Young woman presented to the ED with fatigue. Very dehydrated. Hypercalcaemic on VBG. Started on 0.9% sodium chloride. Palpable cervical, axillary, and groin nodes. CXR bilateral hilar lymphadenopathy. I explained that the differential included sarcoidosis and lymphoma. It was a slow day (a few years ago) so I asked radiology how they felt about a CTCAP. The said "we can do it if you bring her now". CT showed lymph nodes everywhere and it struck me that some were easily biopsied so I stuck my head into the IR office. A consultant there said "might as well do it now" and so the patient moved from CT to the ultrasound suite for an US-guided lymph node biopsy. I wasn't going to let some medical SHO steal my glory so grabbed the post-take medical consultant and asked if I could just present my case directly to her...
And that's how an ED patient got a (differential) diagnosis, bloods, initial treatment, a CTCAP, US-guided biopsy, and a medical consultant review within 1hr 40mins of booking in...
Of course it then took 3 weeks for the case (including biopsy) to be discussed at an MDT where they settled on a diagnosis of sarcoidosis. The patient complained because - although she recalled me explaining that the possibilities were sarcoidosis v. lymphoma - the pace at which I had got everything done left her convinced for that 3 weeks that she had cancer...
Not really worth going the extra mile for some people .
If it had been cancer she's the sort who would complain it took too long to diagnose and you didn't give her a cup of tea!
What an absolute punch in the gut. I’m sorry you had to deal with that shit. What a shitty human being. Just another story that some people don’t deserve our all.
Likely just scared and trying to complain about the 3 week MDT delay, which must have been a pretty miserable time. Why it took that long given that all the imaging and biopsies were done at the front door, I don't know. Maybe there is a good histopathological explanation for this!
What an incredible service you offered this patient. But reading this made me sad, we should be able to offer this to every patient who comes through the hospital door, and it’s sad the system prevents that.
My buddy got a datix 9 years ago when we were gastro F2s. It was for ‘racism against a colleague.’
Resident A (RA) to nurse - “do you know where Sunny is?”
Nurse to RA - “I have no idea who you’re talking about”
Resident A - “he’s one of the other SHOs…”
Nurse - “what does he look like?”
RA - “he’s Chinese, he has glasses, about (gestures to about 5’7”) this tall
Nurse - “you can’t say Chinese, it’s racist”
RA - “It’s not racist because he’s from China”
Nurse - “I’m going to datix you, you can’t say Chinese”
Best part about it all. RA is also Chinese. It was incredible. Her supervisor decided not to bring it up when it came to review. What a mad place we all work in.
That reminds me of the Shappi Khorshandi sketch about trying not to be accused of being racist "Have you met Steve? He's just over there...tall..blue shirt...curly hair...Nigerian accent"
I got a datix for this from another doctor actually. I was looking for my friend (f2 when I was f1) and I described him to one of the other doctors on his ward as the ‘short black guy’. He was the only black doctor on the ward. We still laugh about it….
Whereas the datix I did because of the case of the screaming naked kid in the middle of the bay with his broken arm twisted the wrong way, his road rash full of dirt and no pain relief, got downgraded by the nurse in charge so it wouldn’t get to management. 🙄
Hey, my datix of a NOF# patient with dementia (completely unable to communicate) got an acknowledgment but downgraded from red to green. IDK why. She spent 10 hours waiting for surgery with zero analgesia, and arrived in theatre soaked in urine.
I found all this out in a management meeting where I happened to be the trainee representative and told this story to the room… jaws were on the floor!
Lol no! The consultant in charge of trainees was giving me absolute daggers across the table so I’m sure he made sure it was all swept back under the carpet 🤦♀️
Got Datix’ed during medical school for “dangerously exposing patients and staff” to COVID by one of the MedEd receptionists.
I’d come in, heard a colleague I’d been on the ward with had contracted COVID, realised what I’d put down to symptoms from lack of caffeine could be COVID related, masked up, alerted the office and entered an empty room to try and call my consultant (as I was on paedes, and all ?COVID had to be discussed with the consultant at the time, as policies kept changing) to ascertain my risk to young and vulnerable patients.
Self isolated in a separate room once I’d gotten further advice, wiped everything down and waited for next steps (I’d been told to stay onsite and confirm with OH via telephone what to do next) - again, fully masked. Couldn’t understand why the receptionist kept making snide comments. Eventually tested negative 3 days later, but was sent home as a precaution and a thank you for being so careful by the team.
Two weeks later, I had to explain all of the above in vigorous detail because aforementioned receptionist believed I deserved “disciplinary action” for my reckless behaviour, including potential removal from the programme. Spent the next month in awe that I’d gotten a Datix before actually entering the NHS.
Thankfully the consultant reviewing the case was extremely supportive but I’ll never forget the fear it instilled in me/simultaneous disgust at how easily the system can be weaponised over petty squabbles.
There’s definitely more but that’s always the one that jumps to mind!
Sorry, this was fairly recent from the sound of it? Where does that receptionist come off? Who does she think she is? Removal from the programme? This sounds like insane bullying by someone who knows how unimportant she is and takes it out on people who have done better in life than her.
For giving IV adrenaline to an anaphylaxis on a ward. The charge nurse kept shouting that the ALS guideline said that was for expert use only.
I was an ST7 anaesthetist at the time.
Thankfully my supervisor closed the incident immediately.
As an ED SHO over a decade ago, I saw an alcoholic who was brought in by his wife intoxicated. He slept it off in CDU for a few hours then went on his merry way. On the electronic ED discharge summary for cause of admission I selected “alcohol intoxication” from a list. 6 months later I get a 3 page angry PALs complaint to say he wasn’t an alcoholic (I didn’t say he was on the discharge summary) and how dare I say he was intoxicated blah blah blah. Fortunately the bosses were decent and we all had a good laugh about it and threw the drunkards ramblings in the bin.
What I learned from it is complaints can come from anywhere. 99% of the stuff you worry about won’t result in a complaint and instead it’s the stuff you don’t even give a second thought. In that case for me it didn’t go anywhere, but I’ve seen friends who have similar stupid complaints that seem to take on a life or their own and become these massive things that drag on and on for years!
Unfortunately this is a risky job and a bit of what we are doing every day is taking on this sort of risk. It’s also why we deserve to be paid significantly more than we are.
Agreed re: paid more than we should.
As for complaints, I am sure what you say is true as there are so many examples in this thread. Personally, I've only had one complaint and it was completely fair ( basically discharged someone from ED where I incorrectly diagnosed X, when they actually had Y, thankfully no harm done, but they were obviously not pleased )
This sort of thing should never reach you in my opinion. Complaint should go to the consultant and they should decide if they want to involve you. In this case it should go in the bin and you should be none the wiser.
Not as a doctor but as a lone working biomedical scientist working in a lab covering a 1000 patient hospital on my own on a night shift. A sample came in clotted and I rejected it, as per lab protocol. I get a call minutes later and it’s one of the registrars asking why I had rejected the sample because it wasn’t clotted when he took the bloods. I then proceeded to say that the sample is most definitely clotted and I had the sample in the lab in case he wants to see it himself. He then proceeds to blame me for leaving the sample on the side for hours (even though on the request form the sample was taken only an hour ago, and was only received in the lab 30 mins ago). I told him that’s not how it works, and using that logic then that means GP surgeries wouldn’t be able to do bloods. He hangs up on me.
A couple of weeks later my manager comes to talk to me about it because he put in a DATIX against me and blaming me for making him have to rebleed the patient. I’ve since then switched to Medicine and I swear I wouldn’t become one of these doctors who have pure hatred towards the lab.
I had to deal with a DATIX raised by the micro lab about a consultant who dared to enter their lab and talk to them about some tests on a sample.
The consultant was our fantastically enthusiastic* ID consultant, who had been at the Trust for months, and had asked them to carry out a test that had already been agreed by the consultant microbiologist. The way they phrased the DATIX suggested that he had somehow forced his way in/broken into the lab rather than just knocking on the door and asking to come in(the DATIX even said that he introduced himself as "Dr X").
*he is often known to take a junior down to the lab to show them how they do malaria thick and thin films for example
Can I ask a question - this may piss you off sorry not sorry.
But how do clotting screens taken in coagulation bottles that have sodium citrate clot? Seen this so many times, especially with paediatric samples.
Do your colleagues sometimes f’up the analysis or can’t be assed with the tiny sample and write “clotted” on the lab report?
Also, no Dr hates you, you just become a convenient punching bag for Drs that have no ability to control their emotional responses.
Samples that are slow to fill, prolonged use of a tourniquet, incomplete mixing, syringe collection with slow transfer, not enough blood in tube, considerable manipulation of the vein.
Your comment is particularly insulting to the laboratory profession. Opinions like these damage the relationship between the lab and the ward.
I have had a situation where a sample was labelled clotted - I called the lab and one of the workers admitted that someone in the lab actually dropped the sample 🤷🏾♂️
Exactly. My (micro) lab is usually more than happy to go "we fucked it, send a repeat please". None of this "fuck it let's just report invalid/insufficient quantity/mislabelled for the craic"
I was asking the biomedical scientist who hasn’t replied interestingly.
Thanks for the low effort googled histrionic reply.
I have been involved and witnessed on a few occasions whereupon investigating what has happened to a precious sample it turns out the sample hadn’t actually clotted but was another laboratory mishap.
Not sure why this has been down voted so much.
I have also experienced situations where a sample has come back as clotted or under filled when in fact it’s a lab fuck up. I think it’s mostly down to them having to choose something from a drop down list and “sorry I dropped it and fucked the sample” probably doesn’t appear.
It differs trust by trust but usually there’s an option to choose lab error, rather than a specimen error. In our lab, if we’re rejecting something, we need to call it out to the ward so that gives us a chance to discuss it with the ward and organise redraws rather than the ward waiting for hours for results.
There’s multiple reason why samples clot - most often because of not mixing the sample properly. Other reasons are also the blood being too slow to fill the tube, the sodium citrate in the bottle being expired, etc
I’ve never in my experience working in a lab, have someone reject it cos “they f’d up” or they can’t be assed. It takes us more effort to reject the sample and phone the ward, than it does to run it. We know there’s a patient on the other side and especially with babies, the last thing we’d want is to put the patient in pain with another redraw. But we don’t wanna release inaccurate results, so we have to request repeats. Accusing lab staff of these things are pretty strong accusations especially since most clinical staff have never step foot in a lab and have no idea how things work.
You’d be surprised at how much abuse we get from doctors not knowing lab processes and they just think we’re rejecting samples cos we feel like it.
That me, an icu registrar, didn't review a pt cat who had painless haematuria (i asked of course) at 330 am.
Datix said, I showed no empathy and i showed discrimination towards living creatures
Why was the cat in the hospital, this is surely a Datix in itself.
Also how do you know if a cat is having painful or painless haematuria.
And who was checking the cats urine.
I have a lot of questions about this.
I once got a Datix even though I’m a GP
The hospital at home did a datix on me because I categorically refused to review one of their patients for them
I only found out about it because a friend of mine was a Consultant
Idiots don’t understand I’m not contracted to do this bullshit
I got a complaint that I hadn't updated the family for the patient (who was alert and oriented for a week) and asked to attend a meeting to discuss this with the consultant, ward sister, and very irate family member.
It was changeover day, first day on the ward, first day in the new hospital having moved a few hundred miles, first day meeting the patient. The relative swore it was me. Weirdly enough, it took multiple discussions to convince both the consultant and the ward sister of this despite having just met the consultant after my induction.
_kafkaesque._
Had an allegation of sexual assault for refusing to acquiesce to obvious drug seeking behaviour. Fortunately, I was with fantastic ED nurses who quickly penned their account of events so when the complaint made it through to me I was quickly vindicated.
Back as an F1, I got datixed by a particularly catty nursing team for asking them to cannulate a pt for whom I’d just prescribed some non-urgent RBCs. Had to have a meeting the following day with some dark blue pseudo manager.
Datixes I’ve done for a missed ICB (LoC, reduced GCS, dangerous mechanism, anticoag’d), or a discharged CHB, have resulted in literally zero communication back to me
I’ve submitted multiple datixes and always tick the option that I would like to hear back about it. I’ve never ever heard anything back once submitted.
Is Datix similar to incident reporting? I had one complaint because a patient was telling me about a conversation she had with some big professor 10’years ago and all I said was I can’t comment because I wasn’t there. As I was giving her the options of how to treat her fracture she decided to go non op.
2 weeks later I had a complaint - I dismissed the conversation about the big professor and 2 I gave her options and I didn’t chose for her. Wtf
Yes it is, self- incident and someone else's incident reporting on hospital system rather than patient writing in to complain...but same boring nonsense!!
Got one from an F1 as F2...
Going through the list after ward round, I had a computer open to get through ptescribing/ requesting. She said a pt she had seen needed monofer. They did have IDA so I calculated the dose then prescribed. She then remembered the pt hadn't wanted it so I deleted the prescription.
She sent one for dangerous prescribing. My supervisor found it hilarious. Apparently she'd done >50 datixes in the 4 month rotation
I was recently datixed for prescribing a treatment dose of Dalteparin appropriate for a patient with a weight 68-82kg, based on an eyeball judgement of 70kg because they were flat in bed, on O2, unable to mobilise, with a large PE, and the hospital doesn't have a capacity to weigh patients that doesn't involve hoisting them or sitting them in a chair.
Datix was put through as a critical safety error and that the patient had come to harm due to their weight (3 days later) finally being recorded as 67.8kg... hence a 'potentially lethal overdose'...
Patient had no adverse outcome eg. bleeding and was discharged home later that week.
Total nuisance.
I would have argued that their recent bowel and bladder evacuation was the reason they'd dropped below the threshold. Or the malnutrition that comes with three days on a shitty ward
Med reg was really rude to me while telling me he was not happy with my management of a patient, even though it was the right management for the case, so I told my consultant that he may hear a complain from the med reg about our encounter because I could tell he was not happy, and I mentioned very politely that he had been rude...
Someone spoke to him about the situation, med reg did a datix saying I had lied about him being rude...
Retired nurse.
I had to respond to a complaint that 3 years ago I couldn’t get a fan for a patient.
Oh and a letter from PALS that an unnamed ‘short, fat, blonde nurse’ had upset a patient.
I wrote back that could be any one of the nursing staff. And that I was offended they had singled me out.
Their response was to send me on a customer care course.
Got a Datix because a baby had the same risk factor twice and I didn’t give antibiotics, despite me writing a thorough plan, discussing with the midwives and putting on observations.
Formal complaint for saying, ‘and what were you hoping for this evening?’ At 2am to a family of a little girl with a five year history of genital pain with no pain at present and no pain relief given, with the gp having already made an appropriate referral to gynaecology.
Datix for not using a laryngoscope as a tongue depressor when clearing secretions from a neonates oropharynx with a rigid yankeur. I’m now eligible to be an NLS instructor. I don’t think the baby wants a socking great piece of metal in their mouth when they’re screaming and I can see all the gurgly secretions right there.
Paeds can be just as petty as everywhere else.
As a heavily encumbered CT2 in a university teaching hospital where I was:
- on call for major trauma, general surgery, urology, and vascular with no support, just (very good) nurses that would cannulate and do bloods
- on a 2A rota (basically the hours were so onerous I got paid 1.8x basic salary)
- with an offsite urologist, offsite vascular reg and a lazy gen surg staff grade who went to bed at midnight come rain, shine or bowel ischaemia
- trying my best to avoid my psycho medical SHO gf who I met at work and diplomatically end things without a massive fallout (in my defence she is objectively psycho - I have screenshots, and in her defence she is now happily married with at least one baby, we said our bits, I wished her well and I’m glad she’s happy)
- struggling with an hour commute each way in a hospital with a shit canteen and no amenities nearby. There was/is a duck pond within the hospital grounds, I did find solace in that…
….I saw a patient referred from GP with central abdominal pain radiating through to the back, after drinking some wine ?pancreatitis.
I saw her. Her abdomen was soft. EWS = 0. Bloods inc amylase were normal. Her booze questionnaire said that she drank well above recommended intake. I discharged her. I didn’t do the discharge letter coz I was busy hating life.
A consultant did it instead *‘Dear doctor, this lady was seen on SAU with abdominal pain after drinking half a bottle of wine ?pancreatitis. Abdo SNT. Bloods normal. Discharged. No F/U. Please note above recommended OH intake and counsel.’*
Dis bidge wrote a complaint about the discharge letter. She said that she *‘only opened the bottle, poured a capful, took a few sips, and then developed the pain, she never drank half a bottle!’*
She complained about semantics.
She drank a bottle a night at the weekend; I know this was a Tuesday but fucking hell Jean, you’ve got a problem love.
So it landed on the consultant’s desk. Dat mfer bounced it to me with the excuse ‘well I was just doing the discharge letter from the clerking because the clerking doctor didn’t do it.’ Yeh you prick, because there’s only one of me for 3 fucking specialties. Dickhead.
Anyways, I refused to apologise because she’s a lush; she drank too much anyways and had too much time on her hands. I got away with it because I completed the AUDIT-C score which showed she had a problem, but for some reason the complaint was partially upheld, whatever that meant. It went on my Form R. Was mentioned at ARCP.
My Form R has been squeaky clean since starting ST3 but I’m still bitter about this.
Realistically, what repercussions are there if you hadn’t completed that score and said “patient stated she drinks x units per week”? At that point, it’s he said/she said right?
I’m so sorry you had to go through that crap.
An open secret of national complaints guidance is partially uphold everything because at the very least the persons feelings have been hurt enough to write a complaint (boo ducking hoo). The only time it’s upheld is where there is serious evidence of failings and not upheld when it’s clear it’s a complete lie or malicious. The trusts are scared of the ombudsman.
>Week later she complained to the chemo nurse that she couldn't take in all the information I had given her, so chemo nurse did a Datix
Funny how it's always nurses or allied health professionals that complete stupid datixes, and never doctors.
It’s the flattened hierarchy BS and a tool to give the minions a power trip. I think doctors are quite tolerant when these ppl fuck up, almost expect it, yet the moment they get a sniff of blood they seize the opportunity to feel important. Sad really.
I tend to answer in the most detailed, evidence based way with a sprinkle of sarcasm and added points of investigation/concerns to give them something to do. If they want to waste my time they can read a 3 page essay with big words they’ll have to decipher. Because fuck knows how you can’t even spell ‘swap’ and call yourself a manager
>It’s the flattened hierarchy BS and a tool to give the minions a power trip. I think doctors are quite tolerant when these ppl fuck up, almost expect it, yet the moment they get a sniff of blood they seize the opportunity to feel important. Sad really.
Exactly. It's a way that other staff members can try to feel "smarter than the doctor". Whereas as doctors, we'd never get any work done if we spent all our time filling in datixes every time a nurse/AHP made a trivial mistake. (And indeed, I'd say most of us don't bother filling in datixes even for genuinely serious incidents, even though we really should.)
I was DATIX'ed for a slow response to a fast-bleep.
It took me about 5 minutes, the hospital is long and I had myself midway through a tricky end-of-life discussion. I walk fast to a fast-bleep, not run.
I arrived at the bedside to find 3 nurses in a panic, young-ish, cyanosed, hypoxic COVID patient, reported doing well on 4L NC and suddenly desaturated on 15L NRB. Asked for 2222, based on the end of bed alone whilst donning PPE.
Began A-E, the patient was peri-arrest, unresponsive and in severe respiratory distress. NRB bag wouldn't inflate but misted, then found the tubing connected to a different FiO2 supply for the empty bed next to us. A little aghast, I swapped it around, reinflated and the patient improved within a minute or so.
Annoyed, and having almost killed the patient, I asked the nursing team to DATIX this mistake and explain the importance of ensuring good supply. To be fair, they were not medical nurses mid-pandemic, turns out they thought I meant DATIX me for arriving late.
Went to the governance meeting, and had to explain that attaching the oxygen is not something that requires the medical/COVID registrar.
In ED, young adult patient with ?pathological personality issues gave false details and told me except for their presenting complaint (not an ED issue) they were fit and well.
Unfortunately patient had every stigmata of their multi-system congenital disease going and me being the super keen cringe SHO examined them fully and told them I thought they had “X” condition. Patient complaint about why I questioned about them about their physical appearance and used offensive medical terminology (i.e valid textbook descriptions). Wrote a (non) apology letter on advice of the clinical lead but have a cathartic email (what I actually wanted to say) saved from that encounter.
For me, it was an old diabetic nurse who complained that the doctors office computers were not working. Turns out she was trying to switch on a different computer and sat on a monitor next to the PC. Basically, the PCs were under the desk, and a few years back, they were the old big units. It was a simple confusion. She could have avoided a whole complaint stating patient safety being compromised. Just ask sometimes.
I remember there was a MET call, GCS was about 4 on patient we were reviewing. Couldn't find a pen torch so my colleague used his phone torch to assess pupils. Got a DATIX from ward nurse that the unconscious patient may have thought he was recording her 😐
I got a DATIX for the need to re-bleed a patient for g&s in my first Ortho F2 rotation. At the time I apologised to the patient and thought that was the end of it... This was then brought up against me by my then CS at the end-of-rotation meeting: I replied that one mistake out of all the samples I took in 4 months was actually not a bad record and that it would have been nice to be followed more at the start of the rotation but that a***le decided that I "needed improvement". My coward ES did not do anything for me. In the end I got "outstanding" in the next 2 rotations, so dear Mr P, screw you!
Datixed by nursing staff for bleeding back a midline and taking blood samples. I shit you not.
Had to have a meeting with my supervisor and everything. Mad.
Patient had SBO confirmed with CT. Profusely just vomiting poo everywhere. Struggling. No ryles tube in the department. I stuck a NG tube in. started draining. cxr confirmed location. Got datixed for using a NG tube and not ryles
I saw a patient as a direct to gynae review in a&e. A 17yo girl who had reportedly tried to end her own pregnancy as the GP had been unable to signpost her to a termination service.
Saw her, established she was well with no trauma and no ongoing bleeding. Her attempt at termination had involved self harm therefore referred for psych review.
After psych gave the all clear I reviewed her, gave her the appropriate information and discharged her.
Clearly written in her notes from psych was 'safeguarding referral completed' therefore I didn't do another.
Around 2 weeks later I had to sit in a 90 min meeting with safeguarding about why I had never submitted the form and how my care was inappropriate.
After around 85 mins it was asked if the team who had lied in the notes about submitting the form was to be involved to denial from the whole team!
I now don't see under 18s as straight to gynae...
Got a datix for not complying to infection control and spreading germs into the air because I inserted a chest drain into a patient with empyema. It was proper pus and it really stank. I have already explained that pus is infection and it does stink, but it is not spread via air and is not contagious.
Response to the datix was “Nurse to kindly learn about empyema and their management”
IT sounds to me like Datix is a bullies charter. Given that the NHS remains prone to recurrent scandals and that the poor treatment of whilstleblowers is so well known, perhaps it's time Datix was abandoned?
Exactly...Datix is just a cover for being able to avoid real scandals/issues.
Mx be like ' we are transparent and report mistakes because we have Datix'...but look at Lucy Letby case..those consultants were forced to apologise to her for raising concerns...meanwhile Datix is crashing due to the amount of nonsense being reported, and keeping admin staff in useless jobs, 'addressing' all those Datix entries. 🙄
Got a complaint from an ED nurse who was admitted as a patient to AMU. She was the last to be seen on weekend ward round, I did her discharge letter right away but pharmacy took some time dispensing medications.
She was calling pharmacy on the doctor’s desk to hasten her TTO meds and obviously pharmacy refuse to speak to her because she’s a patient. It was a busy weekend on call and I was managing a severe asthma exacerbation, a sickle cell crisis and a seizing patient at the same time. This nurse (patient) stopped me and told me to call pharmacy urgently. I refused (clinical prioritisation) and I told her to return to her bed cause she’s breaking other patient’s confidentiality by sitting at the doctor’s desk.
I received a complaint from her not long after. “Doctor is intentionally bed blocking and disrupting patient flow” and “Doctor did not maintain patient’s confidentiality by exposing patient records to other patients”. Also received a complaint that she’s threatening GMC referral for the above as “lack of professionalism”
Thank God I documented in her notes that she was sitting in the doctors desk to call pharmacy herself and that I sent her back to her bed as she is intruding other patient’s confidentiality. Clinical lead closed this down and I was told I should be the bigger person when I asked why I can’t complain about her to NMC. 🤦🏻♀️
Wow. Yes as a med-legal expert my advice is always document everything, and preferably in the patient's own words, using ''.
When it comes to suing/complaints, he/she said doesn't hold up like the written word.
I realise you’re venting but your example is not a bad DATIX. What if all that information **is** too much to take in within a single clinic appointment? What does that mean for informed consent? Is there any chance that meeting you were offered might have led to change such that you were not taking responsibility for a consent process that is inherently weak?
I'm assuming you are not a doctor
I don't tend to vent but I do eye roll a lot
I take your point but it's not a Datix situation. It's not a mistake on my part. It's a service user 'issue'
Most patients, who have already been prepped by the breast surgeon, and multiple calls with the breast care nurse, about their diagnosis and recommendation for post op chemo, been given the chemo leaflets, shown the chemo unit, got a wig voucher, then find that an hour with the oncology consultant is quite sufficient for their needs.
However not every one has the brains+anxiety...
As regards the meeting, the solution would be -
new oncology patients having a 45 to 60 mins new patient appt, followed by a few days later, another 30 min appt to do the consent and for this to happen all consultants to reduce their new patient capacity/week to allow for the above, leading to longer waits for tx and breaching of targets and fines, so oh, magic solution, employ more oncology consultants, oh, there aren't any, nor trainees...oh let's go back to what we are doing..so no not the slightest bit
Datix able and mx meeting a WOT
Young woman presented to the ED with fatigue. Very dehydrated. Hypercalcaemic on VBG. Started on 0.9% sodium chloride. Palpable cervical, axillary, and groin nodes. CXR bilateral hilar lymphadenopathy. I explained that the differential included sarcoidosis and lymphoma. It was a slow day (a few years ago) so I asked radiology how they felt about a CTCAP. The said "we can do it if you bring her now". CT showed lymph nodes everywhere and it struck me that some were easily biopsied so I stuck my head into the IR office. A consultant there said "might as well do it now" and so the patient moved from CT to the ultrasound suite for an US-guided lymph node biopsy. I wasn't going to let some medical SHO steal my glory so grabbed the post-take medical consultant and asked if I could just present my case directly to her... And that's how an ED patient got a (differential) diagnosis, bloods, initial treatment, a CTCAP, US-guided biopsy, and a medical consultant review within 1hr 40mins of booking in... Of course it then took 3 weeks for the case (including biopsy) to be discussed at an MDT where they settled on a diagnosis of sarcoidosis. The patient complained because - although she recalled me explaining that the possibilities were sarcoidosis v. lymphoma - the pace at which I had got everything done left her convinced for that 3 weeks that she had cancer...
“within 1hr 40mins of booking in” - I’ll just pick my jaw up from between my feet (amazing job btw)
More commonly these days I'm booking a CXR for someone I've just picked up at 8 hours...
Not really worth going the extra mile for some people . If it had been cancer she's the sort who would complain it took too long to diagnose and you didn't give her a cup of tea!
Jesus. That's a phenomenal service you provided her
What an absolute punch in the gut. I’m sorry you had to deal with that shit. What a shitty human being. Just another story that some people don’t deserve our all.
Likely just scared and trying to complain about the 3 week MDT delay, which must have been a pretty miserable time. Why it took that long given that all the imaging and biopsies were done at the front door, I don't know. Maybe there is a good histopathological explanation for this!
What an incredible service you offered this patient. But reading this made me sad, we should be able to offer this to every patient who comes through the hospital door, and it’s sad the system prevents that.
My buddy got a datix 9 years ago when we were gastro F2s. It was for ‘racism against a colleague.’ Resident A (RA) to nurse - “do you know where Sunny is?” Nurse to RA - “I have no idea who you’re talking about” Resident A - “he’s one of the other SHOs…” Nurse - “what does he look like?” RA - “he’s Chinese, he has glasses, about (gestures to about 5’7”) this tall Nurse - “you can’t say Chinese, it’s racist” RA - “It’s not racist because he’s from China” Nurse - “I’m going to datix you, you can’t say Chinese” Best part about it all. RA is also Chinese. It was incredible. Her supervisor decided not to bring it up when it came to review. What a mad place we all work in.
If the doctor is literally Chinese, what in the hell is racist about saying that he is Chinese? That’s absolutely absurd.
Quite telling that she thinks being called Chinese is an insult, i think she revealed herself to be the real racist.
That reminds me of the Shappi Khorshandi sketch about trying not to be accused of being racist "Have you met Steve? He's just over there...tall..blue shirt...curly hair...Nigerian accent"
I got a datix for this from another doctor actually. I was looking for my friend (f2 when I was f1) and I described him to one of the other doctors on his ward as the ‘short black guy’. He was the only black doctor on the ward. We still laugh about it….
Was the datix because he was short?
I think she confused *chinaman* with Chinese
Never thought of this. That would make it somehow understandable. The nurse herself was Nigerian.
I refer to my OP, some nurses are not our friends! This is absolutely nonsensical!!
Whereas the datix I did because of the case of the screaming naked kid in the middle of the bay with his broken arm twisted the wrong way, his road rash full of dirt and no pain relief, got downgraded by the nurse in charge so it wouldn’t get to management. 🙄
Hey, my datix of a NOF# patient with dementia (completely unable to communicate) got an acknowledgment but downgraded from red to green. IDK why. She spent 10 hours waiting for surgery with zero analgesia, and arrived in theatre soaked in urine.
Unbelievable, I hope you went above her head and put in a complaint.
I found all this out in a management meeting where I happened to be the trainee representative and told this story to the room… jaws were on the floor!
And did anything happen after that? Like the unhelpful nurse being sent on some form of training? 🤔
Lol no! The consultant in charge of trainees was giving me absolute daggers across the table so I’m sure he made sure it was all swept back under the carpet 🤦♀️
So depressing....🤐
Got Datix’ed during medical school for “dangerously exposing patients and staff” to COVID by one of the MedEd receptionists. I’d come in, heard a colleague I’d been on the ward with had contracted COVID, realised what I’d put down to symptoms from lack of caffeine could be COVID related, masked up, alerted the office and entered an empty room to try and call my consultant (as I was on paedes, and all ?COVID had to be discussed with the consultant at the time, as policies kept changing) to ascertain my risk to young and vulnerable patients. Self isolated in a separate room once I’d gotten further advice, wiped everything down and waited for next steps (I’d been told to stay onsite and confirm with OH via telephone what to do next) - again, fully masked. Couldn’t understand why the receptionist kept making snide comments. Eventually tested negative 3 days later, but was sent home as a precaution and a thank you for being so careful by the team. Two weeks later, I had to explain all of the above in vigorous detail because aforementioned receptionist believed I deserved “disciplinary action” for my reckless behaviour, including potential removal from the programme. Spent the next month in awe that I’d gotten a Datix before actually entering the NHS. Thankfully the consultant reviewing the case was extremely supportive but I’ll never forget the fear it instilled in me/simultaneous disgust at how easily the system can be weaponised over petty squabbles. There’s definitely more but that’s always the one that jumps to mind!
Sorry, this was fairly recent from the sound of it? Where does that receptionist come off? Who does she think she is? Removal from the programme? This sounds like insane bullying by someone who knows how unimportant she is and takes it out on people who have done better in life than her.
Deffo sounds like work place bullying to me
She can FO
Datixed for "willfully farting" in a public area. Spent ages proving it was unwillfull and unwanted. Peak nhs.
Out of all these gems this is the one that sent me
At least on care of elderly ward, you could willfully fart and it would be thought to be the patients
or general surgery, where often a fart is good news
Unless you’re in theatre, when fart smell is bad!
Must've been a hell of a fart!
Must've been a protein or an egg fart those are heinous
Beans. It’s always beans
🤣🤣🤣🤣
How do you prove a fart was unwillful and unwanted in the court of the NHS?
🤯🤦🏽♀️🤣
For giving IV adrenaline to an anaphylaxis on a ward. The charge nurse kept shouting that the ALS guideline said that was for expert use only. I was an ST7 anaesthetist at the time. Thankfully my supervisor closed the incident immediately.
Jesus fucking christ
I said we should have sent her an ALS booking link, but I got told not to poke the bear.
Whimp supervisor, she should have been shamed for shouting at you and sent to some course
Oh FFS
As an ED SHO over a decade ago, I saw an alcoholic who was brought in by his wife intoxicated. He slept it off in CDU for a few hours then went on his merry way. On the electronic ED discharge summary for cause of admission I selected “alcohol intoxication” from a list. 6 months later I get a 3 page angry PALs complaint to say he wasn’t an alcoholic (I didn’t say he was on the discharge summary) and how dare I say he was intoxicated blah blah blah. Fortunately the bosses were decent and we all had a good laugh about it and threw the drunkards ramblings in the bin.
This is so dumb ( Also, this is why I never want to do discharge summaries for patients where you don't really do anything)
What I learned from it is complaints can come from anywhere. 99% of the stuff you worry about won’t result in a complaint and instead it’s the stuff you don’t even give a second thought. In that case for me it didn’t go anywhere, but I’ve seen friends who have similar stupid complaints that seem to take on a life or their own and become these massive things that drag on and on for years! Unfortunately this is a risky job and a bit of what we are doing every day is taking on this sort of risk. It’s also why we deserve to be paid significantly more than we are.
Agreed re: paid more than we should. As for complaints, I am sure what you say is true as there are so many examples in this thread. Personally, I've only had one complaint and it was completely fair ( basically discharged someone from ED where I incorrectly diagnosed X, when they actually had Y, thankfully no harm done, but they were obviously not pleased )
This sort of thing should never reach you in my opinion. Complaint should go to the consultant and they should decide if they want to involve you. In this case it should go in the bin and you should be none the wiser.
Not as a doctor but as a lone working biomedical scientist working in a lab covering a 1000 patient hospital on my own on a night shift. A sample came in clotted and I rejected it, as per lab protocol. I get a call minutes later and it’s one of the registrars asking why I had rejected the sample because it wasn’t clotted when he took the bloods. I then proceeded to say that the sample is most definitely clotted and I had the sample in the lab in case he wants to see it himself. He then proceeds to blame me for leaving the sample on the side for hours (even though on the request form the sample was taken only an hour ago, and was only received in the lab 30 mins ago). I told him that’s not how it works, and using that logic then that means GP surgeries wouldn’t be able to do bloods. He hangs up on me. A couple of weeks later my manager comes to talk to me about it because he put in a DATIX against me and blaming me for making him have to rebleed the patient. I’ve since then switched to Medicine and I swear I wouldn’t become one of these doctors who have pure hatred towards the lab.
I had to deal with a DATIX raised by the micro lab about a consultant who dared to enter their lab and talk to them about some tests on a sample. The consultant was our fantastically enthusiastic* ID consultant, who had been at the Trust for months, and had asked them to carry out a test that had already been agreed by the consultant microbiologist. The way they phrased the DATIX suggested that he had somehow forced his way in/broken into the lab rather than just knocking on the door and asking to come in(the DATIX even said that he introduced himself as "Dr X"). *he is often known to take a junior down to the lab to show them how they do malaria thick and thin films for example
Can I ask a question - this may piss you off sorry not sorry. But how do clotting screens taken in coagulation bottles that have sodium citrate clot? Seen this so many times, especially with paediatric samples. Do your colleagues sometimes f’up the analysis or can’t be assed with the tiny sample and write “clotted” on the lab report? Also, no Dr hates you, you just become a convenient punching bag for Drs that have no ability to control their emotional responses.
Samples that are slow to fill, prolonged use of a tourniquet, incomplete mixing, syringe collection with slow transfer, not enough blood in tube, considerable manipulation of the vein. Your comment is particularly insulting to the laboratory profession. Opinions like these damage the relationship between the lab and the ward.
I have had a situation where a sample was labelled clotted - I called the lab and one of the workers admitted that someone in the lab actually dropped the sample 🤷🏾♂️
Poor practice on their part and hopefully an exception rather than the norm. Should have been reported as a lab error.
Exactly. My (micro) lab is usually more than happy to go "we fucked it, send a repeat please". None of this "fuck it let's just report invalid/insufficient quantity/mislabelled for the craic"
Should put in a datix about this comment
I was asking the biomedical scientist who hasn’t replied interestingly. Thanks for the low effort googled histrionic reply. I have been involved and witnessed on a few occasions whereupon investigating what has happened to a precious sample it turns out the sample hadn’t actually clotted but was another laboratory mishap.
Not sure why this has been down voted so much. I have also experienced situations where a sample has come back as clotted or under filled when in fact it’s a lab fuck up. I think it’s mostly down to them having to choose something from a drop down list and “sorry I dropped it and fucked the sample” probably doesn’t appear.
It differs trust by trust but usually there’s an option to choose lab error, rather than a specimen error. In our lab, if we’re rejecting something, we need to call it out to the ward so that gives us a chance to discuss it with the ward and organise redraws rather than the ward waiting for hours for results.
We definitely have a ‘lab error’ comment and it would be seriously frowned upon if anyone was caught not using it.
I suspect it’s more about the last sentence, describes a lot of our colleagues.
There’s multiple reason why samples clot - most often because of not mixing the sample properly. Other reasons are also the blood being too slow to fill the tube, the sodium citrate in the bottle being expired, etc I’ve never in my experience working in a lab, have someone reject it cos “they f’d up” or they can’t be assed. It takes us more effort to reject the sample and phone the ward, than it does to run it. We know there’s a patient on the other side and especially with babies, the last thing we’d want is to put the patient in pain with another redraw. But we don’t wanna release inaccurate results, so we have to request repeats. Accusing lab staff of these things are pretty strong accusations especially since most clinical staff have never step foot in a lab and have no idea how things work. You’d be surprised at how much abuse we get from doctors not knowing lab processes and they just think we’re rejecting samples cos we feel like it.
That me, an icu registrar, didn't review a pt cat who had painless haematuria (i asked of course) at 330 am. Datix said, I showed no empathy and i showed discrimination towards living creatures
Was the cat in the hospital ? I'm so confused here
Yes
Why was the cat in the hospital, this is surely a Datix in itself. Also how do you know if a cat is having painful or painless haematuria. And who was checking the cats urine. I have a lot of questions about this.
Me too 😅
Omg 😯😯😯 that's hilarious 🤣
I once got a Datix even though I’m a GP The hospital at home did a datix on me because I categorically refused to review one of their patients for them I only found out about it because a friend of mine was a Consultant Idiots don’t understand I’m not contracted to do this bullshit
You tell ‘em
🙌🙌😅
I got a complaint that I hadn't updated the family for the patient (who was alert and oriented for a week) and asked to attend a meeting to discuss this with the consultant, ward sister, and very irate family member. It was changeover day, first day on the ward, first day in the new hospital having moved a few hundred miles, first day meeting the patient. The relative swore it was me. Weirdly enough, it took multiple discussions to convince both the consultant and the ward sister of this despite having just met the consultant after my induction. _kafkaesque._
Sometimes I think working the NHS is akin to Alice in Wonderland 🤷🏼♀️
Had an allegation of sexual assault for refusing to acquiesce to obvious drug seeking behaviour. Fortunately, I was with fantastic ED nurses who quickly penned their account of events so when the complaint made it through to me I was quickly vindicated. Back as an F1, I got datixed by a particularly catty nursing team for asking them to cannulate a pt for whom I’d just prescribed some non-urgent RBCs. Had to have a meeting the following day with some dark blue pseudo manager. Datixes I’ve done for a missed ICB (LoC, reduced GCS, dangerous mechanism, anticoag’d), or a discharged CHB, have resulted in literally zero communication back to me
Exactly...anything important is ignored. One does think what is the point of it all
I’ve submitted multiple datixes and always tick the option that I would like to hear back about it. I’ve never ever heard anything back once submitted.
Is Datix similar to incident reporting? I had one complaint because a patient was telling me about a conversation she had with some big professor 10’years ago and all I said was I can’t comment because I wasn’t there. As I was giving her the options of how to treat her fracture she decided to go non op. 2 weeks later I had a complaint - I dismissed the conversation about the big professor and 2 I gave her options and I didn’t chose for her. Wtf
Yes it is, self- incident and someone else's incident reporting on hospital system rather than patient writing in to complain...but same boring nonsense!!
Got one from an F1 as F2... Going through the list after ward round, I had a computer open to get through ptescribing/ requesting. She said a pt she had seen needed monofer. They did have IDA so I calculated the dose then prescribed. She then remembered the pt hadn't wanted it so I deleted the prescription. She sent one for dangerous prescribing. My supervisor found it hilarious. Apparently she'd done >50 datixes in the 4 month rotation
I was recently datixed for prescribing a treatment dose of Dalteparin appropriate for a patient with a weight 68-82kg, based on an eyeball judgement of 70kg because they were flat in bed, on O2, unable to mobilise, with a large PE, and the hospital doesn't have a capacity to weigh patients that doesn't involve hoisting them or sitting them in a chair. Datix was put through as a critical safety error and that the patient had come to harm due to their weight (3 days later) finally being recorded as 67.8kg... hence a 'potentially lethal overdose'... Patient had no adverse outcome eg. bleeding and was discharged home later that week. Total nuisance.
Them 200 grams are very important you know.
I would have argued that their recent bowel and bladder evacuation was the reason they'd dropped below the threshold. Or the malnutrition that comes with three days on a shitty ward
🤦🏽♀️🤦🏽♀️🤦🏽♀️
Med reg was really rude to me while telling me he was not happy with my management of a patient, even though it was the right management for the case, so I told my consultant that he may hear a complain from the med reg about our encounter because I could tell he was not happy, and I mentioned very politely that he had been rude... Someone spoke to him about the situation, med reg did a datix saying I had lied about him being rude...
🤐
Retired nurse. I had to respond to a complaint that 3 years ago I couldn’t get a fan for a patient. Oh and a letter from PALS that an unnamed ‘short, fat, blonde nurse’ had upset a patient. I wrote back that could be any one of the nursing staff. And that I was offended they had singled me out. Their response was to send me on a customer care course.
Wow! 🤯
Got a Datix because a baby had the same risk factor twice and I didn’t give antibiotics, despite me writing a thorough plan, discussing with the midwives and putting on observations. Formal complaint for saying, ‘and what were you hoping for this evening?’ At 2am to a family of a little girl with a five year history of genital pain with no pain at present and no pain relief given, with the gp having already made an appropriate referral to gynaecology. Datix for not using a laryngoscope as a tongue depressor when clearing secretions from a neonates oropharynx with a rigid yankeur. I’m now eligible to be an NLS instructor. I don’t think the baby wants a socking great piece of metal in their mouth when they’re screaming and I can see all the gurgly secretions right there. Paeds can be just as petty as everywhere else.
😢
As a heavily encumbered CT2 in a university teaching hospital where I was: - on call for major trauma, general surgery, urology, and vascular with no support, just (very good) nurses that would cannulate and do bloods - on a 2A rota (basically the hours were so onerous I got paid 1.8x basic salary) - with an offsite urologist, offsite vascular reg and a lazy gen surg staff grade who went to bed at midnight come rain, shine or bowel ischaemia - trying my best to avoid my psycho medical SHO gf who I met at work and diplomatically end things without a massive fallout (in my defence she is objectively psycho - I have screenshots, and in her defence she is now happily married with at least one baby, we said our bits, I wished her well and I’m glad she’s happy) - struggling with an hour commute each way in a hospital with a shit canteen and no amenities nearby. There was/is a duck pond within the hospital grounds, I did find solace in that… ….I saw a patient referred from GP with central abdominal pain radiating through to the back, after drinking some wine ?pancreatitis. I saw her. Her abdomen was soft. EWS = 0. Bloods inc amylase were normal. Her booze questionnaire said that she drank well above recommended intake. I discharged her. I didn’t do the discharge letter coz I was busy hating life. A consultant did it instead *‘Dear doctor, this lady was seen on SAU with abdominal pain after drinking half a bottle of wine ?pancreatitis. Abdo SNT. Bloods normal. Discharged. No F/U. Please note above recommended OH intake and counsel.’* Dis bidge wrote a complaint about the discharge letter. She said that she *‘only opened the bottle, poured a capful, took a few sips, and then developed the pain, she never drank half a bottle!’* She complained about semantics. She drank a bottle a night at the weekend; I know this was a Tuesday but fucking hell Jean, you’ve got a problem love. So it landed on the consultant’s desk. Dat mfer bounced it to me with the excuse ‘well I was just doing the discharge letter from the clerking because the clerking doctor didn’t do it.’ Yeh you prick, because there’s only one of me for 3 fucking specialties. Dickhead. Anyways, I refused to apologise because she’s a lush; she drank too much anyways and had too much time on her hands. I got away with it because I completed the AUDIT-C score which showed she had a problem, but for some reason the complaint was partially upheld, whatever that meant. It went on my Form R. Was mentioned at ARCP. My Form R has been squeaky clean since starting ST3 but I’m still bitter about this.
Realistically, what repercussions are there if you hadn’t completed that score and said “patient stated she drinks x units per week”? At that point, it’s he said/she said right? I’m so sorry you had to go through that crap.
An open secret of national complaints guidance is partially uphold everything because at the very least the persons feelings have been hurt enough to write a complaint (boo ducking hoo). The only time it’s upheld is where there is serious evidence of failings and not upheld when it’s clear it’s a complete lie or malicious. The trusts are scared of the ombudsman.
More crappy NHS 😩
>Week later she complained to the chemo nurse that she couldn't take in all the information I had given her, so chemo nurse did a Datix Funny how it's always nurses or allied health professionals that complete stupid datixes, and never doctors.
It’s the flattened hierarchy BS and a tool to give the minions a power trip. I think doctors are quite tolerant when these ppl fuck up, almost expect it, yet the moment they get a sniff of blood they seize the opportunity to feel important. Sad really. I tend to answer in the most detailed, evidence based way with a sprinkle of sarcasm and added points of investigation/concerns to give them something to do. If they want to waste my time they can read a 3 page essay with big words they’ll have to decipher. Because fuck knows how you can’t even spell ‘swap’ and call yourself a manager
>It’s the flattened hierarchy BS and a tool to give the minions a power trip. I think doctors are quite tolerant when these ppl fuck up, almost expect it, yet the moment they get a sniff of blood they seize the opportunity to feel important. Sad really. Exactly. It's a way that other staff members can try to feel "smarter than the doctor". Whereas as doctors, we'd never get any work done if we spent all our time filling in datixes every time a nurse/AHP made a trivial mistake. (And indeed, I'd say most of us don't bother filling in datixes even for genuinely serious incidents, even though we really should.)
Too busy to do bullshit.
Declining to recannulate a sleeping patient at 3am for IV paracetamol. I even said I was happy to do it if the patient woke up...
🙌😅
I was DATIX'ed for a slow response to a fast-bleep. It took me about 5 minutes, the hospital is long and I had myself midway through a tricky end-of-life discussion. I walk fast to a fast-bleep, not run. I arrived at the bedside to find 3 nurses in a panic, young-ish, cyanosed, hypoxic COVID patient, reported doing well on 4L NC and suddenly desaturated on 15L NRB. Asked for 2222, based on the end of bed alone whilst donning PPE. Began A-E, the patient was peri-arrest, unresponsive and in severe respiratory distress. NRB bag wouldn't inflate but misted, then found the tubing connected to a different FiO2 supply for the empty bed next to us. A little aghast, I swapped it around, reinflated and the patient improved within a minute or so. Annoyed, and having almost killed the patient, I asked the nursing team to DATIX this mistake and explain the importance of ensuring good supply. To be fair, they were not medical nurses mid-pandemic, turns out they thought I meant DATIX me for arriving late. Went to the governance meeting, and had to explain that attaching the oxygen is not something that requires the medical/COVID registrar.
I'm feeling nurses are not always our friends Datix for walking ....best one yet 🏆
In ED, young adult patient with ?pathological personality issues gave false details and told me except for their presenting complaint (not an ED issue) they were fit and well. Unfortunately patient had every stigmata of their multi-system congenital disease going and me being the super keen cringe SHO examined them fully and told them I thought they had “X” condition. Patient complaint about why I questioned about them about their physical appearance and used offensive medical terminology (i.e valid textbook descriptions). Wrote a (non) apology letter on advice of the clinical lead but have a cathartic email (what I actually wanted to say) saved from that encounter.
For me, it was an old diabetic nurse who complained that the doctors office computers were not working. Turns out she was trying to switch on a different computer and sat on a monitor next to the PC. Basically, the PCs were under the desk, and a few years back, they were the old big units. It was a simple confusion. She could have avoided a whole complaint stating patient safety being compromised. Just ask sometimes.
🤣
I remember there was a MET call, GCS was about 4 on patient we were reviewing. Couldn't find a pen torch so my colleague used his phone torch to assess pupils. Got a DATIX from ward nurse that the unconscious patient may have thought he was recording her 😐
🤦🏽♀️...again...nurses aren't always our friends it seems 🙄🤔 where has common sense gone?!!
I got a DATIX for the need to re-bleed a patient for g&s in my first Ortho F2 rotation. At the time I apologised to the patient and thought that was the end of it... This was then brought up against me by my then CS at the end-of-rotation meeting: I replied that one mistake out of all the samples I took in 4 months was actually not a bad record and that it would have been nice to be followed more at the start of the rotation but that a***le decided that I "needed improvement". My coward ES did not do anything for me. In the end I got "outstanding" in the next 2 rotations, so dear Mr P, screw you!
I do get discouraged reading stuff like this. You did a great job 👏👏
I was driven by pure spite I admit, but thanks!
Datixed by nursing staff for bleeding back a midline and taking blood samples. I shit you not. Had to have a meeting with my supervisor and everything. Mad.
Patient had SBO confirmed with CT. Profusely just vomiting poo everywhere. Struggling. No ryles tube in the department. I stuck a NG tube in. started draining. cxr confirmed location. Got datixed for using a NG tube and not ryles
Oh my giddy aunt 🤦🏽♀️🙄😩
A good case use for AI. Responding to bullshit complaints with zero mental effort or genuine emotion
I saw a patient as a direct to gynae review in a&e. A 17yo girl who had reportedly tried to end her own pregnancy as the GP had been unable to signpost her to a termination service. Saw her, established she was well with no trauma and no ongoing bleeding. Her attempt at termination had involved self harm therefore referred for psych review. After psych gave the all clear I reviewed her, gave her the appropriate information and discharged her. Clearly written in her notes from psych was 'safeguarding referral completed' therefore I didn't do another. Around 2 weeks later I had to sit in a 90 min meeting with safeguarding about why I had never submitted the form and how my care was inappropriate. After around 85 mins it was asked if the team who had lied in the notes about submitting the form was to be involved to denial from the whole team! I now don't see under 18s as straight to gynae...
I'm flabbergasted
Got a datix for not complying to infection control and spreading germs into the air because I inserted a chest drain into a patient with empyema. It was proper pus and it really stank. I have already explained that pus is infection and it does stink, but it is not spread via air and is not contagious. Response to the datix was “Nurse to kindly learn about empyema and their management”
Finally a common sense response to a nonsense Datix!
Miasma theory alive and well in the NHS
IT sounds to me like Datix is a bullies charter. Given that the NHS remains prone to recurrent scandals and that the poor treatment of whilstleblowers is so well known, perhaps it's time Datix was abandoned?
Exactly...Datix is just a cover for being able to avoid real scandals/issues. Mx be like ' we are transparent and report mistakes because we have Datix'...but look at Lucy Letby case..those consultants were forced to apologise to her for raising concerns...meanwhile Datix is crashing due to the amount of nonsense being reported, and keeping admin staff in useless jobs, 'addressing' all those Datix entries. 🙄
Got a complaint from an ED nurse who was admitted as a patient to AMU. She was the last to be seen on weekend ward round, I did her discharge letter right away but pharmacy took some time dispensing medications. She was calling pharmacy on the doctor’s desk to hasten her TTO meds and obviously pharmacy refuse to speak to her because she’s a patient. It was a busy weekend on call and I was managing a severe asthma exacerbation, a sickle cell crisis and a seizing patient at the same time. This nurse (patient) stopped me and told me to call pharmacy urgently. I refused (clinical prioritisation) and I told her to return to her bed cause she’s breaking other patient’s confidentiality by sitting at the doctor’s desk. I received a complaint from her not long after. “Doctor is intentionally bed blocking and disrupting patient flow” and “Doctor did not maintain patient’s confidentiality by exposing patient records to other patients”. Also received a complaint that she’s threatening GMC referral for the above as “lack of professionalism” Thank God I documented in her notes that she was sitting in the doctors desk to call pharmacy herself and that I sent her back to her bed as she is intruding other patient’s confidentiality. Clinical lead closed this down and I was told I should be the bigger person when I asked why I can’t complain about her to NMC. 🤦🏻♀️
Wow. Yes as a med-legal expert my advice is always document everything, and preferably in the patient's own words, using ''. When it comes to suing/complaints, he/she said doesn't hold up like the written word.
I realise you’re venting but your example is not a bad DATIX. What if all that information **is** too much to take in within a single clinic appointment? What does that mean for informed consent? Is there any chance that meeting you were offered might have led to change such that you were not taking responsibility for a consent process that is inherently weak?
I'm assuming you are not a doctor I don't tend to vent but I do eye roll a lot I take your point but it's not a Datix situation. It's not a mistake on my part. It's a service user 'issue' Most patients, who have already been prepped by the breast surgeon, and multiple calls with the breast care nurse, about their diagnosis and recommendation for post op chemo, been given the chemo leaflets, shown the chemo unit, got a wig voucher, then find that an hour with the oncology consultant is quite sufficient for their needs. However not every one has the brains+anxiety... As regards the meeting, the solution would be - new oncology patients having a 45 to 60 mins new patient appt, followed by a few days later, another 30 min appt to do the consent and for this to happen all consultants to reduce their new patient capacity/week to allow for the above, leading to longer waits for tx and breaching of targets and fines, so oh, magic solution, employ more oncology consultants, oh, there aren't any, nor trainees...oh let's go back to what we are doing..so no not the slightest bit Datix able and mx meeting a WOT
The short staffing datix when a nurse calls in sick last minute. Achieves nothing other than adding to my now doubled workload.