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AustraliaRaining resignations: New hospital's woes drag on as anaesthetics director steps down

07:30  06 december  2018
07:30  06 december  2018 Source:   smh.com.au

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General anaesthesia or general anesthesia (see spelling differences) is a medically induced coma with loss of protective reflexes, resulting from the administration of one or more general anaesthetic agents.

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Raining resignations: New hospital's woes drag on as anaesthetics director steps down© Steven Siewert Astrid McCrank, whose caesarean section deeply concerned several anaesthetists at NBH. The head of anaesthetics at Northern Beaches Hospital (NBH) has resigned after clashes between hospital operator Healthscope and anaesthetists

The departure of Alistair Boyce as the director of anaesthetics is the latest in a string of high-level resignations within the first few weeks of the opening of the $600 million hospital.

On Monday, staff learnt the director of medical services Louise Messara had stepped down, and the inaugural CEO Deborah Latta resigned two days after the hospital's official ribbon-cutting ceremony.

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Anesthesia or anaesthesia (from Greek "without sensation") is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes.

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It has also emerged that Dr Messara is considering defamation action against one anaesthetist over the contents of a letter sent to several parties, including the office of Health Minister Brad Hazzard.

On Wednesday, Dr Boyce announced his resignation as Director of Anaesthetics to his department.

"Although the last few weeks have been very challenging, I am sure the department will continue to go from strength to strength," Dr Boyce wrote in an email.

"The time has come for me to take a step back and allow Healthscope the opportunity to appoint a new head of department who will assume their role on the 20th of December."

Raining resignations: New hospital's woes drag on as anaesthetics director steps down© Fairfax Media Louise Messara stepped down as medical director of NBH on Monday. Anaesthetists at the Healthscope-operated public-private hospital have been at the coalface of a string of early systemic problems at the hospital including the case of pregnant patient Astrid McCrank.

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Aesthetics and Anaesthetics , Part I. Walter Benjamin’ s Artwork Essay Reconsidered. I am grateful to Joan Sage for her help with the photographs for this piece. Thus the simultaneity of overstimulation and numbness is characteristic of the new synaesthetic organization as anaesthetics .

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Mrs McCrank’s caesarean section was the cause of concern for many anaesthetists when staff took over an hour to prepare her for surgery because of delays and confusion sourcing blood for transfusions, a lack of appropriate equipment and poorly trained staff.

At a meeting in November, anaesthetists threatened to cancel all elective surgeries if Healthscope did not address their concerns.

At least two anaesthetists resigned, including one senior clinician who cited a complete failure to ensure patient safety as a key reason for his departure.

Dr Boyce had backed proposals made by the hospital’s acting CEO Stephen Gameren in response to anaesthetists’ concerns.

The proposals were rejected by several anaesthetists on the grounds they did not address their safety concerns and industrial relations issues.

Dr Boyce expressed disappointment and embarrassed by the conduct of some of his colleagues, accusing them of "shouting from the sidelines" and failing to be part of a solution, he wrote in an email in November.

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Former medical director considering defamation action against doctor at troubled hospital A doctor is facing defamation action amid the departure of the Northern Beaches Hospital's medical director and sustained reports of systemic problems at the public-private facility. Former director of medical services, Dr Louise Messara, is considering pursuing defamation proceedings against an anaesthetist at the $600 million hospital in Frenchs Forest. The basis of the potential legal action is the contents of a letter allegedly sent by the anaesthetist to several parties including the office of NSW Health Minister Brad Hazzard.

A general anaesthetic (or anesthetic ) is a drug that brings about a reversible loss of consciousness. These drugs are generally administered by an anaesthetist /anesthesiologist in order to induce or maintain general anaesthesia to facilitate surgery.

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Dr Boyce and Healthscope have been contacted for comment.

This week, Mr Hazzard also criticised NBH doctors who had publicly spoken negatively about the facility.

"There are a group of three to four specialist doctors who have expressed concerns publicly and I am concerned that they have not operated within the hospital structure as they should,” Mr Hazzard told the Manly Daily.

“I think there are some individuals who have not taken a constructive approach and have talked up the negative rather than the positive.

“It is time for them to get on with the job they are paid quite well for.”

Raining resignations: New hospital's woes drag on as anaesthetics director steps down© Nick Moir NSW Health Minister Brad Hazzard at a press conference to address NBH CEO Deborah Latta's resignation. Mr Hazzard said he had heard many more positive than negative stories about the hospital from staff and patients.

Dr Boyce submitted his resignation on November 23 but indicated he would continue to work as an anaesthetist at NBH.

"I look forward to playing my part in helping to create an anaesthetic department we can all be proud of," he wrote in his email to staff on Wednesday.

A new head of department will start in two weeks. It is not clear who will assume the position.

Over the past two weeks, Healthscope executives have had ongoing meetings and communication with staff.

Many indicated they have been encouraged by Healthscope's action on several fronts, including addressing shortages of medical supplies and some staffing shortages, led by Dr Atkinson and Mr Gameren, Healthscope NSW's state manager.

The Australian Salaried Medical Officers Federation, the Australian Medical Association NSW and the NSW Nurses and Midwives' Association have all indicated they would work with Healthscope to address staff concerns.

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