4 hour deadline!!!

  1. The 4 hour TARGET in A&E really does take the mickey. I do understand the politics of it but it really does stretch the A&E depts. to the limit. If there are no beds in the hospital then there are no beds in the hospital. Anyone else have an issue with the 4 hour target??????

    :stone
    •  
  2. 8 Comments

  3. by   Mike RGN
    Hi CHUNTER

    Your from my neck of the woods

    Have to agree with you about the beds, but havn,t the trust come up with 'smart ideas' to meet the targets. Like employing bank nurses over the establishments in case areas got busy, transfer teams, insisting wards use the discharge lounge and staffing the lounge at the times its needed.

    It a pity these could not of been used before the four hour waits!!!!!

    Any other hospital come up with any bright ideas
  4. by   Chunter
    Yes Mike, we have all those things, it all comes down to the fact that the hospital just isn't big enough for the area anymore, although the transfer team do a brilliant job.
  5. by   Mike RGN
    Chunter
    Our hospital seems to have the opinion it will cope with anything and does not always except that it a small DGH with limited beds. Other hospitals close to admissions but I cant remember it ever happening where I work.

    PS I have this feeling we are both taking about the same hospital.
    Last edit by Mike RGN on Mar 4, '04
  6. by   Chunter
    Quote from Mike RGN
    Chunter
    Our hospital seems to have the opinion it will cope with anything and does not always except that it a small DGH with limited beds. Other hospitals close to admissions but I cant remember it ever happening where I work.

    PS I have this feeling we are both taking about the same hospital.
    I think you are right Mike, see you at the AMI course where i will not be racing against the time.
  7. by   nexus
    Quote from Chunter
    The 4 hour TARGET in A&E really does take the mickey. I do understand the politics of it but it really does stretch the A&E depts. to the limit. If there are no beds in the hospital then there are no beds in the hospital. Anyone else have an issue with the 4 hour target??????

    :stone
    I work in ICU and we have problems finding beds for patients that are well enough to go to the ward because the bed managers are saving the empty beds for A&E patients.
    We have even discharged patients home recently.
  8. by   Chunter
    'empty beds', not a phrase i am used to.
  9. by   nexus
    OK, not 'empty beds'. Ones that will become empty later when the patient has gone to the discharge lounge and home on the twilight transport.
  10. by   Whisper
    twilight transport... wow after about 1700 hours if we want to get pts home we have to ring for a trained crew, and pray there aren't too many 999 calls!

    Although the admissions ward at one hospital has been known to close and the A&E at the other hospital has been known to take local pts only

close