Nurse! Nurse! I'm getting worse!

Because of the disaster at the Mid-Staffordshire N.H.S. Trust, there are a number of suggestions on how to 'fix' the problem.  On the Beeb this morning there was an 'ex-nurse', a gentleman who had lost his son as the result of a medical accident, and someone from an organisation called A.M.A. The 'M.A.' stood for 'medical accidents', but I can't remember what the first 'A' stood for.  They were calling for the creation of a duty of 'honesty' i.e. when you made a mistake you confessed rather than try and sweep it under the carpet.  Good luck with that one unless you do something about the countless firms that will help you get the compensation 'you deserve' after medical negligence.  What has happened that 'accidents' no longer happen?

The point that I wish to make is one that is not mine, but I think that it has enough merit for it to be repeated.  Since I trained as a nurse, nurse training has undergone several changes, and still things happen that make people want to change nurse training again.  The latest is to make people work in hospital wards for a year before they can apply for training, a kind of internship.  But the idea I want to put forward is to have nurses licensed.  The license will be awarded as long as nurses can carry out 'basic nursing care' to an acceptable standard.  This is not as easy as it sounds.  The license will also cover them to administer medication safely (you only need to get five things right: the right patient; the right time; the right drug; the right dose; and the right route of administration.).  To get a job in Cardio-Thoracic Care, for example, you would have to complete a conversion course, where the specifics of cardio-thoacic care are dealt with.  Years ago the English National Board ran loads of these courses, and I think that they should be extended into the normal pattern of nursing qualifications.  The result of this is that when your relative is admitted to the Heart Unit after having a 'Heart Attack' there will be nurses there who are licensed to care for your relative, and have been trained in the specific needs that their condition presents.  Like I say, not my idea, but I think that it has merit.