Hi Eileen

Forgot to add that the salaries are boosted by a shift allowance and you get
more on weekends than days in the week. This is why some G grades are not
happy as some E grades on nights and weekends can earn as much as them on
days 9-5 kind of thing.
By the way ignore my clock time as it's playing up!!
Fenella

----- Original Message -----
From: Fenella Lemonsky <organiclemon@...>
To: <emergency-nurse@onelist.com>
Sent: Monday, January 31, 2000 11:24 PM
Subject: Re: [emergency-nurse] Supernurse issues


> From: "Fenella Lemonsky" <organiclemon@...>
>
> Hi Eileen
>
> £18,491-20,926   E in London
> £15,395-17,830   E outside ondon
>
> £20,171-24,021    F  in London
> £17,075-20,925    F  outside London
>
> The reason for London having  a higher salary is London weighting as they
> reckon it's more expensive to live in London!
>
> Fenella
>
>
> ----- Original Message -----
> From: eilleen madore <emadore@...>
> To: <emergency-nurse@onelist.com>
> Sent: Tuesday, February 01, 2000 3:02 AM
> Subject: Re: [emergency-nurse] Supernurse issues
>
>
> > From: eilleen madore <emadore@...>
> >
> > Thanks Fenella for the explanation on the grading system.  That is very
> > interesting.  How much does a grade E and F Nurse make?
> > Eilleen
> >
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I just joined this email group and really enjoy reading the responses and
learning information. I am glad to know as an ER nurse in Oklahoma USA that
we are all burned out at times, but we still love ER nursing. Wow, out in the
Northern Sea? That doesn't sound boring!
Thanks for the information and by how many US dollars equal a pound over in
London?

Marybeth

DULL!!!!  You've got to be joking!!  Where do I apply?

CYA
  John Wright RN
   ----- Original Message -----
   Really dont have any tips or ideas springing to mind... hmm, I'll have
        to think of something, I make my job sound far too dull.

        Stu.




[Non-text portions of this message have been removed]

Hi Mike!

Below is from Grateful Med, which is located at
  http://igm.nlm.nih.gov/index.html
I searched Medline, using criteria of English language only,
humans only, gamma hydroxybutyric acid and side effects
from 1990-2000.

ABSTRACT:
       BACKGROUND: Benzodiazepine has been shown to be one of the most
       effective class of drugs in the management of alcohol withdrawal
       syndrome (AWS). Gamma-hydroxybutyric acid (GHB) has recently been
       introduced in the treatment of alcohol problems, including AWS. At
       present there are no comparative studies between benzodiazepines and
       GHB in AWS treatment. The aim of the present randomized, controlled,
       single-blind study was to evaluate the efficacy and safety of GHB
       compared with diazepam in the treatment of AWS. METHODS: Sixty
       alcoholics affected by AWS were enrolled in the study. Diazepam (0.5-
       0.75 mg/kg body weight for 6 days, tapering the dose 25% daily until
       day 10) was administered orally to 30 patients (25 males, 5 females;
       mean age 44.3 +/- 10.9 years); GHB (50 mg/kg body weight for 10 days)
       was administered orally to 30 patients (26 males,4 females; mean age
       41.7 +/- 10.4 years).The Clinical Institute Withdrawal Assessment for
       Alcohol-revised scale (CIWA-Ar) was used to evaluate the AWS physical
       symptoms. The State Anxiety Inventory test for current anxiety
       assessment and the Zung self-rating Depression Scale for current
       depression assessment were performed. RESULTS: Eight patients (26.6%)
       in the diazepam group and 4 patients (13.3%) in the GHB group dropped
       out. Both treatments were effective in reducing AWS. No significant
       difference was found between the groups in CIWA-Ar total score at
       baseline and at the different times of observation. Considering the
       CIWA-Ar subscore and Zung scale, a significant reduction of anxiety
       on day 4 (p < 0.02), agitation on day 5 (p < 0.02) and time of
       recovery of depression on day 5 (p < 0.02) was observed in the GHB
       group with respect to the diazepam group. Drowsiness and vertigo
       developed after initial drug administration in the GHB (19.2%) and
       diazepam (36.4%) groups and quickly resolved in both groups.
       CONCLUSIONS: GHB is as effective in the management of AWS as
       benzodiazepine and it seems to be quicker in reducing anxiety,
       agitation, and depression. Both drugs are safe and well-tolerated in
       AWS management.

Valproate is currently one of the major antiepileptic drugs with
       efficacy for the treatment of both generalized and partial seizures
       in adults and children. Furthermore, the drug is increasingly used
       for therapy of bipolar and schizoaffective disorders, neuropathic
       pain and for prophylactic treatment of migraine. These various
       therapeutic effects are reflected in preclinical models, including a
       variety of animal models of seizures or epilepsy. The incidence of
       toxicity associated with the clinical use of valproate is low, but
       two rare toxic effects, idiosyncratic fatal hepatotoxicity and
       teratogenicity, necessitate precautions in risk patient populations.
       Studies from animal models on structure-relationships indicate that
       the mechanisms leading to hepatotoxicity and teratogenicity are
       distinct and also differ from the mechanisms of anticonvulsant action
       of valproate. Because of its wide spectrum of anticonvulsant activity
       against different seizure types, it has repeatedly been suggested
       that valproate acts through a combination of several mechanisms. As
       shown in this review, there is substantial evidence that valproate
       increases GABA synthesis and release and thereby potentiates
       GABAergic functions in some specific brain regions, such as
       substantia nigra, thought to be involved in the control of seizure
       generation and propagation. Furthermore, valproate seems to reduce
       the release of the epileptogenic amino acid gamma-hydroxybutyric acid
       and to attenuate neuronal excitation induced by NMDA-type glutamate
       receptors. In addition to effects on amino acidergic
       neurotransmission, valproate exerts direct effects on excitable
       membranes, although the importance of this action is equivocal.
       Microdialysis data suggest that valproate alters dopaminergic and
       serotonergic functions. Valproate is metabolized to several
       pharmacologically active metabolites, but because of the low plasma
       and brain concentrations of these compounds it is not likely that
       they contribute significantly to the anticonvulsant and toxic effects
       of treatment with the parent drug. By the experimental observations
       summarized in this review, most clinical effects of valproate can be
       explained, although much remains to be learned at a number of
       different levels of valproate's mechanisms of action.

Gamma-hydroxybutyric acid (GHB) has become a popular new drug of
       abuse. Its effects include euphoria and disinhibition. Recently,
       several cases have been reported in the literature of
       life-threatening or lethal ingestions. We report the case of a
       17-year-old male who became unresponsive after taking GHB.
       Gamma-hydroxybutyric acid is used outside the United States to treat
       narcolepsy. In the past, it was touted as a muscle-bulking aid and
       was taken by body-builders. It has also been implicated as a drug
       involved in "date-rapes." Patients who ingest excessive GHB have a
       markedly altered level of consciousness, as did the patient in this
       illustrative case. Neostigmine and physostigmine show promise as
       potential reversal agents. Gamma- hydroxybutyric acid overdose should
       be considered in any patient with altered mental status and a history
       of recreational drug abuse.

Gamma-hydroxybutyric acid (GHB) is no longer used as an anaesthetic
       induction agent because of the high incidence of myoclonic seizures
       and vomiting. However, it is used occasionally in Europe for the
       treatment of narcolepsy, alcohol dependence and opiate dependence.
       Since the early 1990s, GHB has become a drug of abuse in youths for
       its euphoric, sedative and anabolic effects. Common adverse effects
       include a rapid onset of drowsiness, nausea, vomiting, myoclonic
       seizures and coma of short duration. Clinicians should be alert for
       these adverse effects and consider the possibility of GHB abuse in
       young adults with unusual clinical presentations in the emergency
       department.

  Gamma-hydroxybutyric acid (GHB) is an emerging drug for alcoholism
       therapy. We present a case of GHB withdrawal syndrome secondary to
       GHB addiction during alcoholism treatment. A complete disappearance
       of drug withdrawal syndrome was achieved with oral diazepam and the
       symptoms resolved without sequelae. GHB has been used for alcoholism
       therapy for only a few years now, but the trend is increasing, and
       other cases similar to this one are foreseeable. This risk could be
       higher in some countries in which GHB use is increasing not for
       alcoholism therapy, but for its euphoric and anabolic effects. The
       present experience indicates that administration of benzodiazepines
       would seem to be sufficient to achieve total regression of the
       withdrawal syndrome in a short time, at least if recognized early.

gamma-Hydroxybutyric acid (GHB) is unfamiliar to many physicians in
       the United States but enjoys clinical use elsewhere for applications
       in resuscitation, anesthesia, and addiction therapy. Use within the
       United States is restricted to Food and Drug Administration-approved
       clinical trials for treatment of narcolepsy. Recently illicit use of
       GHB has emerged within the United States where it is distributed for
       purported euphoric and "fat-burning" metabolic effects. Clinical
       effects can be severe, progressing rapidly to respiratory arrest and
       death. We provide an updated comprehensive review of the literature
       with particular emphasis on toxicology, including GHB
       pharmacodynamics, clinical effects, and suggestions for overdose
       management. Recommended management of acute GHB intoxication includes
       prevention of aspiration, use of atropine for persistent symptomatic
       bradycardia, consideration of neostigmine as a reversal agent, and
       treatment for coingested substances. Emergency physicians are urged
       to become familiar with GHB because of its potential for severe
       morbidity as well as its potential use as a future resuscitative
       agent.

   STUDY OBJECTIVE: We describe seven patients presenting with
       combination substance abuse involving gamma-hydroxybutyric acid
       (GHB). METHODS: During a 3 month period, we identified consecutive
       patients with GHB ingestion confirmed by urine mass spectrometry
       presenting to a high- volume urban emergency department. RESULTS: All
       patients presented with acute delirium and transient but severe
       respiratory depression. With supportive care, including intubation
       and mechanical ventilation in four cases, normal mentation and
       respiratory function returned within 2 to 6 hours. None of these
       patients had documented seizures, and none of the four patients who
       received naloxone had a reversal response. This clinical observation
       supports previous experimental work in GHB- intoxicated human
       subjects demonstrating neither epileptiform changes on
       electroencephalography nor reversal with naloxone. Two findings are
       remarkable in this series. The first is the observation of a peculiar
       state of violent aggression present on stimulation of the GHB-
       intoxicated patient despite near or total apnea. The fact that
       patients fully recovered from this state may be the result of a
       previously demonstrated GHB hypoxia-sparing effect. The second is the
       observation of ECG abnormalities in several cases, including U waves
       in five patients. CONCLUSION: Emergency physicians should be alerted
       to this agent, its characteristic effects, and its potential for
       serious sequelae including respiratory arrest and death.

  We describe what we believe is the first psychiatric hospitalization
       due to GHB-induced delirium reported in the medical literature. We
       examine the use of the substance gamma hydroxybutyric acid (GHB) and
       describe the clinical findings in a patient who presented to an acute
       inpatient psychiatric unit with a chief complaint of feeling suicidal
       and a 1-year history of GHB use. A review of the literature and GHB's
       availability through the Internet are discussed.

Gamma-hydroxybutyric acid is an allegedly benign illicit substance
       that is gaining increasing recognition and attention among substance
       abusers and athletes. Alongside foreign-made brands, the compound is
       also easily available, at low cost because of the facility with which
       it can be produced in one's kitchen. Named by some "Nature's
       Quaalude" or sold as a health product, it is often used with a false
       sense of security as it may cause serious and disabling
       complications, as illustrated by this clinical vignette

OBJECTIVE: A case of a sudden awakening from a near coma after
       combined intake or gamma-hydroxybutyric acid (GHB) (125
       micrograms/mL), ethanol (134 mg/dL), and cannabinoids is described.
       METHODS: GHB was determined by gas chromatography-mass spectrometry
       after acetonitrile precipitation and derivation with N-methyl-N-
       trimethylsilyltrifluoroacetamide, using valproic acid as the internal
       standard. CONCLUSION: The described case illustrates the consequences
       of GHB overdose. GHB overdose should be considered in every case of
       unexplained sudden coma, i.e., without any evidence of head injury,
       intake of coma-inducing drugs, or increasing intracranial pressure.
       GHB overdose will be missed by routine toxicological screening.

Clinical experience with toxicity induced by products containing gamma
       butyrolactone is limited. We report here 2 cases of gamma
       butyrolactone poisoning with a nail polish remover labelled
       "acetone-free". Rapid onset of coma, respiratory depression and
       bradycardia occurred in both patients. After supportive care, they
       fully recovered within a few hours.

ecause gamma-hydroxybutyric acid (GHB), a GABA metabolite, attenuated
       spontaneous opiate withdrawal in a prior study, we studied GHB's
       effect on naloxone-precipitated opiate withdrawal. Eight
       opiate-dependent inpatients were stabilized on the opioid
       levorphanol, 18 mg daily. After an initial acclimatization challenge,
       subjects underwent three double-blind challenges on consecutive days.
       Pretreatment in a balanced randomization was with either placebo,
       GHB, 15 mg/kg, or GHB, 30 mg/kg, followed an hour later by
       intravenous naloxone, 0.4 mg/70 kg. GHB produced no significant
       attenuation of multiple withdrawal measures except for hot-cold
       feelings. GHB pretreatment slightly accelerated respiration prior to
       naloxone. Differences with prior studies may be due to (1) timing of
       GHB administration (giving postwithdrawal in prior studies), (2)
       direct reversal of GHB's anti-withdrawal effects by naloxone, or (3)
       differences between naloxone-precipitated and spontaneous opiate
       withdrawal.

The first case of fatal intoxication due to ingestion of gamma-
       hydroxybutyric acid (GHB) and intravenous use of heroin is reported.
       A 42-year-old man, known to have been a heroin addict and to have
       taken other psychoactive substances, who had been in treatment with
       GHB for several months, was found dead. Anatomohistopathologic
       examination showed generalized visceral congestion, edema and
       pulmonary anthracosis, chronic bronchitis and chronic active
       hepatitis. Toxicological findings included fluid and tissue
       distributions of GHB, morphine and 6-monoacetylmorphine. GHB and
       morphine concentrations were respectively 11.5 and 0.77 micrograms/mL
       (blood), 84.3 and 0.3 micrograms/mL (vitreous humor), 258.3 and 1.35
       micrograms/mL (urine), 57.0 and 14.3 micrograms/mL (bile), 40.0 and
       0.43 micrograms/g (brain), 43.0 and 0.60 micrograms/g (liver), 47.0
       and 0.68 micrograms/g (kidney). Blood and urine levels of
       6-monoacetylmorphine were 28.5 and 12.1 ng/mL respectively. The
       presumed mechanism of action and pharmacokinetics of GHB are briefly
       reviewed, with reference to its therapeutic use and to reports of
       non-fatal GHB intoxication.

Hope this helps! Whew, outta breath!

Sasha, RN, MSN, CEN, A-EMT



John Wright <jiarna@...> wrote:
From: "John Wright"

Hi Mike

Point your browser to http://www.erowid.org/chemicals/ghb/ghb.shtml and you'll
find a heap of stuff about GHB.

CYA
John Wright RN
----- Original Message -----
From: Mike Wright
To: emergency-nurse@onelist.com
Sent: Tuesday, February 01, 2000 9:05 AM
Subject: [emergency-nurse] gamma hydroxybutyric acid


From: Mike Wright

I need some assistance in finding some information about gamma hydroxybutyric
acid,
known as GHB.

Two patients have presented with similar symptoms of being unrousable with a GCS
of 3
with stable cardiovascular signs. neither needed intubation. After approx 2
hours in
both cases there was a sudden recovery to a GCS of 15/15 spontaneously. Both
patients
reported chest pain after waking and a feeling of shortness of breath.

Does any one else have similar experiences with this substance, or know of a
good
article on the topic

Cheers, Mike Wright RN




[Non-text portions of this message have been removed]


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[Non-text portions of this message have been removed]

Thanks Fenella.   Looks like you guys are making about the same as we
are in Ontario, except that all unionized hospitals here make the same
regardless of where they are situated in Ontario.
	 Eilleen.

Fenella Lemonsky wrote:
>
> From: "Fenella Lemonsky" <organiclemon@...>
>
> Hi Eileen
>
> £18,491-20,926   E in London
> £15,395-17,830   E outside ondon
>
> £20,171-24,021    F  in London
> £17,075-20,925    F  outside London
>
> The reason for London having  a higher salary is London weighting as they
> reckon it's more expensive to live in London!
>
> Fenella
>
> ----- Original Message -----
> From: eilleen madore <emadore@...>
> To: <emergency-nurse@onelist.com>
> Sent: Tuesday, February 01, 2000 3:02 AM
> Subject: Re: [emergency-nurse] Supernurse issues
>
> > From: eilleen madore <emadore@...>
> >
> > Thanks Fenella for the explanation on the grading system.  That is very
> > interesting.  How much does a grade E and F Nurse make?
> > Eilleen
> >
> > --------------------------- ONElist Sponsor ----------------------------
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Stu,
     If your job sounds dull then there isn't a word descript enough my job.
LOL  Your job sounds awesome.  Would love to hear more about it.
Lisa

I would say that my job is not quite as engaging as a busy ER
      department, although it does have some unusual elements to it.
      The prime factor here is the level of responsibility - there is no-one
      onboard to give advice so all questions must be carefully structured
      and directed to the onshore support doctors via satellite phone /
      e-mail. I would be the first to admit that my knowledge base is
      gradually 'deflating' and that I should become more involved in VAS or
      agency work while at home to keep my hand in.

      Emergency cases are rare but complicated by issues such as lack of a
      cohesive support team (people come and go), casualty transfer around
      narrow stairways, rough weather and so on.

      Good points are that being on a ship there is the potential to travel
      to foreign parts. Our company has recently had ships in Australia,
      Trinidad, Canada, USA, Russia, India, etc, etc - just a pity that my
      ship has been based in the North Sea since I joined. We also visit
      port regularly, so no shortage of extracurricular activity. Which is
      just as well because trips last from 4-6 weeks.

      The bulk of my work is rather mundane, answering the telephone,
      general admin, re-tuning the satellite TV:) Also responsible for any
      first aid training / exercises onboard.

      If anyone would like more info or to see my 'second home' then let me
      know and I'll e-mail some digi-pics direct.

      Cheers,

      Stu.


______________________________ Reply Separator
_________________________________
Subject: Re: [emergency-nurse] Re: Test message.
Author:  Mvrs44@..._at_inetgw at csoext
Date:    02/02/00 19:33


From: Mvrs44@...

Stu,
     If your job sounds dull then there isn't a word descript enough my job.

LOL  Your job sounds awesome.  Would love to hear more about it.
Lisa

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Stu,
     I would love to see some pics.  Awesome.
Lisa

Haven't received mail from the list for about a week, is it still
      working? (I can never be sure if our ship's router is doing it's job
      right or not).

      Stu.

sashaslol@... is away for an unspecified length of time. Please make a
note of it.

--------------------


Original Message:


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Yes, we are still here!

140 members, where are you?

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----- Original Message -----
From: <alliance.medic@...>
To: <emergency-nurse@onelist.com>
Sent: Monday, February 14, 2000 4:01 PM
Subject: [emergency-nurse] Still here?


> From: alliance.medic@...
>
>      Haven't received mail from the list for about a week, is it still
>      working? (I can never be sure if our ship's router is doing it's job
>      right or not).
>
>      Stu.
>
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Always a topical subject! I was talking to a senior nurse (supernurse!!) who
teaches NHS Direct nurses and she has recommended that NHS Direct staff should
be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months NHS Direct
and so on, to maintain skills etc...

Your views please?

Fenella


[Non-text portions of this message have been removed]

From: "Fenella Lemonsky" <organiclemon@...>

   Always a topical subject! I was talking to a senior nurse (supernurse!!) who
teaches NHS Direct nurses and she has recommended that NHS Direct staff should
be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months NHS Direct
and so on, to maintain skills etc...

   Your views please?

   Fenella
   Hi, Fenella,

   I think it's an important for nursing staff at NHS direct to keep there
clinical skills up todate, and with the times, as we all know things change by
the week and sometimes by the day !

   Nice to hear from you Fenella, so you are well then ! - I've left ECO, coz it
got rather boring !

   Robert




[Non-text portions of this message have been removed]

Still here in Oklahoma, USA
There was a problem with the yahoo here and some members are off line for a
time. :(
I really enjoy hearing about the different things going on in nursing over in
the united kingdom. We keep our skills up all day in the emergency room with
the record numbers we are caring for lately.

Marybeth

i'm still here , but i've been on community placement and not been
able to get to the computer as much as when i'm in college / on
placement in hospital

Martyn

To:              <emergency-nurse@onelist.com>
Date sent:       Mon, 14 Feb 2000 18:55:24 -0000
From:            "Fenella Lemonsky" <organiclemon@...>
Send reply to:   emergency-nurse@onelist.com
Subject:         Re: [emergency-nurse] Still here?

> From: "Fenella Lemonsky" <organiclemon@...>
>
> Yes, we are still here!
>
> 140 members, where are you?
>
> Fenella
>
>
> ----- Original Message -----
> From: <alliance.medic@...>
> To: <emergency-nurse@onelist.com>
> Sent: Monday, February 14, 2000 4:01 PM
> Subject: [emergency-nurse] Still here?
>
>
> > From: alliance.medic@...
> >
> >      Haven't received mail from the list for about a week, is it
> >      still working? (I can never be sure if our ship's router is
> >      doing it's job right or not).
> >
> >      Stu.
> >
> > --------------------------- ONElist Sponsor
> > ----------------------------
> >
> > GET A NEXTCARD VISA, in 30 seconds.  Get rates as low as 0.0 percent
> > Intro or 9.9 percent Fixed APR and no hidden fees. Apply NOW. <a
> > href=" http://clickme.onelist.com/ad/NextcardCreative5 ">Click
> > Here</a>
> >
> > --------------------------------------------------------------------
> > ----
> >
> > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> > on
> the Internet
> >
> > To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
> >
>
>
> --------------------------- ONElist Sponsor
> ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest. <a href="
> http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ----------------------------------------------------------------------
> --
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> on the Internet
>
> To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
>


--
Martyn Hodson,
Adv. Dip. Nursing Studies Student Sheffield Uni
BAEMT-FR, VAS First Responder, AED Operator
NRA98MPH@... / martyn@...
Listowner of studentems@onelist.com
http://usit.shef.ac.uk/~nra98mph/
writing for myself not the uni. or any other organisation

Hi all
I have been out of action for a few weeks!!  Had a baby boy 10weeks early on
the 23rd  January by C section!!!
Hope to be back in the land of the living soon!!!!
Kimberley Fisher

Oh Martyn! Was that not your name spotted on Emergency Care Online?

----- Original Message -----
From: Martyn Hodson <NRA98MPH@...>
To: <emergency-nurse@onelist.com>
Sent: Monday, February 14, 2000 10:30 PM
Subject: Re: [emergency-nurse] Still here?


> From: "Martyn Hodson" <NRA98MPH@...>
>
> i'm still here , but i've been on community placement and not been
> able to get to the computer as much as when i'm in college / on
> placement in hospital
>
> Martyn
>
> To:             <emergency-nurse@onelist.com>
> Date sent:      Mon, 14 Feb 2000 18:55:24 -0000
> From:           "Fenella Lemonsky" <organiclemon@...>
> Send reply to:  emergency-nurse@onelist.com
> Subject:        Re: [emergency-nurse] Still here?
>
> > From: "Fenella Lemonsky" <organiclemon@...>
> >
> > Yes, we are still here!
> >
> > 140 members, where are you?
> >
> > Fenella
> >
> >
> > ----- Original Message -----
> > From: <alliance.medic@...>
> > To: <emergency-nurse@onelist.com>
> > Sent: Monday, February 14, 2000 4:01 PM
> > Subject: [emergency-nurse] Still here?
> >
> >
> > > From: alliance.medic@...
> > >
> > >      Haven't received mail from the list for about a week, is it
> > >      still working? (I can never be sure if our ship's router is
> > >      doing it's job right or not).
> > >
> > >      Stu.
> > >
> > > --------------------------- ONElist Sponsor
> > > ----------------------------
> > >
> > > GET A NEXTCARD VISA, in 30 seconds.  Get rates as low as 0.0 percent
> > > Intro or 9.9 percent Fixed APR and no hidden fees. Apply NOW. <a
> > > href=" http://clickme.onelist.com/ad/NextcardCreative5 ">Click
> > > Here</a>
> > >
> > > --------------------------------------------------------------------
> > > ----
> > >
> > > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> > > on
> > the Internet
> > >
> > > To unsubscribe - send a blank mail to
> > emergency-nurse-unsubscribe@onelist.com
> > >
> >
> >
> > --------------------------- ONElist Sponsor
> > ----------------------------
> >
> > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> > are willing to answer your questions for FREE.  Go to Xpertsite today
> > and put your mind to rest. <a href="
> > http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> >
> > ----------------------------------------------------------------------
> > --
> >
> > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> > on the Internet
> >
> > To unsubscribe - send a blank mail to
> > emergency-nurse-unsubscribe@onelist.com
> >
>
>
> --
> Martyn Hodson,
> Adv. Dip. Nursing Studies Student Sheffield Uni
> BAEMT-FR, VAS First Responder, AED Operator
> NRA98MPH@... / martyn@...
> Listowner of studentems@onelist.com
> http://usit.shef.ac.uk/~nra98mph/
> writing for myself not the uni. or any other organisation
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on
the Internet
>
> To unsubscribe - send a blank mail to
emergency-nurse-unsubscribe@onelist.com
>

Hi Robert

Yes, it did get rather "stiff" but I learn so much from ECO that I'm staying
despite the abuse that is thrown at me!!!

Are you well?

Fenella
----- Original Message -----
From: Robert Lankford <rlankford@...>
To: <emergency-nurse@onelist.com>
Sent: Monday, February 14, 2000 9:13 PM
Subject: Re: [emergency-nurse] NHS Direct


> From: "Robert Lankford" <rlankford@...>
>
>
>   From: "Fenella Lemonsky" <organiclemon@...>
>
>   Always a topical subject! I was talking to a senior nurse (supernurse!!)
who teaches NHS Direct nurses and she has recommended that NHS Direct staff
should be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months
NHS Direct and so on, to maintain skills etc...
>
>   Your views please?
>
>   Fenella
>   Hi, Fenella,
>
>   I think it's an important for nursing staff at NHS direct to keep there
clinical skills up todate, and with the times, as we all know things change
by the week and sometimes by the day !
>
>   Nice to hear from you Fenella, so you are well then ! - I've left ECO,
coz it got rather boring !
>
>   Robert
>
>
>
>
> [Non-text portions of this message have been removed]
>
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on
the Internet
>
> To unsubscribe - send a blank mail to
emergency-nurse-unsubscribe@onelist.com
>

Congraulations...

----- Original Message -----
From: <Kimmy23505@...>
To: <emergency-nurse@onelist.com>
Sent: Monday, February 14, 2000 10:41 PM
Subject: Re: [emergency-nurse] Still here?


> From: Kimmy23505@...
>
> Hi all
> I have been out of action for a few weeks!!  Had a baby boy 10weeks early
on
> the 23rd  January by C section!!!
> Hope to be back in the land of the living soon!!!!
> Kimberley Fisher
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on
the Internet
>
> To unsubscribe - send a blank mail to
emergency-nurse-unsubscribe@onelist.com
>

true, but as you well know i tend not to initiate stuff on ECO or
emergency nurse

Martyn

To:              <emergency-nurse@onelist.com>
Date sent:       Mon, 14 Feb 2000 20:34:47 -0000
From:            "Fenella Lemonsky" <organiclemon@...>
Send reply to:   emergency-nurse@onelist.com
Subject:         Re: [emergency-nurse] Still here?

> From: "Fenella Lemonsky" <organiclemon@...>
>
> Oh Martyn! Was that not your name spotted on Emergency Care Online?
>
> ----- Original Message -----
> From: Martyn Hodson <NRA98MPH@...>
> To: <emergency-nurse@onelist.com>
> Sent: Monday, February 14, 2000 10:30 PM
> Subject: Re: [emergency-nurse] Still here?
>
>
> > From: "Martyn Hodson" <NRA98MPH@...>
> >
> > i'm still here , but i've been on community placement and not been
> > able to get to the computer as much as when i'm in college / on
> > placement in hospital
> >
> > Martyn
> >
> > To:             <emergency-nurse@onelist.com>
> > Date sent:      Mon, 14 Feb 2000 18:55:24 -0000
> > From:           "Fenella Lemonsky" <organiclemon@...>
> > Send reply to:  emergency-nurse@onelist.com
> > Subject:        Re: [emergency-nurse] Still here?
> >
> > > From: "Fenella Lemonsky" <organiclemon@...>
> > >
> > > Yes, we are still here!
> > >
> > > 140 members, where are you?
> > >
> > > Fenella
> > >
> > >
> > > ----- Original Message -----
> > > From: <alliance.medic@...>
> > > To: <emergency-nurse@onelist.com>
> > > Sent: Monday, February 14, 2000 4:01 PM
> > > Subject: [emergency-nurse] Still here?
> > >
> > >
> > > > From: alliance.medic@...
> > > >
> > > >      Haven't received mail from the list for about a week, is it
> > > >      still working? (I can never be sure if our ship's router is
> > > >      doing it's job right or not).
> > > >
> > > >      Stu.
> > > >
> > > > --------------------------- ONElist Sponsor
> > > > ----------------------------
> > > >
> > > > GET A NEXTCARD VISA, in 30 seconds.  Get rates as low as 0.0
> > > > percent Intro or 9.9 percent Fixed APR and no hidden fees. Apply
> > > > NOW. <a href=" http://clickme.onelist.com/ad/NextcardCreative5
> > > > ">Click Here</a>
> > > >
> > > > ----------------------------------------------------------------
> > > > ---- ----
> > > >
> > > > www.Emergency-Nurse.com - the home of Accident and Emergency
> > > > Nursing on
> > > the Internet
> > > >
> > > > To unsubscribe - send a blank mail to
> > > emergency-nurse-unsubscribe@onelist.com
> > > >
> > >
> > >
> > > --------------------------- ONElist Sponsor
> > > ----------------------------
> > >
> > > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts
> > > who are willing to answer your questions for FREE.  Go to
> > > Xpertsite today and put your mind to rest. <a href="
> > > http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> > >
> > > ------------------------------------------------------------------
> > > ---- --
> > >
> > > www.Emergency-Nurse.com - the home of Accident and Emergency
> > > Nursing on the Internet
> > >
> > > To unsubscribe - send a blank mail to
> > > emergency-nurse-unsubscribe@onelist.com
> > >
> >
> >
> > --
> > Martyn Hodson,
> > Adv. Dip. Nursing Studies Student Sheffield Uni
> > BAEMT-FR, VAS First Responder, AED Operator
> > NRA98MPH@... / martyn@...
> > Listowner of studentems@onelist.com
> > http://usit.shef.ac.uk/~nra98mph/
> > writing for myself not the uni. or any other organisation
> >
> > --------------------------- ONElist Sponsor
> > ----------------------------
> >
> > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts
> > who are willing to answer your questions for FREE.  Go to Xpertsite
> > today and put your mind to rest. <a href="
> > http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> >
> > --------------------------------------------------------------------
> > ----
> >
> > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> > on
> the Internet
> >
> > To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
> >
>
>
> --------------------------- ONElist Sponsor
> ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest. <a href="
> http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ----------------------------------------------------------------------
> --
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> on the Internet
>
> To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
>


--
Martyn Hodson,
Adv. Dip. Nursing Studies Student Sheffield Uni
BAEMT-FR, VAS First Responder, AED Operator
NRA98MPH@... / martyn@...
Listowner of studentems@onelist.com
http://usit.shef.ac.uk/~nra98mph/
writing for myself not the uni. or any other organisation

Oh my God Fenella...NEVER...Eilleen

Fenella Lemonsky wrote:
>
> From: "Fenella Lemonsky" <organiclemon@...>
>
> Always a topical subject! I was talking to a senior nurse (supernurse!!) who
teaches NHS Direct nurses and she has recommended that NHS Direct staff should
be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months NHS Direct
and so on, to maintain skills etc...
>
> Your views please?
>
> Fenella
>
> [Non-text portions of this message have been removed]
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on the
Internet
>
> To unsubscribe - send a blank mail to emergency-nurse-unsubscribe@onelist.com

Congratulations Kim!
			 Eilleen

Kimmy23505@... wrote:
>
> From: Kimmy23505@...
>
> Hi all
> I have been out of action for a few weeks!!  Had a baby boy 10weeks early on
> the 23rd  January by C section!!!
> Hope to be back in the land of the living soon!!!!
> Kimberley Fisher
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on the
Internet
>
> To unsubscribe - send a blank mail to emergency-nurse-unsubscribe@onelist.com

Fenella,
	 What's ECO?
			 Eilleen.

Fenella Lemonsky wrote:
>
> From: "Fenella Lemonsky" <organiclemon@...>
>
> Hi Robert
>
> Yes, it did get rather "stiff" but I learn so much from ECO that I'm staying
> despite the abuse that is thrown at me!!!
>
> Are you well?
>
> Fenella
> ----- Original Message -----
> From: Robert Lankford <rlankford@...>
> To: <emergency-nurse@onelist.com>
> Sent: Monday, February 14, 2000 9:13 PM
> Subject: Re: [emergency-nurse] NHS Direct
>
> > From: "Robert Lankford" <rlankford@...>
> >
> >
> >   From: "Fenella Lemonsky" <organiclemon@...>
> >
> >   Always a topical subject! I was talking to a senior nurse (supernurse!!)
> who teaches NHS Direct nurses and she has recommended that NHS Direct staff
> should be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months
> NHS Direct and so on, to maintain skills etc...
> >
> >   Your views please?
> >
> >   Fenella
> >   Hi, Fenella,
> >
> >   I think it's an important for nursing staff at NHS direct to keep there
> clinical skills up todate, and with the times, as we all know things change
> by the week and sometimes by the day !
> >
> >   Nice to hear from you Fenella, so you are well then ! - I've left ECO,
> coz it got rather boring !
> >
> >   Robert
> >
> >
> >
> >
> > [Non-text portions of this message have been removed]
> >
> >
> > --------------------------- ONElist Sponsor ----------------------------
> >
> > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> > are willing to answer your questions for FREE.  Go to Xpertsite today
> > and put your mind to rest.
> > <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> >
> > ------------------------------------------------------------------------
> >
> > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on
> the Internet
> >
> > To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
> >
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on the
Internet
>
> To unsubscribe - send a blank mail to emergency-nurse-unsubscribe@onelist.com

Fenella

Interesting - why does she recommend this? What skill does this maintain? It
has to be recognised that telephone consultation is a discrete skill. About
60% of assessment in the face to face context is based on visual cues.
Telephone consultation requires highly honed assessment skills in just using
voice and description as well as developing a considerable knowldege base
for assessing a whole raft of presenting complaint. If you are using a form
of rotation this may have little of no benefit as you would be maitaining a
skill base that may not directly apply on the telephone. It is time that we
recognised telephone consultation as an area of clinical practice rather
than seperate from it.

My views

Rob

At 18:59 14/02/2000 -0000, you wrote:
>From: "Fenella Lemonsky" <organiclemon@...>
>
>Always a topical subject! I was talking to a senior nurse (supernurse!!)
who teaches NHS Direct nurses and she has recommended that NHS Direct staff
should be on rotation. So 3 months A&E, 3 Months Practice Nursing, 6 months
NHS Direct and so on, to maintain skills etc...
>
>Your views please?
>
>Fenella
>
>
>[Non-text portions of this message have been removed]
>
>
>--------------------------- ONElist Sponsor ----------------------------
>
>FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
>are willing to answer your questions for FREE.  Go to Xpertsite today
>and put your mind to rest.
><a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
>------------------------------------------------------------------------
>
>www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on the
Internet
>
>To unsubscribe - send a blank mail to emergency-nurse-unsubscribe@onelist.com
>
>
>

----------------------------------------------------------------------------
--------
Robert Crouch FRCN
Research Fellow (A&E) & Co-Director
Emergency Care Clinical Academic Unit
European Institute of Health and Medical Sciences (EIHMS)
Duke of Kent Building 13DK05
University of Surrey, Guildford, GU2 5TE
Email - R.Crouch@...
Tel: 01483 300800 ext 2542 Fax: 01483 876746

http://www.eihms.surrey.ac.uk/eccau.html
----------------------------------------------------------------------------
--------

Not Fenella , but another ECO list member member

ECO is Emergency Care online , a multi-disciplinary emergency
care list with a v.wide remit covering, Ambulance, Event cover,
immediate care, some remote medic stuff as well as militray
medics plus various other off topic stuff including , Landrovers, John
Carpenter's sartorial eloquence and various people's cats <grin>

find it at http://www.999.org.uk/

Martyn



Organization:    @Home Network
To:              emergency-nurse@onelist.com
Date sent:       Tue, 15 Feb 2000 00:54:59 -0800
From:            eilleen madore <emadore@...>
Send reply to:   emergency-nurse@onelist.com
Subject:         Re: [emergency-nurse] NHS Direct

> From: eilleen madore <emadore@...>
>
> Fenella,
>  What's ECO?
>    Eilleen.
>
> Fenella Lemonsky wrote:
> >
> > From: "Fenella Lemonsky" <organiclemon@...>
> >
> > Hi Robert
> >
> > Yes, it did get rather "stiff" but I learn so much from ECO that I'm
> > staying despite the abuse that is thrown at me!!!
> >
> > Are you well?
> >
> > Fenella
> > ----- Original Message -----
> > From: Robert Lankford <rlankford@...>
> > To: <emergency-nurse@onelist.com>
> > Sent: Monday, February 14, 2000 9:13 PM
> > Subject: Re: [emergency-nurse] NHS Direct
> >
> > > From: "Robert Lankford" <rlankford@...>
> > >
> > >
> > >   From: "Fenella Lemonsky" <organiclemon@...>
> > >
> > >   Always a topical subject! I was talking to a senior nurse
> > >   (supernurse!!)
> > who teaches NHS Direct nurses and she has recommended that NHS
> > Direct staff should be on rotation. So 3 months A&E, 3 Months
> > Practice Nursing, 6 months NHS Direct and so on, to maintain skills
> > etc...
> > >
> > >   Your views please?
> > >
> > >   Fenella
> > >   Hi, Fenella,
> > >
> > >   I think it's an important for nursing staff at NHS direct to
> > >   keep there
> > clinical skills up todate, and with the times, as we all know things
> > change by the week and sometimes by the day !
> > >
> > >   Nice to hear from you Fenella, so you are well then ! - I've
> > >   left ECO,
> > coz it got rather boring !
> > >
> > >   Robert
> > >
> > >
> > >
> > >
> > > [Non-text portions of this message have been removed]
> > >
> > >
> > > --------------------------- ONElist Sponsor
> > > ----------------------------
> > >
> > > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts
> > > who are willing to answer your questions for FREE.  Go to
> > > Xpertsite today and put your mind to rest. <a href="
> > > http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> > >
> > > ------------------------------------------------------------------
> > > ------
> > >
> > > www.Emergency-Nurse.com - the home of Accident and Emergency
> > > Nursing on
> > the Internet
> > >
> > > To unsubscribe - send a blank mail to
> > emergency-nurse-unsubscribe@onelist.com
> > >
> >
> > --------------------------- ONElist Sponsor
> > ----------------------------
> >
> > FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts
> > who are willing to answer your questions for FREE.  Go to Xpertsite
> > today and put your mind to rest. <a href="
> > http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
> >
> > --------------------------------------------------------------------
> > ----
> >
> > www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> > on the Internet
> >
> > To unsubscribe - send a blank mail to
> > emergency-nurse-unsubscribe@onelist.com
>
> --------------------------- ONElist Sponsor
> ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest. <a href="
> http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ----------------------------------------------------------------------
> --
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing
> on the Internet
>
> To unsubscribe - send a blank mail to
> emergency-nurse-unsubscribe@onelist.com
>


--
Martyn Hodson,
Adv. Dip. Nursing Studies Student Sheffield Uni
BAEMT-FR, VAS First Responder, AED Operator
NRA98MPH@... / martyn@...
Listowner of studentems@onelist.com
http://usit.shef.ac.uk/~nra98mph/
writing for myself not the uni. or any other organisation

Hi Everyone

I heard something on the news today about a nurse getting a nice amount of money
because of a back injury caused at work. Can't remember the amount. However what
I would like to ask you all is  what you feel about working in A&E and other
settings where there is a personal risk element? Do you ever worry about
sustaining an injury, infection or illness that disrupts your life for a while
(or permanently)? Or do you just enjoy each day as it comes?

  I guess what I am asking is about personal safety and how good your workplace
is about this?

Thoughts please.
Let's here from those who normally don't respond as well as the regulars!!

Fenella


[Non-text portions of this message have been removed]

I work as a respiratory therapist at a hospital (I am currently getting my
Bachelor's degree in Nursing). I have often thought that the Emergency Room had
the potential to be a very dangerous place. It's gotten better at our hospital
because they put in security features that made it difficult for people to just
walk in off the street and have access to the work area without being let in by
personnel. But patients have been combative at times and I
have wondered what would happen if I were to get injured on the job. I am
currently just a per diem employee while I am attending school full-time.

Cathy Johnson

Fenella Lemonsky wrote:

> From: "Fenella Lemonsky" <organiclemon@...>
>
> Hi Everyone
>
> I heard something on the news today about a nurse getting a nice amount of
money because of a back injury caused at work. Can't remember the amount.
However what I would like to ask you all is  what you feel about working in A&E
and other settings where there is a personal risk element? Do you ever worry
about sustaining an injury, infection or illness that disrupts your life for a
while (or permanently)? Or do you just enjoy each day as it comes?
>
>  I guess what I am asking is about personal safety and how good your workplace
is about this?
>
> Thoughts please.
> Let's here from those who normally don't respond as well as the regulars!!
>
> Fenella
>
> [Non-text portions of this message have been removed]
>
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hi, just another lurker who normally sits on the sidelines.  I have often
wondered how we would stand in a violent incident now that we have completed
a 'violence and aggression' course.  Could the trust say that, now I have had
training, that I should be able to handle any given situation when a patient,
visitor, member of staff or just myself  are at risk.  Forgive me for
sounding cynical but could they back away from their responsibility for a
safe working environment if I should make the wrong decision?  Your thoughts
would be appreciated especially if you've also had to endure the Violence and
Aggression course.

Nil illegitimo carborandum

Gillie

Hi Gillie

Nice to hear from you. I know what you mean about the aggression. I work in
an emergency mental health setting where real violent patients walk through
the door and I am terrified. I sometimes feel like walking around with a
prefilled syringe of chlorpromazine !!  I have done courses in control and
restraint, management of aggression (these two courses were done at
Broadmoor- Special Hospital for Violent and mentally disturbed  offenders of
the highest risk ) and even taken up tae bo/ kick boxing. I still feel
afraid. I am covered by the Home Office for C&R iif there are comebacks but
nevertheless it is hard. In A&E there are needle risks, a registrar was in
fear for his wait of a window period after a hep B +ve pt. scratched the
doc. He was clear in the end but we all felt the fear. The patient was
diagnosed hiv antibody +ve so it was tricky.

Fenella
----- Original Message -----
From: <GBreij@...>
To: <emergency-nurse@onelist.com>
Sent: Tuesday, February 15, 2000 7:09 PM
Subject: Re: [emergency-nurse] back injury payout


> From: GBreij@...
>
> hi, just another lurker who normally sits on the sidelines.  I have often
> wondered how we would stand in a violent incident now that we have
completed
> a 'violence and aggression' course.  Could the trust say that, now I have
had
> training, that I should be able to handle any given situation when a
patient,
> visitor, member of staff or just myself  are at risk.  Forgive me for
> sounding cynical but could they back away from their responsibility for a
> safe working environment if I should make the wrong decision?  Your
thoughts
> would be appreciated especially if you've also had to endure the Violence
and
> Aggression course.
>
> Nil illegitimo carborandum
>
> Gillie
>
> --------------------------- ONElist Sponsor ----------------------------
>
> FREE ADVICE FROM REAL PEOPLE!  Xpertsite has thousands of experts who
> are willing to answer your questions for FREE.  Go to Xpertsite today
> and put your mind to rest.
> <a href=" http://clickme.onelist.com/ad/XpersiteCPC ">Click Here</a>
>
> ------------------------------------------------------------------------
>
> www.Emergency-Nurse.com - the home of Accident and Emergency Nursing on
the Internet
>
> To unsubscribe - send a blank mail to
emergency-nurse-unsubscribe@onelist.com
>