>2 comments -
>
>IMHO the group should look at medical admissions via A&E depts. As a member
>of an out of hours coop, covering about 100,000 patients, I am surprized how
>FEW admissions we have in one 7pm - 8 am shift, perhaps just 3-4 admissions
>to all specialities. Admissions must be coming from somewhere else. I
>think junior medical staff, summoned to A&E departments have a lower
>threshold for admission of chest pains, abdominal pains and so on.
>
>In areas without community hospitals, some alternative needs to be easily
>available, at any time of day, eg a few short term beds with NHS funding in
>a good nursing home, for those patients who need food drink washing
>toileting etc, and not the inappropriate expensive facilities of a DGH
>
>Gwen
>
>Gwen Richards GP Beaumaris North Wales
>
Why don't A&E departments use experienced Nurse Practitioners to Triage
patients and fast track them through to X Ray, Nurse Treatment, Doctor,
back to GP, Practice Nurse, Health Visitor, District Nurse, Social Services
etc..? Absolutely everybody seems to have to wait to see the junior
houseofficer.
Maresah Haines PN Southampton
http://www.haines.grid9.net/pn/
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