A unit diverting significantly less urgent patients away from Perth hospital emergency rooms has come below fire from senior physicians and the Australian Medical Association (AMA).
A trial of the “surge” unit run by St John Ambulance at Sir Charles Gairdner Hospital is due to end next week, but the AMA fears it may possibly be expanded to other hospitals in a bid to decrease ambulance ramping.
The heads of the emergency departments at Sir Charles Gairdner, Royal Perth and Fiona Stanley Hospitals have warned there will be lethal consequences if that happens.
AMA spokesman Dave Mountain stated patient care was getting compromised.
“Most of these sufferers were coming in already possessing noticed GPs, and having currently observed men and women in the community, so they are going currently to the identical level of care they got in the neighborhood,” he mentioned.
He stated it resulted in delays in patient care.
“Even for the ones that haven’t got significant problems, if they need to come back to an emergency department, their care’s been delayed for four to six hours, and then they just rejoin the identical queue that they should’ve joined in the 1st location,” he said.
He said the units further fragmented health care method services, and fully ignored the underlying dilemma of a lack of capacity to deal with the operate coming into hospitals.
But the WA Wellness Department stated clinical outcomes in 4 cases highlighted as a concern were not impacted by presentation at the surge unit.
In a statement, WA Health said the unit had seen more than 450 individuals since beginning operations in early September 2015.
“A GP, registered nurses and SJAA paramedics at ASCU (surge unit) treat low-acuity sufferers in a protected atmosphere while waiting to be transferred to a hospital when suitable,” the statement said.
“This helps with the smooth flow of ambulances to EDs, reduces ambulance ramping and offers patients with proper care.”
The statement mentioned the trial’s outcomes would be assessed.
“ASCU is a single of a variety of ramping reduction methods introduced by WA Health this year,” it stated.
“Any decision to implement an ASCU in the future will be informed by the assessment, and the efficiency of WA Overall health in relation to realise our commitment to stopping ramping.”
Subjects: health, healthcare-facilities, perth-6000