Do rubbish locum seniors ever get knocked back from jobs?
I've been locuming around a smorgasbord of regional EDs around NSW and Vic and there have been some absolutely shocking ED 'seniors' on the rosters. Mostly locums but occasionally a local GP dipping their toe in to the slightly bigger EDs nearby (im talking the 10 bed size range). They just seem to rotate around without ever getting properly called out on it.
Recently had the 'senior' call in a GP anaesthetist because they didnt know how to put in an art line and start vasopressors to keep a patient safe while waiting for retrieval. They also didnt know how to stick in an US guided cannula in an IVDU patient who was stable so suggested a junior stick in an IO to take basic bloods with. Luckily the junior ignored that and just went and did the cannula themselves with the US
Another I had the senior book it out of the department when a resus came in leaving me and another junior doing our best to salvage it.
In another the GP Anaesthetist decided they were bored staying with the ventilated patient in resus waiting for retrieval so just walked out and left them without anyone airway trained on site.
The nurses have generally been amazing though and I guess its a survival trait and acting as the last line of defense between some horrific doctors and the patients.
Am I just having terrible luck or is this everyones locum experience?