Previous Article Next Article This month’s lettersBody back-up in trauma careDr Roman was right in his letter to highlight the need for programmes todeal with the immediate impact and aftermath of disasters and other traumaticincidents (OH, July). An important aspect of the Sainsbury’s programme which was extremelysuccessful following the Ladbroke Grove train crash was the support provided bythe occupational health nurses and counselling psychologists. Dr Roman comments on the importance of the level of training and experiencerequired to undertake psychological debriefing, assessments and traumacounselling. The problem faced by any organisation is the lack of any realcontrol of this area of expertise by the relevant professional bodies. Fortunately this issue is to be addressed by the British PsychologicalSociety who are about to set up a working party to develop a statement andguidelines on critical incident debriefing. The importance of the approach adopted by Sainsbury’s was that having undertakenthe educational presentation and group debriefing, those employees with highlevels of symptoms were continually monitored and provided with traumacounselling and occupational health support. Debriefing is only effective whenit is part of an overall organisational care programme where the organisationis committed to restoring employee wellbeing. The objective of the “Call to crisis” feature was to describe theframework of the Sainsbury’s trauma care programme. If any readers would like amore in-depth account of the psychological interventions this has beenpublished in Security Journal, “Supporting Distressed Employees: How toSurvive the Disaster”, Vol 13 (3) pp73-83. Noreen Tehrani, occupational, health and counselling psychologist Missed advice on cholesterolVicki Madden’s article “In Good Heart” (OH, May) seems to havemissed an important point. While her discussion of cholesterol levels is well informed, it overlooks acrucial change in thinking. With the exception of very high blood pressure, active intervention orreferral should be based on an assessment of coronary heart disease risk usingall relevant risk factors. The Joint British Recommendations (Joint BritishRecommendations on Prevention of Coronary Heart Disease in Clinical Practice.Heart 1998;80 (supplement): S1-S29) answer the uncertainty addressed in thisarticle. Screening using the same techniques as your local medical providers enhancesreferral confidence and reduces causes of friction. HeartXpress softwarecalculates coronary heart disease risk, applies current action thresholds,manages a risk factor reduction tutorial and archives the record for futureaudit. Winston Wannop, medical director, Healthcheck Express Any thoughts on screeningI have just finished my first year at Sheffield University studying for theBMedSci in specialist community nursing and healthcare practice and am doing adissertation for my second year. The hypothesis is “Can health screening be performed by a technician ordoes it have to be a nurse?”. My current thoughts are that a technician shoulddo the screening and the results be analysed by a nurse. Are any readerscurrently using a system similar to this? Kim Scaysbrook RGN, 6 West Lane, Edwinstowe, Mansfield, Notts, NG21 9QT LettersOn 1 Sep 2000 in Personnel Today Comments are closed. Related posts:No related photos.