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Biomedical subjects

B Dimond

Publications and source records attributed to B Dimond.

At least 145 records · Page 8Linked to original sources
PubMedDate not supplied

If something had gone wrong....

If medical cover is not provided on a 24-hour-basis in small casualty departments it is essential that this is made clear to GPs, ambulance crews and nursing staff. Nurse practitioners must have a comprehensive training in the range of patients for whom the unit is designed and be aware of the limits of their competence. The patient should always receive the standard of care which he is entitled to expect from a reasonable practitioner following the approved accepted practice. The fact that the care is provided by a nurse rather than a doctor does not lower the standard. In determining whether a patient need to see a doctor, the doctor's availability should not be a criterion.

Aged↗
PubMedDate not supplied

Community mental health teams: development in community care.

This article discusses research undertaken in an area of South Wales on the functioning of community mental health teams, which took place during the closure of two large psychiatric hospitals and the development of the Welsh Office strategy for mental illness. Key findings relate to the lack of clarity of the role of team coordinators, the absence of individual performance review systems, the diversities in referral systems and caseloads. An attempt was made to develop a performance matrix in relation to individual teams.

Community Mental Health Services↗
PubMedDate not supplied

Incapable adults and informal admission: another scenario.

The Court of Appeal has once again caused a flurry of consternation with its decision that patients incapable of giving consent to admission to psychiatric hospital must, if the statutory provisions are present, be admitted compulsorily under the Mental Health Act 1983. This article submits that this decision can only cause increased bureaucracy and distress for thousands of mentally incompetent adults. The long-term solution is for the Law Commission's proposals for decision making for mentally incompetent adults to be enacted.

Adult↗
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Radiology nursing: legal issues surrounding the expanded role.

The annual conference for the Royal College of Nursing's Forum of Nurses in Radiology and Cardiology took place in Birmingham last year. Participants were asked to consider the ways in which their professional practice could develop within The Scope of Professional Practice (UKCC, 1992a) guidelines and the possible problems they feared could arise. The legal issues which arose from their answers were then analysed. The aim of this article is to examine, in the light of the legal issues, the chosen areas of expansion within the nurse's role and the concerns felt by the participants in order to draw up lessons for nursing generally.

Humans↗
PubMedDate not supplied

Legal aspects of clinical supervision 1: Employer vs employee.

In order to implement clinical supervision some major issues need to be clarified. This article looks at clinical supervision in terms of the relationship between the employer and the employee. It discusses clinical supervision as a contractual requirement and a voluntary system and examines some of the related problems. The implementation of clinical supervision may be limited by the significant cost of training. Possible frameworks for setting up a system for supervision are suggested. Employers need to be adequately informed about the clinical supervision process so that it can become both effective and flexible. The second article in this series will consider legal issues relating to professional accountability, patients' rights, and records and record keeping. These two articles refer to information generated from a workshop held at Prince Philip Hospital, Llanelli, in which practitioners looked at some of the legal issues relating to clinical supervision.

Contract Services↗
PubMedDate not supplied

Legal aspects of clinical supervision. 2: Professional accountability.

The previous article considered the employment issues that arise in relation to clinical supervision (Vol 6(7): 393-5). This article examines legal issues arising from professional accountability, the rights of the patient, and records and record keeping. Reporting concerns, giving negligent advice and the duty of care to the patient are described from the point of view of both the supervisor and supervisee. Patients' rights may fall in abeyance when clinical supervision is in progress and the patient should be notified that this is taking place. Access to records by the employer, the courts and the patient needs to be clarified. It is by no means certain that clinical supervision represents the best use of limited resources.

Confidentiality↗