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Overcrowding issues in some school districts
Overcrowding issues in some school districts
Rationing of healthcare resources
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Introduction:
I went to the emergency department with my brother who had hurt his hand during a soccer game at this school. I was tensed, blood was oozing vigorously, and he was crying with pain. In such a condition when I stepped into the emergency department, I was shocked to find out that there was a long waiting queue outside the door. Patients were waiting in a queue to be attended by the emergency assistance. At first I thought, I might have mistakes the OPD department for Emergency due to tension. To add to my shock and surprise I was told by the counter attendee that I was in the ER department. The situation immediately informed me that the demand of the emergency service in Australia has crossed the ability of the service provider. Thus, I had no other way but to wait for my turn and then avail medication. Finally it was after almost an hour when my brother received some help and was relieved from the slithering pain.
Thesis statement
The inhuman experience which I along with my brother experienced in the city based hospital, provoked me to voice against the health care system of the country. The growing demand of the emergency service has hardly affected the service providers. With the increase of the population the government should increase the number of hospitals or increase the number of staffs in a hospital so that the patients in distress do not have to wait. An heart patient, or an accident patient have very little time to survive if they do not get the medication immediately. The role of the emergency nurse is to attend to the patient immediately and save life. In the present condition when the situation is so grim, it is really strange to find out the health care providers are changing their approaches tow...
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...ne, 30 (3), pp. 351--356.
Richardson, D. B. (2006). Increase in patient mortality at 10 days associated with emergency department overcrowding. Medical Journal Of Australia, 184 (5), p. 213.
Suter, R. E. (2012). Overcrowding and boarding historical perspective. Meeting The Challenge Of Emergency Department Overcrowding/Boarding.
Trzeciak, S. & Rivers, E. (2003). Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency Medicine Journal, 20 (5), pp. 402--405.
Weiss, S. J., Derlet, R., Arndahl, J., Ernst, A. A., Richards, J., Fern', Ez-Frankelton, M., Schwab, R., Stair, T. O., Vicellio, P., Levy, D. & Others (2004). Estimating the degree of emergency department overcrowding in academic medical centers: results of the national ed overcrowding study (nedocs). Academic Emergency Medicine, 11 (1), pp. 38--50.
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
In the research paper of Paramedics and Evidence based practice there was a large online survey, which was based on, five question related to Evidence Based Practice (EBP) and pre-hospital. Descriptive statistics are used to answer the question provided in the survey, where large number of paramedic have positive attitude towards evidence-based practices. The survey were consists of different question asked about paramedic with there year of experience there education level and clinical level where different demography of student and paramedic were involved. There were 892-response given to the survey through out one months of study period. Here 90% believed pre hospital care improve patient care and 92% report being likely to change clinical practices as a result of pre hospital evidences. With the research of Evidence Based Practice they find out that paramedic were distinct group of health provider in the society. The research also tells us that paramedics who have positive expectation on EBP were more likely to responds towards the survey which involves tertiary education and shorter length services. Some limitation of these survey includes only certain groups of paramedics were involved also the instrument used were not validity or reliability and single paramedic have respond more than one in the survey.
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Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
Pham, J. C., Seth, T. N., Hilton, J., Khare, R. K., Smith, J. P., & Bernstein, S. L. (2011). Interventions to improve patient-centered care during times of emergency department crowding. Academic Emergency Medicine, 18(12), 1289-1294. doi:10.1111/j.1553-2712.2011.01224.x.
Katharine Evans,James Warner, Elizabeth Jackson. (2007). How much do emergency healthcare workers know about capacity and consent?.Emergency medical journal. 24 (6), 391-393.
V ́ericourt, F., & Jennings, O. B. (n.d.). Nurse-to-patient ratios in hospital staffing: a queuing perspective. Retrieved from https://faculty.fuqua.duke.edu/~fdv1/bio/ratios3.pdf
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
...nt an organizational chart. This allows all personnel to understand what their roles are at time of incident, and whom you communicate sensitive information too. If no direction or communication is given, providing facilities run the risk of victims trying to enter their doors seeking care, which can over exhaust resources and oversaturate hospitals. Therefore, a hospital triage is implemented to assess if patient condition has worsened or remained stable, if there is a need for decontamination process, or if a person seeking assistance is a family member looking for victim. Having these procedures ensures that patients inside the hospital prior to incident are protected for potential harmful exposure to contamination agents and other measures. In addition, hospital and providing facilities are a source of information for victims, the media, and family members.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
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