Nurse Practitioners

Just noting the Federal Government's budget move approving prescribing rights for nurse practitioners.

No doubt some serious 'turf' wars and posturing to come, between the AMA, the major corporate GP practice operators and the entrepreneurial elements of the nursing profession.  

It will be interested to see how the standard of care issues arising from this pan out.  How will the standard of care to be expected of such practitioners be set? If less than the standard for a GP, how is this lower standard to be communicated to patients? How readily is such a practitioner to be expected to refer to a GP (given likely issues with referral rights to specialists or for expensive investigations {MRI etc))?

Yet another interesting aspect of the times we live in, and the ever changing dynamics of modern health care delivery

BreastScreen - Litigation about Screening Mammograms

I noticed via a recent news release, that 2 Queensland women are pursuing medical negligence claims via Maurice Blackburn, Lawyers, against BreastScreen Queensland.

This follows the O'Gorman case in Sydney in late 2008. In that case Ms O'Gorman was successful against the New South Wales equivalent, BreastScreen NSW, which was found negligent in relation to a screening mammogram. Ms O'Gorman had breast cancer that should have been identified. By the time it was, her cancer had progressed. At the time of trial, she was given only a very short period to live.

As with O'Gorman, these new cases appear to arise from routine breast screening mammograms being read as normal, when it is alleged they were abnormal. In 1 of the 2 women's cases, the delay in identification and treatment is alleged to have resulted in spread of her cancer such that she has been given 2 years to live.

 

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