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So, I was sacked yesterday from my job in a small country hospital in Australia. Ostensibly because I, a 54 year old male, am not prepared to share an on-call house with one toilet (no washbasin) and one shower for 3 days with up to 3 others, who could be 20 yr old females...
... but in reality I am sure because I:
1. Questioned the absurd covid arrangements in the hospital, which will result in staff, patients and residents becoming infected at the first case.
and
1. Questioned the absurd covid arrangements in the hospital, which will result in staff, patients and residents becoming infected at the first case.
and
2. Was not prepared to be bullied as part of a bullying culture, characterised by a multi-year history of bullying of the nurses.
plus
3. Had the temerity to try and insist - technical bit coming next - that the ED should have BiPap masks to be used with its...
plus
3. Had the temerity to try and insist - technical bit coming next - that the ED should have BiPap masks to be used with its...
... brand spanking new Oxylog 3000 plus ventilator:
"We don't do BiPap here."
"But that morbidly obese patient we had in resus, the one with a CO2 of 85, would have died if they hadn't turned with high flow nasal prongs."
"You could have intubated them."
...
"We don't do BiPap here."
"But that morbidly obese patient we had in resus, the one with a CO2 of 85, would have died if they hadn't turned with high flow nasal prongs."
"You could have intubated them."
...
"They would have died if we had tried. They are a difficult awake fiber-optic by a skilled intubator."
"Well, we don't do BiPap here."
"Well, they would have died then."
"Well, we don't do BiPap here."
"Well, they would have died then."
Goes on to the end of time.
"Well, we don't do BiPap here."
"Well, they would have died then."
"Well, we don't do BiPap here."
"Well, they would have died then."
Goes on to the end of time.
And
4. Insisted that this remote hospital MUST be able to give IV potassium.
"We don't do that here."
etc etc
4. Insisted that this remote hospital MUST be able to give IV potassium.
"We don't do that here."
etc etc
Healthcare culture is so much more toxic than the general public could ever imagine. It has a myriad of recesses in which petty tyrants wield awful power over those subservient to them. In those dark spaces, "safety" comes...
... a distant third behind power consolidation by the middle manager over their weak subordinates, combined with appeasement of those above them in the chain of command. All too often, it is a story of human power games as old as humanity itself, being played out in modern guise
... with high-minded, aspirational words of inclusivity, transparency and openness, which make it all the more pernicious.
