Quote:
Originally Posted by Russ_Boston
I'm not defensive posturing at all. If these did happen then we have real issues. But I think:
1. not a real stroke that required any treatment, just evaluation. (and had a CT done within the 1st hour just to be sure that there was no blockage- I'm absolutely positive of that - I've yet to see a suspected stroke that did not have an hour one CT). He was waiting for a bed to open up on the second floor where we continue to monitor and test for any deterioration in condition. I do this EVERY day when I'm working on 2nd floor.
2. Just a dis-located shoulder - yes it hurts but nowhere near life threatening.
3. Hence more important injuries come first - just saying.
Triage is the name of the game in ER when we have 25 beds and 75 patients. Do the math. Your tone of inference is that both these cases should have been seen earlier and otherwise it is deplorable health care. Not the case IMHO. You say "seeking a solution". Solution to what exactly? Doing triage as it should be done?
Bottom line: If you go to TVRH ER (and many other local hospitals) with a non life threatening condition and expect to get out soon you're dreaming.
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As Packard used to say.."Ask the man who owns one.." In this case..ask and or at least have the intelligence to LISTEN to the man who works there. The constant carping about TVRH and the "something MUST be done" whines come from people who don't have the foggiest notion how an ER works and what happens behind the doors. I'm sorry you have have to wait and I'm sorry you're going to miss your sacred tee-time or your table at Katie Belle's because you had to wait while people who REALLY need instant-stat treatment go before you.
Something MUST be done. I've told you before what MUST be done..It requires a VAST infusion of cash to build new beds and add a significant amount of staff. It's not going to happen without it. So go ahead and whine all you want, and stamp your feet and holler that "Something MUST be done" and continue to live in your ignorance of how hospitals and ERs work.
People like Russ bust their butts to take care of you. And..unless lots and lots and LOTS of money start getting donated to TVRH, you are NOT going to see any change because TVRH gets fully 88% of it's revenue stream from Medicare and their reimbursements to ALL hospitals are falling at unprecedented rates which leaves TVRH with a VERY thin operating margin.
As Russ & I have both said in the past TVRH has a limited amount of bed space to fill an ever-growing population. It's only going to get worse and not better.