I forgive you for being provocative.
How many of the 'well trained Emergency Physicians /A&E Doctors' are out
there, more interested in the sick patients in their departments, rather
than the 'minors', who provide the main brunt of the pressure on medical and
nursing staff especially at nights and weekends. It's minors where the
nurses want you, minors where some 'traditional' consultants think their
SpRs should be, and it's minors who complain and sue the most.
How inspired are purchasers by 8+ hour waits?
We can't always meet demand so we could take steps to reduce it - by turning
these people away at the front door (maybe from an emergency department but
certainly not from an 'accident' and emergency department!) so then whom do
they bleed over in areas where primary care is inadequate or non-existent?
Dunno what the answer is but like it or not EDs will always have these
patients and training enough nurses to 'practition' them 24 hours a day
requires will and resources (and nurses!) that I've not encountered before.
Grateful for tips on how you've done it.
Cliff Reid
EP who refuses to go to minors when resus patients would be left to SHOs or
non-emergency specialists.
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