På mottagningen tar vi fram dagens patienter på morgonen och genom att uppdatera listan ser vi vilka som är ankomstregistrerade och vad vi ska göra med dom. Med start klockan 7.30 beslöt sig detta program att ge upp. Hela förmiddagen fick vi klara oss utan. Detta inne bar att kassörskan fick springa och meddela oss så fort en ny patient skulle komma. Vi fick lusläsa journalerna för att förstå varför patienten var där (en patient kan ju ha flera diagnoser och flera åtgärder som ska göras och det är ganska lätt att missa nåt om man ska plöja en hel journal). Inga remisser kunde skickas, utan allt fick skrivas ner på små lappar för att göras i efterhand. Blodprover som skulle tas direkt fick skrivas på gamla pappersremisser som ingen längre vet hur man fyller i. Samma sak med vidare planeringar.
Som om inte detta vore nog fungerade inte heller diktafonerna och jag är av den typen att jag dikterar mellan varje patient för att inte missa nånting. Alltså fick jag skriva miljoner med lappar med stödord till mig själv, vilket funkade, men orsakade otroligt mycket extraarbete och tog mycket tid.
Tack och lov kom systemet igång igen efter lunch och vi fick jobba i kapp så mycket av förmiddagen vi bara kunde.
...Hold on... har en geting inne...
... så...
Varför blev det då såhär... Jo, datajournaler är på stark inmarch. Flera kliniker har redan börjat och flera är på väg. Datasystemen hänger inte riktigt med i svängarna och blir sega. När de blir sega måste de uppdateras och alla uppdateringar funkar inte så himla klockrent. I torsdags natt gjordes en stor uppdatering och efter det har systemet varit så segt att det kanppt gått att jobba med det. Det var detta de nu skulle åtgärda, vilket resulterade i alla hela systemet stängdes ner. Jag är ju verkligen pro datajournal, men jag undrar vad som skulle hända om detta hände när allt (även journaltext då) finns i datorn. Ska man då bara be patienten att gå hem igen? Detta är ju ett problem vi kan komma att få uppleva. Dock är jag övertygad om att fördelarna överväger nackdelarna och jag ser fram emot införandet på vår klinik som väntas starta v.34.
Till skorna då...
Jag har idag köpt de dyraste arbetsskorna jag nånsin köpt. När det kommer till arbetsskor är jag otroligt snål och jag kan inte riktigt fatta varför eftersom det är i dom jag spenderar större delen av min dag. Jag står och går i dom större delen av min dag. Och varje eftermiddag har jag ont i fötterna. Idag hade vi besök av Jobi och jag traskade dit för att kika och traskade ut 949:- fattigare.
Jag har beslutat mig för att testa ett par WEB-skor. Det är såna skor med rundad sula.
Web-sandalen med helt unika egenskaper. Sandalen har en nykonstruerad stabil rullsula, dynamiskt gelenkstöd och Grete Waitz-innersula som dämpningsinlägg. Den rullande rörelsen i foten sätter kroppens viktbärande leder och muskelgrupper i varierad och skonsam aktivitet.
- Förbättrar hållning och gångmönster
- Ökar aktiviteten i vadmusklerna
- Ökar aktiviteten i bakre lårmuskler
- Ökar aktiviteten i sätesmusklerna
- Minskar belastningen på knä- och höftleder
- Stabiliserar din fot i sidled (rekommenderas vid överpronation)
De ska vara riktigt bra sägs det och när jag provade kändes den otroligt skön. Man kan ju alltid hoppas att detta är precis vad jag behöver för mina onda, svullna fötter. Leverans blir nästa vecka. jag är mycket nöjd över att jag kunde ta beslutet att köpa dom, men jag måste säga att jag har lite ångest för det höga priset.
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