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Colleagues
Enthused with the rites of spring and a new bunch in post I have been endeavouring to increase the throughput through the friendly A&E dept. Very much leading from the front and all that jazz.  I have been appealing to hardwork and dedication and pulled out the figures from only 4 years ago from our robust registration computer.  In those distant days the average doc saw at least 4 patients an hour, but unfortunately it has now slipped to one or even less.  Is it just our neck of the woods or is a national phenomenon.  BTW saw one myself, clapped out severe DKA, dehydrated and put the stopwatch on and took me 1hour 25mins to stabilise very difficult so not always easy.
I'm trying desperately to introduce 3-d management to the unit but it is an uphill struggle trying to get everybody on board, although CD seems to be interested.
Best wishes
Danny Mcgeehan

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