• Get them out of Here:

  Referrals: End it; get rid of complex issues and problem people.
  
  Pathology Specimen Collectors are Professionals:

  • FBC or E&LFTs, Faeces MCS
  • FBC or E&LFTs, Urine MCS
  • HIV serology, Syphilis serology, Urine Chlam PCR and Urine N Gon PCR
    
  • FBC, Microbiology Swabs
  • You don’t have to explain how to take the sample: specimen collector gets stuck with it.
    
    

  Nurses can do Micro swabs too
  
  Scripts for 0, 1, 2 or 5 pills: or staged supply,dispense daily.
  They don’t get to stay in the room and argue with you:
  they take it out on the receptionists or chemists.
  This means you avoid the serious complaint.

• Always need a whole appt for a Centrelink Cert:
  The less you bring them back, the more work they arrive with next time.
  Nice guys get caught with the just one more little thing approach.
  
  
  
• Do important things first:
  If you are looking after yourself, you are looking after the patient.
  Answer the questions you need to answer first, not what the patient is asking .
  E.g. Abdo Pain: Appendix, UTI, Gynae: ectopic, Gynae- Tubal and Ovarian Issues , ? Sepsis
  
  
  
• Cover your Bum: Safe Advice if you are wrong.
  e.g. Gastric Condition: DD acute gastric condition
  fluids only(prep for op), see hospital if pain increases/persists, see me- review in morning.

Listen to Talk ConsTen 025.mp3

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