Preview

Er Wait Times

Good Essays
Open Document
Open Document
957 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Er Wait Times
Wright p.1
Daniel Wright July 25 2007

Emergency Room Wait Times
A woman walks into Los Angeles County hospital with a complaint of abdominal pain. After being checked in, hospital staff sees that she has recently been there three other times for the same complaint. She is seated in the waiting room. She vomits blood and collapses on the floor; her family urgently contacts staff informing them of her problem. They ignore the complaint. The family becomes so panicked they call 911 from a payphone near the entrance, only to find that they too ignore the complaint, telling them that there is nothing that they can do. A bystander in the waiting room sees the distress and the blood on the floor, he too calls 911, this time the emergency dispatcher chastises the caller and tells him "This line is for emergency purposes only…" For 45 minutes this woman lays on the floor vomiting blood while hospital staff stands by and housekeeping mops the floor around her. She died soon after. (Ornstien)
This is just one of many incidents to illustrate the need for the reduction of waiting time in emergency rooms across the nation. Although this is an isolated incident that shows gross negligence, similar events that are not as negligent, but just as irritating for patients, happen every day. The "wait" in the emergency room
Wright p.2 is defined as the time between initial triage and being seen by the doctor. The national average waiting time in an emergency room has increased 18 minutes since 2006 despite efforts to reduce the wait. (Press Ganey) The national average this year is 222 minutes; this is 3 hours and 42 minutes. In Utah, however the wait is slightly longer at 4 hours and 5 minutes.
As an employee in a very busy emergency room, I can see both sides of the argument. Hospital staff is over worked and understaffed leaving a large liability and gap in patient care. Patients complain that they are ignored and abandoned. Nurses complain they can 't take care of so



Cited: Conviction Paper by Dan Wright CJ Cassidy. "Emergency room wait times: how long is too long?" June 14, 2007 CNBC News. January 25, 2007. http://www.cbc.ca/canada/story/2007/01/25/er-waits.html/ Charles Ornstein. "Los Angeles woman dies on emergency room floor." June 14, 2007 JEMs Magazine. Mountain States Health Alliance Web Site http://www.msha.com/ Press Ganey "Emergency Department Pulse Report; Perspectives on American Health Care". NHA Web site News Article. http://www.nhanet.orh/news/index.htm?topic=details&news_id=767/

You May Also Find These Documents Helpful

  • Satisfactory Essays

    In February 1998 12 year old Tiffany Applewhite went into anaphylactic shock and her heart stopped after a nurse gave her a shot of steroids for an eye condition in her family’s apartment. Tiffany’s mother called 911, and the city sent two medics in an ambulance. That ambulance didn’t have the advanced life support equipment that Tiffany needed, and the paramedics failed to bring oxygen or a defibrillator. Tiffany’s mother had pleaded with the paramedics to take her daughter to the nearby Montefiore Hospital. Instead, they advised her to wait for the private ambulance with advanced life support equipment to arrive. When that ambulance arrived 20 minutes later, paramedics gave her epinephrine and oxygen and transported her to Montefiore. She…

    • 132 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Lorraine Bayless, an 87 year old woman, collapsed in the dining room of Glenwood Gardens Retirement Center in Bakersfield, CA, USA in 2013 March. As she lay dying on the floor, a nurse called 911 for help, but firmly refused to perform CPR, even with the dispatcher begging her to do so, because it was “against the company’s policy”. After nearly seven minutes of arguing, paramedics finally arrived to take the patient to the hospital, but it was too late.…

    • 113 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    This film tells a series of stories that explains how caretakers overcome challenges with techniques that people can implement. The film describes the medical error that nearly killed Dennis Quaid’s infant twins, and his call to action for patient safety. I anticipate on using this source to describe how medical reporting is important for the safety of a patient and how it often goes unreported.…

    • 295 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Tort Law Case Study

    • 445 Words
    • 2 Pages

    I felt this case was of negligence and malpractice, how can someone complain about their discomfort, provide relevant medical history and not get the proper diagnosis. They could have provided a more I depth diagnosis or allowed for a longer observation period. Hospitals often struggle to find a balance between profit and patient care. If the profit margin was not the first priority, then maybe we can avoid similar cases like this. It seems that the struggle for tort reform in finding a good balance between protecting healthcare institutions and at the same time allow for patients the opportunity to pursue compensation when malpractice does occur is…

    • 445 Words
    • 2 Pages
    Good Essays
  • Good Essays

    In the book of the anonymous nurse, she mentions sadly how hospitals worked by saying, "The nurse-patient ratio is insane, the hallways are full of patients, most patients aren’t seen by the attending until they’re ready to leave, and the policies are really unsafe." While it is the anonymous nurse's first time working in this hospital in New York, it is not her first time working in hospital; this makes the shortage of nurses a universal problem in the healthcare system. In a study of patient to nurse ratio, for every 100 critical patients who died a nurse was assigned 4 other critical patients, and for every 131 critical patients who died a nurse was assigned 7 other critical patients. Critical patients need more one on one care than others, and if a nurse is assigned multiple, then the nurse can give them the full attention that is needed. However according to the article, the author uses ethos to show it is not a serious problem to hospital itself because nurses have been punished for speaking out on behalf of their patients. Since nurses are not high up in the healthcare profession, hospitals have threatened their jobs and put the blame on them. Although, nurses are pressured into taking on more assignments than they can handle. This pressure leads…

    • 1035 Words
    • 5 Pages
    Good Essays
  • Good Essays

    The documentary The Waiting Room directed by Peter Nicks, focuses on a typical 24 hour day in the over-crowded and under-resourced emergency room of Highland Hospital in Oakland, California. Within this hospital is a group of compassionate professionals that strive to provide the best quality care they can for such a diverse population that have been living without health insurance. Many of these Americans find themselves stuck for hours at this public hospital because they are given numbers and are called according to the number of rooms and doctors available. Their waiting time may also increase if there is rush of trauma patients that need immediate attention. Over the course of this documentary, you meet people and learn about their life…

    • 293 Words
    • 2 Pages
    Good Essays
  • Good Essays

    In health and social care there are a lot of procedures and precautions put into place so that accidents don’t occur, but no matter how careful organisations are with these kind of incidents there is no way really of preventing them. In health and social care a lot of risk assessments are taken to make sure the place is safe but obviously there is still a few things that are unstable or accidents like this wouldn’t occur. The staff’s duty then is to work out what happened and how to minimise the risk of it happening again. An emergency is often unexpected, not planned, dangerous and sometimes life threatening. Some incidents that can occur include: fire’s, flood’s, exposure to infection, exposure to chemicals, intruders, aggressive and dangerous encounters and abuse – I will be talking about 2 of these, the concerns about them and justify them.…

    • 775 Words
    • 4 Pages
    Good Essays
  • Good Essays

    People everyday deal with sudden illnesses and emergencies, and it always seems these unfortunate situations happen when your physician’s office is closed. If your emergency is bad enough, most people will go to their local emergency department, but that may not always be the best choice. This is where it would benefit people to know the many differences between emergency rooms and urgent care centers. Emergency rooms and urgent care centers differ in many ways, some of which include the severity of illnesses they can handle, wait time, and cost of care.…

    • 817 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Emergency room nurses firstly ask the patient what their chief complaint is upon arrival. The chief complaint labels the patient, and gives them a triage level based on the amount of resources needed to intervene. The chief complaint (or illness) is the nurse’s focus of his/her practice. The nurse also takes into consideration the need to educate the patient and his or her own readiness to learn. All of these factors help reach the goal of making the patient “feel” better and regain health. Below is a model of how nurses in the emergency room revolve directly around the patient.…

    • 2710 Words
    • 8 Pages
    Better Essays
  • Satisfactory Essays

    Nurse Staffing Memo

    • 375 Words
    • 2 Pages

    As a nurse you daily experience the impact of inadequate staffing in healthcare facilities, but the impact is far greater than just…

    • 375 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    In the next four days, four other similar deaths were reported, all in the same neighborhood and all with similar…

    • 1054 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Nurse Patient Ratio

    • 1020 Words
    • 5 Pages

    The article Nurse-Patient Staffing Ratios in the American Journal of Nursing reported a seven percent increase in mortality for each additional patient added to a hospital nurses workload (Wallis, 2013, p. 21). When caring for a larger number of patients you are more likely to miss important signs and symptoms. It’s difficult to be thorough because there is not enough time to properly assess each patient. When patients aren’t properly assessed it’s easy to fail to notice the early warning signs that a patient may be starting to go downhill. So, instead of noticing a slight change and reacting to it, the nurse caring for a large patient load may not realize there is problem until the patient has already coded or is about to code. Wallis found that “besides the occupational hazards caused by understaffing numerous studies show a correlation between inadequate nurse staffing and poor patient outcomes. High nurse to patient ratios are associated with an increase in medical errors, as well as patient infections, bedsores, pneumonia, MRSA, cardiac arrest, and accidental death” (Wallis, 2013, p. 21). As the charge nurse on my unit I was involved in codes that should have never taken place on the floor. The nurse’s lack of attention to the patient because of high nurse patient ratios resulted in the patient coding on the unit. It was hospital policy that each code that happened on the floor be thoroughly reviewed. In some cases it was determined that the patient should have been moved to Intermediate care or ICU as much as 24 hours earlier. A study published in the New England Journal of Medicine, “examined the relationship between mortality and day to day, shift to shift variations in unit level staffing. The study found that the risk of death increased two percent each time a patient was exposed to shifts with below target RN staffing (Dorning,…

    • 1020 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Free Clinics

    • 726 Words
    • 3 Pages

    1[FREE COMMUNITY HEALTH CLINIC] Healthcare Policy and Financing Western Governors University Funding and Implementing a Free Community Healthcare Clinic in Milwaukee, Wisconsin Rachel Trabelsi 2 [FREE COMMUNITY HEALTH CLINIC] A hospital emergency department is open twenty-­‐four hours a day and is required by law to treat anyone having a medical emergency that includes a full evaluation of anyone for any reason that they come to the hospital to be treated for. A recent evaluation in Colorado looked at 10,000 Emergency room visits and found that 44% of those visits could have been treated in an MD office.…

    • 726 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Hang time

    • 1236 Words
    • 5 Pages

    My hang time is about 3.646 centimeters while an nba player with 40 inch vertical leap, the most athletic nba players, is about 4.494 s. I math up favorably compared to professional players based on the fact that their older, more matured and the best of the best.…

    • 1236 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Eye Trouble

    • 697 Words
    • 3 Pages

    Finally, we arrived at San Francisco General’s emergency room where they could certainly get the help we needed. After waiting in a crowded scary Waiting room for hours, our name was finally called, and we went in to see the doctor. She asked questions about how the situation occurred…

    • 697 Words
    • 3 Pages
    Good Essays