One concern raised in my mind this last weekend on call was the ward-
needle time for those already admitted with ?(unstable) angina awaiting
serial enzymes or angios and who in our very much less than ideal world
get to live on a ward not on CCU...we managed about an hour (needed to
argue about getting someone out of our combined CCU/ITU first to keep
the numbers in CCU right for the numbers of staff -- would you believe)
as this patient was taking the last bed. There was no way I was going
to strep this guy on a medical ward while I was back in A&E and nobody
upstairs had seen strep for a number of years let alone going into a
patient...maybe that is something else that could be audited to stress
us a bit more. Fortunately his pain to needle time was still less than
it would have been in the community.
--
Sam Waddy
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