BMJ 1994;308:1572 (11 June)

Letters

Locums should have log books

EDITOR, - Clare Dyer's article on a consultant who was found guilty of serious professional misconduct after failing to investigate complaints that a locum, Dr Behrooz Irani, was endangering patients contains a factual error. In February 1993 (that is, six months after the incident at Castle Hill Hospital) Dr Irani was not working in Hull but was employed as a locum consultant anaesthetist at St Lawrence Hospital, Chepstow. The incident in which Dr Irani left the operating theatre to make a telephone call led to an operating department assistant noticing that the patient in whose charge he was left was receiving a hypoxic gas mixture and was beginning to show signs of oxygen desaturation. Fortunately we were using a computerised anaesthetic record system, which captures all physiological and machine data, and we were able to confront Dr Irani with this incontrovertible evidence of his incompetence. Dr Irani was immediately dismissed . . . [Full text of this article]


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