Sjukvårdens dramaturgi är tvära kast mellan action, drama och komedi. I alla fall på TV. I verkligheten är det mer träck, tragik och så lite tango.
Ett hjärtstopp kan vara spännande. Man bankar på bröstkorgen och sedan får patienten en liten "kyss" av defibrillatorn (egentligen defibrillerar man inte vid hjärtstopp utan vid ventrikel flimmer). På cityakuten el-chockar de minst två patienter varje avsnitt. På ett vanligt svenskt sjukhus kan man arbeta en hel livstid utan att stöta på ett hjärtstopp. Tänk vad lite förebyggande medicinering kan göra för folkhäslan.
Men sjukvården måste vara förberedd på det oväntade.
Avancerad hjärt och lungräddning kräver utbildning och delegering. Det finns några systrar som blev delegerade att använda defibrillatorn vid hjärtstopp, för detta extra ansvar fick de ett litet lönepåslag. Helt i sin ordning.
Men folk byter avdelning, flyttar eller börjar plugga. Fler systrar måste därför delegeras. Den gången tänkte chefen dock inte att ge något extra lönepåslag.
Vi som gick på utbildningen skrev helt sonika inte på delegeringsbeviset. Inget extra ansvar utan mer pengar. Initiativtagaren har kallar ställningstagandet lite skämtsamt för "våga vägra". Med tiden har våga vägra blivit en attityd bland några av oss på avdelningen. Systrarna som inte står ut med lugn ska alltid börja tvätta draperier, inventera förrådet eller sortera medicin så fort man har möjlighet att sitta av tiden i fikarummet. När deras flitighet blir för påträngande gäspar vi "Våga vägra" och hasar ytterligare ner en bit i soffan. Våga vägra börjar innefatta allt fler arbetsmoment. Den tuffaste av systrarna brukar avfärda chefens order med överdrivet artikulerande och förtydligande teckenspråk; "Jag hör vad du säger. Och skiter i det".
Det är latmaskarnas kamp för lättja, vår viktigaste mänskliga rättighet näst efter sex och glamor. Att våga vägra handlar om en slapp klasskamp är bara en cool bieffekt. Nästa patient som får hjärtstopp kommer antagligen anse det som mindre coolt, fast lite svinn får chefen räkna med om hon är snål.
Ett hjärtstopp kan vara spännande. Man bankar på bröstkorgen och sedan får patienten en liten "kyss" av defibrillatorn (egentligen defibrillerar man inte vid hjärtstopp utan vid ventrikel flimmer). På cityakuten el-chockar de minst två patienter varje avsnitt. På ett vanligt svenskt sjukhus kan man arbeta en hel livstid utan att stöta på ett hjärtstopp. Tänk vad lite förebyggande medicinering kan göra för folkhäslan.
Men sjukvården måste vara förberedd på det oväntade.
Avancerad hjärt och lungräddning kräver utbildning och delegering. Det finns några systrar som blev delegerade att använda defibrillatorn vid hjärtstopp, för detta extra ansvar fick de ett litet lönepåslag. Helt i sin ordning.
Men folk byter avdelning, flyttar eller börjar plugga. Fler systrar måste därför delegeras. Den gången tänkte chefen dock inte att ge något extra lönepåslag.
Vi som gick på utbildningen skrev helt sonika inte på delegeringsbeviset. Inget extra ansvar utan mer pengar. Initiativtagaren har kallar ställningstagandet lite skämtsamt för "våga vägra". Med tiden har våga vägra blivit en attityd bland några av oss på avdelningen. Systrarna som inte står ut med lugn ska alltid börja tvätta draperier, inventera förrådet eller sortera medicin så fort man har möjlighet att sitta av tiden i fikarummet. När deras flitighet blir för påträngande gäspar vi "Våga vägra" och hasar ytterligare ner en bit i soffan. Våga vägra börjar innefatta allt fler arbetsmoment. Den tuffaste av systrarna brukar avfärda chefens order med överdrivet artikulerande och förtydligande teckenspråk; "Jag hör vad du säger. Och skiter i det".
Det är latmaskarnas kamp för lättja, vår viktigaste mänskliga rättighet näst efter sex och glamor. Att våga vägra handlar om en slapp klasskamp är bara en cool bieffekt. Nästa patient som får hjärtstopp kommer antagligen anse det som mindre coolt, fast lite svinn får chefen räkna med om hon är snål.
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