I *am* being overgenerous. To be fair the Psychiatric SpR had looked at the foot and somehow managed to persuade the orthopods to accept her. She'd been in A&E the day before, so I think it was a bit of a failing all round. I don't expect RMNs to be great at physical things, but I'd expect them to be able to arrange analgesia. Here is my problem - for thirteen years or so, as an A&E nurse and as an ambulance worker, I can count on the fingers of one hand after a tragic accident with farm machinery the number of psychiatric referrals that I've made where I haven't felt that the RMN or Psych Dr. have been trying to shift the work onto someone else. Actually, that's a lie - the psychiatric liasion team at the Whittington hospital were superb. But you know, I do *try* not to tar everyone with the same brush, and if the internet has taught me one thing it's that there *are* good RMNs, ASW, etc. out there.