So, what’s the plan for the future? Our technology has grown but so has its pitfalls and with it so has the grifters(NPs) and lawyers that uncertainty and “new” attract. “Central planning” requires “docile masses” that have no recourse (EUA). Healthcare as a “right” and “free” should fix the problem, no?
I’m sorry. I sound a little like an asshole You caught me on a bad day an$ I was very frustrated and getting hard to see a profession you love. Sacrificed and dedicated to. Go down the drain
Structural inadequacy…ERs typically are staffed/designed to manage some fixed “average” level of patient numbers and acuity without the capacity to increase staff/ resources to accommodate the greater than half the time where patient numbers and/or acuity exceed the average that is the basis for the system design.
The ER’s resource, caregiver, and support capacity will be exceeded regularly…it’s a designed certainty.
The above is a simplistic but generally accurate model of ER system design imo. The result = Structural inadequacy.
It seems to me your observations identify what the situation is on the macro level using the same/similar certain-to-be-inadequate “preparedness” planning and resource commitment.
Tom, thank you for commenting! I really appreciate your thoughts. Structural inadequacy; perfect. And yes, it is designed that way. I've seen busy departments slow a little and have the $13/hr secretary 'flexed off' as if that was going to break the bank. Tragic.
So, what’s the plan for the future? Our technology has grown but so has its pitfalls and with it so has the grifters(NPs) and lawyers that uncertainty and “new” attract. “Central planning” requires “docile masses” that have no recourse (EUA). Healthcare as a “right” and “free” should fix the problem, no?
I’m sorry. I sound a little like an asshole You caught me on a bad day an$ I was very frustrated and getting hard to see a profession you love. Sacrificed and dedicated to. Go down the drain
Mario, your comments are always welcome. I get it brother. Thanks for commenting!
Truth.
Structural inadequacy…ERs typically are staffed/designed to manage some fixed “average” level of patient numbers and acuity without the capacity to increase staff/ resources to accommodate the greater than half the time where patient numbers and/or acuity exceed the average that is the basis for the system design.
The ER’s resource, caregiver, and support capacity will be exceeded regularly…it’s a designed certainty.
The above is a simplistic but generally accurate model of ER system design imo. The result = Structural inadequacy.
It seems to me your observations identify what the situation is on the macro level using the same/similar certain-to-be-inadequate “preparedness” planning and resource commitment.
Thought provoking article, amigo!
Tom, thank you for commenting! I really appreciate your thoughts. Structural inadequacy; perfect. And yes, it is designed that way. I've seen busy departments slow a little and have the $13/hr secretary 'flexed off' as if that was going to break the bank. Tragic.