In message <[log in to unmask]>, Andrew G Hobart
<[log in to unmask]> writes
re. max 4 hr wait in A&E to difinitive disposal and average A&E wait
target of 75mins....
>What changes to A&E Departments does the list think will be required to
>meet this target?
A&E changes:
simple: double the number of doctors, nurses, radiographers and lab
technicians.
That's the cheap bit. The problem is the patients awaiting admission.
This will need double the number of beds.
Just to be difficult, how will the auditors fudge the issue of the chest
pain patient waiting for 6 hourly troponins in A&E?
Re. expansion of primary care staff in A&E depts...
>Does the list agree that minor INJURIES should be treated in A&E
>Departments by appropriately trained primary care staff?
>My opinion (for what its worth) is that such patients are best treated
>in A&E Departments by appropriately trained A&E staff - Doctors or
>Nurses.
Definitely not - they're far too expensive. Much better to have trained
primary care staff doing exactly the same job for less money. Subsequent
audit will show that crucial outcome measures (patient satisfaction
surveys, waiting times, drug budgets, staff costs) will improve
dramatically. In fact, the audit has probably already been drafted.
Now where's my hypo-cynicillin pill gone?
Dr G Ray
Staff Grade
A&E
Sussex
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