78. Fantomen dricker mjölk

Tre läkare. Ett samtal. Ingen ordning.

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  1. Hej Ronden!
    Anders Ternhag, jag tycker ofta att du har rätt i dina resonemang och du har det även i denna podcast. Min fru, som är sjuksköterska, har för någon månad senad jublat för att hon nu ska slippa blanda tazocin, då de har börjat beställa färdigblandat. Jag frågade henne om hon skulle känna att någon inkränkte på hennes yrkesstolthet om antibiotikan kom färdigblandad, svaret var: ”Är du galen, vet du att risken att själv utveckla antibiotikaresistenta bakterier ökar om man håller på att blanda antibiotika. Jag skulle typ betala 2000:- varje månad för att slippa blanda det där”. Kanske en lätt överdrift av min fru, och jag har inte gjort en studie på detta, men det känns som att sjuksköterskor rent generellt hellre träffar patienter än att stå i läkemedelsrummet och blanda/dela mediciner.
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    Tack för en bra pod, ni är alla jätteduktiga och intressanta att lyssna på.

    MVH
    Snart klar AT-läkare, doktorand och make.

  2. Angående tolksamtal: vi hade en jätteintressant föreläsning om tolksamtal på läkarprogrammet. Tips för en lunchföreläsning på arbetsplatsen? Det är stor skillnad på att tolka talade språk och teckenspråk, så där får man nog välja vad man vill lära sig om när man har begränsad tid. Men jag tyckte det var väldigt användbart med en sådan föreläsning. Lär ju finnas någon tolk som är ansluten till sjukhuset på något vis och som kan komma och prata om det.

  3. Angående antibiotikaberedningen för sjuksköterskor.
    Flera av de vanliga antibiotikasorterna går att få färdigberedda till kylen på avdelningen. Det är i dessa fall en kostnadsfråga.

    Det finns pågående projekt på bland annat Astrid Lindgrens Barnsjukhus där vissa läkemedelstunga avdelningar har en farmaceut som bereder läkemedel som ssk sedan administrerar. Ansvarsfrågan har de löst. http://svenskfarmaci.se/arbetsliv/tre-farmaceuter-anstallda/.

    Instämmer helt med Johans fru (första inlägget). Att skaka Tazo etc är en så sjukt meningslös uppgift som jag gärna skulle överlämna med varm hand. Dessutom så sker detta i läkemedelsrum som är undermåliga (framförallt på NKS!) och i sig utgör en patientsäkerhetsrisk och arbetsmiljörisk när vi spiller antibiotika lite härs och tvärs (helt ärligt talat). Dessutom så avlastas vi till viss del med att rimlighetskontrollera ordinationerna vilket kan vara svårt att hinna med när man har tusen andra uppgifter att göra samtidigt. En farmaceut som är fredad till denna arbetsuppgift ökar förhoppningsvis patientsäkerheten även i denna aspekt. Jag träffade en amerikansk sjuksköterska och på hans sjukhus så fick inte ens sjuksköterskor bereda läkemedel längre.

    Det finns säkert tusen och åter tusen motargument men jag skulle inte tacka nej om någon gav mig en färdigblandad Tazo så att jag kan ägna mig åt omvårdnad.

  4. Angående färdigblandat antibiotika skulle jag som ssk aldrig (och jag tror heller inte att någon av mina sjuksköterskekollegor) skulle tycka det inkräktade på vår yrkesstolthet. Tvärtom! Låt mig göra det jag är utbildad för istället för att skaka antibiotika en halvtimme varje dag.
    Det är inte sköterskorna som är dåliga på att blanda, det är en helt hopplös substans.
    Mitt motto i livet lyder ”Allt löser sig! Utom Tazocin”.

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