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Proper bed, sheets, blankets and even pillows. In fact we put most of our elderly frail patients in to real beds as soon as possible which is another reason that the NOF plan was straight forward. Our local CHC do now give us some credit when they collect trolley wait times Katherine At 08:15 PM 11/17/99 -0000, you wrote: > > > >> We have been down the path of NOF guidelines -also partly as a result of >> external audit. We have decided not to set ourselves unachievable >> standards. There was a push to say that these patients should be on the >> ward within one hour of arrival. This was clearly impossible for us to >> achieve and to put it in the pathway would be pointless. We have gone for >> getting the patient onto a proper hopital bed - ie not an A&E trolley >> within one hour. > > >This may be quite a sensible approach and a ? perhaps happy medium to an >issue which requires solving with a whole systems approach and not a >territorial one. When I worked in Westmead in Sydney , everyone was put on >a bed in A&E on arrival, not a trolley. We exchanged beds if the patient >was admitted with the ward bed but the patient stayed in the same bed as the >one where they arrived. It also offered a contribution to the philosophy of >seamless care and got away form that emotive word 'trolley'. Should we >look at door to bed time and not door trolley to bed time. Okay so it puts >up the laundry bill, but the patients are more comfortable = another quality >improvement for the NHS. > >BTW Katherine is that with or without sheets and blankets. Is there a >difference between 'into' and 'onto' ? > >regards > >John Ryan > > > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%