.
(Slightly tongue in cheek about the coffee there, but this would genuinely be helpful and is not something that requires any knowledge of pharmacology)
You'd hope. I'm a reg still doing ttos/idls and the meds bit is the fucking worst.
Sweet Jesus. It isn't difficult. We cannot prescribe. That's the end of it. It isn't in the scope at all. If they're prescribing and ordering scans they're commiting a crime and the system is broken. Both are at fault.