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Induction and handovers - what does a posh school do?
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Induction and handovers - what does a posh school do?
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We know induction and hand overs are very important. We often do it in a cursory way though the situation is constantly improving. How long and how interesting was your induction? How long and how int
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Induction and handovers - what does a posh school do?

posted at 6/7/2012 12:46 PM BST on bmj.com
Posts: 143
First: 14/5/2012
Last: 11/5/2013
We know induction and hand overs are very important. We often do it in a cursory way though the situation is constantly improving.

How long and how interesting was your induction? How long and how interesting is your clinical handover? What was the induction & handover like for your MD or chief exec?

A posh school had a long induction and handover last year of many months. If a school takes it so seriously we in healthcare should certainly pay more attention to it.

http://successinhealthcare.blogspot.co.uk/2012/06/long-smooth-handover.html

Re: Induction and handovers - what does a posh school do?

posted at 6/7/2012 1:24 PM BST on bmj.com
Posts: 2034
First: 12/3/2010
Last: 17/5/2013
Can't see the linked website, thanks to my Trust's "corporate access policies".
(Before you accuse me of being a lazy Government doctor,  I am doc2docing in my lunchbreak, OK?)

The WHO checklist for theatres is an example of a handover procedure.  After being mocked and derided, and been ignored by most of my surgeons, it has now become a valuable part of our daily routine.    The opportunity for even minor matters to be sorted at the pre-list meeting is helpful, and it has been shown to reduce wrong side or wrong patient errors.  I'm a great fan, take part and encourage anyone who doesn;'t to get on board!

John


Re: Induction and handovers - what does a posh school do?

posted at 6/7/2012 1:42 PM BST on bmj.com
Posts: 223
First: 15/5/2012
Last: 29/4/2013
In Response to Re: Induction and handovers - what does a posh school do?:
Can't see the linked website, thanks to my Trust's "corporate access policies". (Before you accuse me of being a lazy Government doctor,  I am doc2docing in my lunchbreak, OK?) The WHO checklist for theatres is an example of a handover procedure.  After being mocked and derided, and been ignored by most of my surgeons, it has now become a valuable part of our daily routine.    The opportunity for even minor matters to be sorted at the pre-list meeting is helpful, and it has been shown to reduce wrong side or wrong patient errors.  I'm a great fan, take part and encourage anyone who doesn;'t to get on board! John
Posted by John D


John D, are we still sulking. Be a big boy and get over it.

Re: Induction and handovers - what does a posh school do?

posted at 6/7/2012 2:19 PM BST on bmj.com
Posts: 143
First: 14/5/2012
Last: 11/5/2013
It is tragic isn't it? Your trust not letting you read my essential writing!! Even if you want to do it within your own unpaid lunch time!! Let me know what you think when you have read the blog.

WHO checklist: If you have read Gawande's Checklist Manifesto you will realise that the WHO checklist was never meant to be a one-size-fits-all centrally mandated single document. Are there are not enough cases to show a reduction in wrong site surgery? I am not sure please post some links. But WHO check list is actually improving many things. It is definitely worth doing it with sincerity.

Some in obstetrics have modified it and made it suitable for specific purpose which is even better.

In Response to Re: Induction and handovers - what does a posh school do?:
Can't see the linked website, thanks to my Trust's "corporate access policies". (Before you accuse me of being a lazy Government doctor,  I am doc2docing in my lunchbreak, OK?) The WHO checklist for theatres is an example of a handover procedure.  After being mocked and derided, and been ignored by most of my surgeons, it has now become a valuable part of our daily routine.    The opportunity for even minor matters to be sorted at the pre-list meeting is helpful, and it has been shown to reduce wrong side or wrong patient errors.  I'm a great fan, take part and encourage anyone who doesn;'t to get on board! John
Posted by John D

Piodermitis in summer.

posted at 6/7/2012 3:52 PM BST on bmj.com
Posts: 11
First: 6/7/2012
Last: 23/4/2013
Acute Piodermitis which is produced by a bacteria infection Gene, generally by staphilococos. This disease has a high prevalence in summer because in this season some factors helpthis kind of infection. It has been notice the tendence to the residive. Some studies done to these patients evidence the presence of staphilococos in the nasopharinge in an asintomatic form, trying this zone of the upper respiratories ways is eliminated the securrence or skin seditive.

Piodermitis in summer.

posted at 6/7/2012 3:56 PM BST on bmj.com
Posts: 11
First: 6/7/2012
Last: 23/4/2013
Authors: Dr Carlos Gilberto  Gonzalez Arbalat.
              MSc Ihosvany Castellanos Santos
              MSc Isaac Rondon Alvarez.
             

Acute Piodermitis which is produced by a bacteria infection Gene, generally by staphilococos. This disease has a high prevalence in summer because in this season some factors helpthis kind of infection. It has been notice the tendence to the residive. Some studies done to these patients evidence the presence of staphilococos in the nasopharinge in an asintomatic form, trying this zone of the upper respiratories ways is eliminated the securrence or skin seditive.

Re: Induction and handovers - what does a posh school do?

posted at 6/7/2012 11:13 PM BST on bmj.com
Posts: 2034
First: 12/3/2010
Last: 17/5/2013
Hemadri,
You did ask me for your opinion, and I find that I misunderstood wht you meant.   I think it's ridiculous for a head teacher, or a Chief Executive to shadow their predecessor for any time.    Very senior managers are supposed to stamp their own style and ideas on an organsiation, and the fatc that they both have been appointed to such a post will make acrimony and conflict inevitable.  Just as a military command cannot be run by a committee, so cannot a company of workers.

This is so completely the opposite at the level of shift handovers on the ward.    My example of the WHO procedure in theatre demonstrates this.   if you are arguing for more time and more detail for ward handover, look at the nursing procedure.   Both shifts attend,,leaving aminimum on the ward, every patient on the ward is named, the nurse in charge of them describes them and their continuing care and notes are taken.  Contrast that with a medical take over - "Hi, Jane!  Here's the bleep!  Have a good weekend - oh, and keep an eye on bed 3.  May be bleeding. Bye!"

John

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