Advice from an older EP. Once a pt has registered you have a duty of care. Telling them they shouldn’t be in ED destroys the therapeutic relationship so don’t do it. After you have sorted out their problem then by all means advise them where they could go next time.
Staff are leaving or want to leave. It just not worth risking having to answer to AHPRA when the inevitable deaths and poor outcomes occur from understaffing. It’s a death spiral for the health system.
Wake-up everyone who should be assisting frontline health clinicians in the ED. Called in for a safety inspection LMH. 90 patients in the ED with a capacity of 51 and 43 patients waiting to be seen totally unsafe is the advice of Drs but don’t really need o state the obvious.
Operating an Emergency Department at 200% capacity makes it impossible for staff to deliver care to critically ill patients & for patients to get the care they need. Just so dangerous yet nothing effective is done. 💔 @PictonChris
At 5:19pm yesterday a 47yo male suffering chest pain pulled over & called 000 in Plympton. After 35m the patient was in cardiac arrest, a bystander started CPR. An ambulance finally arrived after 40m, tragically Paramedics were unable to resuscitate him.
SEVERE Access Block: 22 people waiting >24hrs (a whole day!) for bed in hospital, 28 more >12hrs
Is waiting this long for a bed acceptable?
@PictonChris@ANMFSA @SA_Ambulance @acemonline@amasamembers@sasmoa4doctors
https://t.co/9Z16JTeSIY
Ramping and significant access block at the RAH ED - 59 patients waiting for a free bed and some agitation this morning. Systemwide was 141 patients waiting in the EDs for beds - stress levels high.
There are 149 people admitted & waiting for a hospital bed housed in our adult EDs. This significantly reduces ED capacity to assess & manage new patients!
@PictonChris@ANMFSA @SA_Ambulance @acemonline@amasamembers@sasmoa4doctors
https://t.co/9Z16JTeSIY
There are 124 people admitted & waiting for a hospital bed housed in our adult EDs. This significantly reduces ED capacity to assess & manage new patients!
@PictonChris@ANMFSA @SA_Ambulance @acemonline@amasamembers@sasmoa4doctors
https://t.co/9Z16JTeSIY
Hospitals lack the same operational capacity for high acuity patients. Just not enough doctors. Doctor recruitment is blocked by hospital executives who seem to think a white board to write issues on is sufficient for this problem.
Maybe an inquiry into hospital dysfunction and ED access block will negate the need for an inquiry into ambulance ramping…#RootCause#HealthSystemReform
What infuriates me (and always has) is that players will boycott over a rainbow but never boycott a teammate if he's been accused of violence against women or any other morally reprehensible behaviour that they would all agree they don't condone. I do not understand it.