Wednesday, December 22, 2010

E.R. Nurses Shorthanded



He ran to a friend at 10: 00 o'clock to the nearest hospital due to pain unbearable chest. But in the Emergency Department, were greeted with a number of patients waiting to be serviced. It took 30 minutes before that his friend was served by emergency nurses.




Wonder what this scarcity of emergency nurses? there is no enough people that would like to take care of patients already?




According to a study conducted by researchers at the Cambridge Health Alliance as reported in Health Affairs, timeouts rose an average of 4.1 per cent annual for all pacientes.Por misfortune for heart attack patients, pending extended to 11.2 per cent per year. Blacks, Hispanics, women and patients in urban hospitals have longer waiting times others.




How exactly are these percentages?For patients diagnosed with heart attacks, timeout in 1997 was eight minutes, but in 2004 rose to 20 minutes.Patients needing attention within 15 minutes of agreement assessed them, nurses have to wait 10 minutes in 1997.Pero in 2004, was until 14 minutos.Espera emergencies in urban hospitals room was 30 minutes. While waiting for non-urban hospital emergency room is within 15 minutes.




So why increasing numbers?




Emergency visits increased 78 percent since 1995 to 2003.Pero number of emergency departments to accommodate this place fell by 12.4 per cent from 1995 to 2003. The number of patients rushing to the emergency room to get medical care can be attributed to the fact that there is an increase of uninsured and underinsured patients. The aging of the u.s. population is also a factor.




According to the EMTALA or emergency medical treatment and active labour law, every person has the right to be seen and treated in the emergency room, if you are unable to pay or no.Esto served as a safeguard for the citizens of underinsured and not insured.




There were several accounts of patients who die in the emergency room, waiting for overdue area expected even with critical conditions of diagnosticadas.Recientemente, a 19-year-old woman died on the floor of the Department emergency Kings County hospital Center psiquiátrico.El incident was recorded by the camera of the hospital.Se took an hour before someone took note of the woman, but the patient was occurs.the hospital said to be staffed.




Various measures are being taken to resolve the crisis in emergency departments and prevent unfortunate events like this.Most resolutions are oriented to the Congress.Some of the means proposed to be taken are:




1. Fast approval of 50 million dollars in additional funding for hospitals that offer unmatched attention to patients without insurance.




2. Apreciable on funding for preparing disaster in hospitals.




3. Establish an agency in the Department of health and human services for emergency and trauma care and create a demonstration program to promote a regional approach coordinated emergency care




Dr. Andre Wilson, Chief of Emergency Medicine at the William Beaumont Hospital Royal Oak Michigan published a study on the effect of the subsequent focus directly on timeout emergencias.En room reduction this approach, patients are immediately moved classification to an emergency room treatment area without passing through the necessary espera.Es patient go with the minimum registration procedure room and have graphic patient available inmediatamente.Con this procedure, Beaumont hospital is said to have the satisfaction of their increased patients. rating also believes that this increase the income of the hospital.




Hospitals are taking steps to reduce shortages which is increasing its emergency room emergencia.Enfermeras Department are great demand today to deal with the increasing number of patients requiring attention médica.podríamos patients have many nurses, emergency room but the fundamental issue is the provision of health care for all available at all times with the minimum amount of waiting.


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