Majors and Minors is something everyone understands, the patients
included, if there is a problem with overspill of major patients into a
minor area at times of crisis, then we need to sort out the resource
issue, not change the name to make people feel they are getting adequate
observation and monitoring and are sufficiently close to resus when they
are not.
The department I worked in was geographically split by a few yards, but
the A&E docs of all grades floated -- if majors is in crisis then we
were all there and minors waited etc. There were many times when majors
was full (becoming a ward for the bed-free hospital) and minors filled
up with majors but that doesn't mean we need to change its name -- in
fact being able to say we were seeing critically ill patients in
"minors" should have a bit more leverage with the management in terms of
resources.
Keep the names, they are understandable.
--
Sam Waddy
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