This morning was my clinic and, as generally happens, it ran late. Luckily my women are quite tolerant of my tardiness, but so they should really since it’s them, or more specifically their needs that mean nearly every appointment overruns. It started off quite well, each appointment is scheduled to last 15 minutes –
10am – 10.20 – 34 weeks. Routine but wanted me look a her birth plan and explain vitamin K.
10.25 – 10.50 – 34 weeks. Routine. Starting to have ‘panic attacks’ at the thought of caring for a baby. TLC.
10.55 – 11.20 – 30 weeks. Requires Anti-D as Rh-ve. Recent blood results not available on screen. Phoned hospital path lab, person answering phone unable to access results, suggests I phone back in 15 minutes. Phone the associated path lab, blood results fine, can give Anti-D. Patient has been taking iron suppliment but it is causing constipation, as haemaglobin is 13.2 I advise her to stop the tablets but ensure that she mantains a healthy diet.
11.25 – 11.40 – 17 weeks. Routine appointment. Runs smoothly.
11.45 – 12.10 – 17 weeks. She describes herself as an ‘anxious primip’, she is right! Basically just wants to talk. Has a cold and is worried about her coughing affecting the baby. Suggested glycerin and honey to attempt to sooth it, reassured her that paracetamol is fine for aches and pains. Took the opportunity to talk about pelvic floor exercises and how to do them.
12.15 – 12.0 – 20 weeks. Routine appointment, 3rd baby. Pregnancy is the result of a condom, and then the morning after pill, failing. Mum is considering the baby a surprise rather than an accident, husband obviously doesn’t as he has done a runner. She is being positive about the situation. Will see her more often than scheduled appointments, she may need extra support. Mat B1 given to her for employers.
So, quite easy to run over, and today was a short clinic, usually there are 10 women. No emergencies, just that 15 minutes is not long enough. To be fair, it’s not just the patients who cause clinic to run late. The appointment system does not allow for computer record input, or the completion of a detailed form which is required by the PCT to check how many women I see, and how long I spend with them. The woman’s name and the times are not enough; address; date of birth, NHS number; G.P; hospital booked at; consultant and……. ‘Uncle Tom Cobleigh and all’.