(Original post by Saffie)
I did a successful ABG today and venflons too so s'all good.
Well that makes you 100% better than the locum F1 we got last week.
The post I am in at the moment, ortho, there are 3 training F1 places and 1 locum F1. Since october, when the old locum (who was awesome) left, we have had a series of pretty crud locums come and go, but the one we got last week took the biscuit.
Due to incompetent departmental medical staffing, I was on my own sat/sun, covering urology as well, and since the SHO didn't show up, playing at being ortho SHO on call
Monday, a new locum shows up. Seems like a nice guy, but has had absolutely zero induction, so despite there being only me and him to cover the 70-odd patients I agreed for him to shadow me the first day. Fair enough I thought, I can show him how the trauma list/ward round works, give a crash course in how things tick and how to use the 'puters before being able to give him half the jobs list to get on with and bleep me if he needed help.
First off, I ask him to do a Rx rewrite, 5-10 mins of a job which I have been doing since 3rd year. Took him half an hour (and even then he made about 5 errors, and had to ask for help twice).
Next, I sent him to cannulate and take bloods from a pre op pt. He bleeped me about 15mins later, after failing to get the cannula in and not even managing to do venepuncture. I went to find him, and got the stuff and went to the punter. He had the kind of veins that even the most inexperienced clinical med student would salivate over the opportunity to cannulate, and our locum had even missed the anticubital (which was about as think as my thumb).
What folowed that day was a litany of incompetence including, but not limited to, not knowing what an ABG was, why someone would want to do one, or how to do one. Not knowing how to assess hydration status, even basically. Not knowing what salbutamol nebs were (as in not knowing a) what nebulisers were, and b) what salbutamol was). He sloped off for about 5 fag breaks, went for breakfast and
lunch (I am lucky if i get one or the other even on a good day with a full compliment of F1s)
By mid afternoon, I had grown mighty sick of every job taking twice as long as I had to either hand hold him through even the most basic procedure or explain every little thing I did. So I went and found the clinical director and told him I'd be better off without, and so the dept might as well save some cash (or draft in a medical student and pay them
£22 per hour - I am on about £15ph btw if you assume I only work my contracted hours)
So I worked 86hrs sat to fri last week - 3.5 days single-handed on the wards, 1.5 with the locum, and a blissful 2 days with one of the other training0grade F1s. Not to mention that I did 2 days as SHO-on-call, and had worked 10 hour days the mon to fri before that (with only 2 F1s on the ward).
CAN NOT WAIT til Dec 5th