NEAT targets

[lippy]

Now we have NEAT (National Emergency Access Target) in place we ideally have 4 hours to sort the patient out to admit/discharge/transfer. Whilst this target is working in regards to clearing out the corridors of awaiting ambulance trolleys, I feel there is now a marked lack of basic assessment and care of patients. I find many patients with ivc insitu and meds commenced and the patient has not even been undressed, hence not properly assessed, also sometimes no observations.

Is anyone else having this concern since NEAT commenced?

[K+MgSO4, BSN]

O yes so I work gen surgery. Our ED has split it into 2 hrs for ED consult and assessment, 2 hrs for specialist referral and assessment. If the surgeons are in theatre's on a difficult case it could be over 2 hours before they are seen, bed mgt allocate the pt a bed, then when the surgeon or surg reg sees them, they can be discharged. So frustrating.

[emtb2rn, BSN, RN, EMT-B]

This is a UK conversation, correct?

My understanding is the goal is to have 90% of the pts presenting to the ED/A&E be dispo'd within 4 hours. I thought this was in place already for all facilities, at least in England.

[K+MgSO4, BSN]

Well I'm in oz. The problem is that we are talking about public hospitals with limited beds available for inpatients

[Esme12, ASN, BSN, RN]

I think it is NSW/Au. The US version is much more wordy....http://smhs.gwu.edu/urgentmatters/news/joint-commissions-new-patient-flow-standards

[ER_AllTheWayMay]

We are experiencing a similar problem in NZ. (New Zealand = tax payer/Public funding system ).

It's very difficult. People who DO NOT need to present to hospital. Vs. those whose do or should.