Proposals to scrap 4 hour EU targets

[XB9S, BSN, MSN, EdD, RN, APN]

Waiting targets for accident and emergency to be scrapped | Politics | The Guardian

The government is to take the controversial and potentially unpopular step of scrapping four-hour waiting time targets in accident and emergency departments and instead focus on delivering the "best possible results for patients", it said yesterday.

Not sure how I feel about this one, I get frustrated at the targets dictating what patients get beds and sometimes inappropriately, but not sure getting rid of them completely is the answer.

[LiverpoolJane]

Another proposal is imposing a a fine if a patient is re-admitted within a month of discharge. I work in renal and we would be fined on a regular basis as most of our patients are chronically ill and it isn't unusual for them to have frequent admissions. I'm sure many working with chronically ill patients will echo the same concerns.

Even those with acute medical and surgical conditions will have some unexpected re-admissions.

[ayla2004, ASN, RN]

i find this hard on one hand having pt on a&e trolley is bad however pushing pt through to wards and can mean care is comprised by nurse trying to look after pt already there and complete more paperwork.

we had a situation that we were moving pt around to make male/female beds and the ward then lacked sufficient single gender toilet/showers to cope. we need more lower occupancy rooms on our wards.

i was talking with a OT and now cote pt are discharged as soon as the acute period is over, compared to getting them back to n

ot using an walking aid. if we are going to have shorter hospital stays we need community services to back these up and these are their. we have gray areas like eye drops ear drop and neb treatment that no one can seem to do neither carers or DN so a pt who can't manage this due to physical or cognitive functions will go without. DN can cope with some skilled nursing job s as it is. n pt are being readmitted for relativity simple treatments therefore.