{"id":229047,"date":"2020-09-02T11:00:17","date_gmt":"2020-09-02T09:00:17","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=229047"},"modified":"2020-08-21T16:00:40","modified_gmt":"2020-08-21T14:00:40","slug":"signerat-sylf-ordforanden-anna-hakansson-gladh","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/signerat-sylf-ordforanden-anna-hakansson-gladh\/","title":{"rendered":"Signerat SYLF-ordf\u00f6randen: Alla vinner p\u00e5 trygga underl\u00e4kare"},"content":{"rendered":"

Alla vinner p\u00e5 trygga underl\u00e4kare. Det \u00e4r m\u00e5ndag f\u00f6rmiddag. Mycket folk i tj\u00e4nst. Jag l\u00e4gger en central venkateter p\u00e5 uppvaknings\u00adavdelningen. Pl\u00f6tsligt st\u00f6ter jag p\u00e5 patrull. Inget allvarligt, men jag kommer inte riktigt vidare p\u00e5 det s\u00e4tt jag planerat.<\/p>\n

Innan jag har hunnit uttala meningen klart \u00e4r \u00f6verl\u00e4karen p\u00e5 plats. Engagerad, som alltid. Tittar, f\u00f6rklarar, coachar. Efter ett par minuter \u00e4r han n\u00f6jd. \u201dDet d\u00e4r ser fint ut. Forts\u00e4tt s\u00e5!\u201d<\/p><\/blockquote>\n

\u201dKan vi ringa Christer?\u201d fr\u00e5gar jag undersk\u00f6terskan, som genast str\u00e4cker sig efter telefonen.<\/p>\n

\"Anna
Anna H\u00e5kansson Gladh<\/b>
Ordf\u00f6rande SYLF J\u00f6nk\u00f6ping<\/figcaption><\/figure>\n

Han f\u00f6rsvinner igen, men hans lugn och kloka ord dr\u00f6jer sig kvar. Jag avslutar ingreppet komplikationsfritt.<\/p>\n

N\u00e4sta g\u00e5ng en liknande situation upp\u00adst\u00e5r \u00e4r det natt. Jag \u00e4r ensam p\u00e5 huset, bakjouren har \u00e5kt hem f\u00f6r flera timmar sedan. Men den h\u00e4r g\u00e5ngen vet jag precis vad jag ska g\u00f6ra. Jag l\u00f6ser situationen utan kontakt med bakjour.<\/p>\n

\u201dMan m\u00e5ste v\u00e5ga.\u201d \u201dBara g\u00f6r det.\u201d \u201dDet klarar du s\u00e4kert.\u201d Dessa och liknande kommentarer har jag flera g\u00e5nger h\u00f6rt erfarna kollegor \u2013 s\u00e4kerligen i all v\u00e4lmening \u2013 uppfordrande passa vidare till underl\u00e4kare under utbildning. Det ligger utan tvekan n\u00e5gonting i detta, alltf\u00f6r mycket oro kan vara problematisk. Med det sagt handlar l\u00e4karyrket i f\u00f6rsta hand inte om mod, utan om klokhet, omd\u00f6me, kunskap och tillit. Kunskap och omd\u00f6me att g\u00f6ra r\u00e4tt sak p\u00e5 r\u00e4tt s\u00e4tt till r\u00e4tt patient, vid r\u00e4tt tillf\u00e4lle. Utan att skada. F\u00f6r att klara detta \u00e4r det viktigt att k\u00e4nna tillit till sin egen f\u00f6rm\u00e5ga, men \u00e4ven ha insikt i vad man \u00e4nnu inte kan eller beh\u00e4rskar fullt ut.<\/p>\n

Trygga och kloka underl\u00e4kare formas och v\u00e4xer sig starka i milj\u00f6er d\u00e4r konstruktiv, uppmuntrande handledning och stimulerande fortbildning f\u00e5r fl\u00f6da fritt. Avsaknad av st\u00f6d, eller att st\u00e4ndigt kastas ut p\u00e5 djupt vatten utan flytv\u00e4st ger inte tryggare och s\u00e4krare underl\u00e4kare.<\/p>\n

Sveriges Radios program Kaliber rapporterade tidi\u00adgare i \u00e5r p\u00e5 just detta tema. I dokument\u00e4ren \u201dDe ensamma l\u00e4karna\u201d skildras hur vikarierande under\u00adl\u00e4kare f\u00f6re AT m\u00e5nga g\u00e5nger placeras i anst\u00e4llningar som \u00e4r otrygga, b\u00e5de arbetsr\u00e4ttsligt och medicinskt. P\u00e5 flera av v\u00e5ra sjukhus i Sverige l\u00e4mnas dessa underl\u00e4kare ensamma p\u00e5 akuten med stort ansvar och minimalt med st\u00f6d. I ett antal fall blir utg\u00e5ngen f\u00f6r patienterna maximalt olycklig. Tv\u00e5 av dessa fall ber\u00f6rs n\u00e4rmare i programmet och de drabbade patienternas anh\u00f6riga f\u00e5r ber\u00e4tta. Hur de underl\u00e4kare som tj\u00e4nstgjort i dessa otrygga kliniska situationer k\u00e4nner inf\u00f6r de tragedier som omn\u00e4mns kan vi bara f\u00f6rest\u00e4lla oss.<\/p>\n

V\u00e4ntetiden till AT v\u00e4xer, och gruppen vikarierande under\u00adl\u00e4kare med den. Nyttan och vinsten i trygga, v\u00e4l handledda underl\u00e4kare kan inte nog po\u00e4ngteras i dagens h\u00e5rt pressade sjukv\u00e5rdssituation. Att tumma p\u00e5 gr\u00e4nsen f\u00f6r vad underl\u00e4kare kan f\u00f6rv\u00e4ntas ta ansvar f\u00f6r \u00e4r om m\u00f6jligt \u00e4nnu mer olyck\u00adligt i en pandemi, d\u00e4r nya kliniska situationer \u00e4r vardag och d\u00e4r underl\u00e4kare ofta st\u00e5r i f\u00f6rsta linjen.<\/p>\n

En trygg underl\u00e4kare ger inte bara en v\u00e4l omh\u00e4ndertagen patient, utan skapar positiva ringar p\u00e5 vattnet i hela sjukv\u00e5rdsorganisationen. Systemet \u00e4r aldrig starkare \u00e4n den svagaste l\u00e4nken. Alla vinner p\u00e5 trygga underl\u00e4kare; patienterna, vi under\u00adl\u00e4kare sj\u00e4lva, v\u00e5ra kollegor och s\u00e5klart \u00e4ven v\u00e5ra arbetsgivare. Detta borde vara sk\u00e4l nog att v\u00e4rna underl\u00e4kares utbildning och handledning, \u00e4ven i coronatider.<\/p>\n

Med \u00f6nskan om en givande och l\u00e4rorik h\u00f6st!<\/p>\n

Anna H\u00e5kansson Gladh<\/em> <\/strong>
\nOrdf\u00f6rande SYLF J\u00f6nk\u00f6ping
\nST-l\u00e4kare anestesi och intensivv\u00e5rd<\/p>\n","protected":false},"excerpt":{"rendered":"

Alla vinner p\u00e5 trygga underl\u00e4kare. Det \u00e4r m\u00e5ndag f\u00f6rmiddag. Mycket folk i tj\u00e4nst. Jag l\u00e4gger en central venkateter p\u00e5 uppvaknings\u00adavdelningen. Pl\u00f6tsligt st\u00f6ter jag p\u00e5 patrull. Inget allvarligt, men jag kommer inte riktigt vidare p\u00e5 det s\u00e4tt jag planerat. Innan jag har hunnit uttala meningen klart \u00e4r \u00f6verl\u00e4karen p\u00e5 plats. Engagerad, som alltid. Tittar, f\u00f6rklarar, coachar. … L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6],"local_restriction":[],"class_list":["post-229047","post","type-post","status-publish","format-standard","hentry","category-lokalfackligt"],"acf":[],"yoast_head":"\nModerna L\u00e4kare<\/title>\n<meta name=\"description\" content=\"Innan jag har hunnit uttala meningen klart \u00e4r \u00f6verl\u00e4karen p\u00e5 plats. Engagerad, som alltid. Tittar, f\u00f6rklarar, coachar. 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