At a mandated meeting (for newbies) we had several department managers come talk to us...one kept insisting that "ER is different because its more of a 1-1 care situation" ha ha ha ha ha ha ha ha ha ha LMAO!!!!!!!
Thought you all would get a kick out of that! She then proceeded to tell us stories about how everything is basically ERs fault- what else is new? LMAO
Posting from my phone, ease forgive my fat thumbs!
May 17, '13
I laughed from the very deep, dark recesses of my very jaded, PPI laden belly when I read that but fortunately in my neck of the woods things are changing. At my hospital last year we proved that ridiculous length of stay in the Emergency Department and delays in definitive treatment/specialist care were largely due to sluggish specialist review (both senior ER physicians and inpatient teams) and delays in access to ward beds (who knew?). Following a massive collection of data and some serious staff restructuring / planning, a new system for emergency patients was trialled and implemented with a four hour rule. That's four hours from triage to either discharge / admission to a ward bed, or transfer to another facility.
Essentially this system has made length of stay in Emergency everyones' challenge and forced specialist teams to pick up the pace. If a ward has a bed available and the patient breaches the four hour time limit the ward is fined individually. The change is fantastic and we now have ward/floor nurses calling us to say "hey if you guys are too busy, we will come down and collect our patient". Brilliant. Ward nurses are getting to see first hand whats happening in ER and now have a big incentive to get their patients admitted. Best of all, patients aren't waiting FOREVER anymore- triage to appendectomy 1.5 hours and so on. Admittedly we are all working harder, but it is great for the patients. Also, the time wasters are seen by a senior doc quickly and sent packing accordingly.... The most gratifying thing about this system working is that we aren't the bad guys anymore....
Last edit by NO50FRANNY on May 17, '13