Rowley,
Surely you can turn this around to your advantage. The key hold up to being on a ward bed is more likely to be the availability of beds rather than the ability of your department to give analgesia and get an xray, especially as this can all be arranged at point of triage. Make it someone else's problem and it might go away. (SEP principle cribbed from Douglas Adams, Hitch-hikers' Guide to the Galaxy)
It also sounds like your audit people are breaking the first rule of audit which is to involve all the stakeholders - they shouldn't then be coming out with unrealistic standards or making people feel threatened.
Howard Simpson. SpR A&E Wessex
-----Original Message-----
From: Rowley Cottingham [SMTP:[log in to unmask]]
Sent: 30 November 1999 06:12
To: [log in to unmask]
Cc: [log in to unmask]
Subject: Re: Times to treatment.
Nobody interested in that topic? Well, here's a related one. The VFM people have re-audited our care of
#NOF. They suggest that a reasonable standard is that a patient with a confirmed #NOF is in a ward bed
within an hour of reaching the A&E Unit!
Apart from the sheer fantasy aspect of this, can anyone justify placing a #NOF in category 2 on MEDICAL
grounds? I can go with a 3, needing to see the doctor within an hour, but it is potty to equate this condition to
an acute MI, LVF or severe burns to see the doctor within 10 minutes. Whoever is dreaming up these
unattainable goals? What evidence are they basing their recommendations on?
Best wishes,
Rowley Cottingham
[log in to unmask]
Before you criticise someone, you should walk a mile in their shoes.
That way, when you criticise them, you're a mile away and you have
their shoes.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|