>The re-direction thing is interesting - are patients both spatially and
>temporally re-directed as the triage nurse feels appropriate?
>Cheers
--
>Dr Jel Coward
As in most places we use Manchester triage but qualify the category with A&E
appropriate, GP appropriate etc. For those patients deemed to be GP
appropriate (and if ther's any doubt the medical staff are involved in the
discussion and if ther's still doubt the patient is seen in A&E) we do our best
to help them and get them seen by the appropriate specialist (GP in this case).
Thus if they are Cat3 but not A&E appropriate the nures will arrange for the
patient to be seen by their GP that day - spacially this may involve the weekend
primary care centre based in the hospital but more often than not the patient
travels to the GP surgery as normal. If they are Cat4 GP appropriate help is
given in arranging a suitably timed appointment. Cat5s eg longstanding
problems are told to contact GP themselves.
As long as the patients are aware that we are trying to do what's best for them
and not just trying to turf them away they respond well and I haven't had a
single formal complaint in the few years I've operated the system. Just as the
list are killing the clinical turkeys this is a mangaerial one ie. we don't
like the "in-appropriates" but there's sod all we can do about them - nobody
else will do it for us! I wonder what other managerial turkeys we should kill?
Cheers,
Nick Jenkins
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