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Introduction

bunyipcreek

Yup. G’day.

My name is Grubby.

I am a farmer.

I once was nurse.


I spent thirty years in the operating theatres, specialising in anaesthetics and recovery.

Interestingly, one thing I became interested in was the construct of the framework of the operation of the clinical interface.

In other words, how we do the things we do.


We are taught a lot about clinical skills.

We learn them.

We practice them.

And if we possess a sense of custodianship of our profession, we teach them.

In that teaching we embed the notion of infallibility.

That is, irrespective of all else, making a mistake is fatal.

If not for us, then certainly for our career, and the blame is all ours to own.


What I found fascinating was that whilst we engaged in our work, we paid no attention to the decision making matrixes, or the influence nodes that led us inevitably down the path of work intensification to the point of systems fracture and burnout.


It was a sad day that I started thinking that way, because thinking about how risk crystallises places one inevitably on the path to advocacy, then self preservation, then exile.


Because if there is one thing I learned, it is that flawed decision making within the context of resource boundaries creates vulnerability, and advocating on behalf of those vulnerable to systems error leads to a big target painted on your back.


If this is my first post, then so be it.

As a farmer, I get to live my own values should I be brave enough to choose.

And interestingly enough, the values, resource limitations and decision making matrices are all fundamentally the same.


Let me take you out of your comfort zone.

Read on if you dare.



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