Situation At Hospital Critical
The situation at Waikato
Hospital remains critical today prompting
hospital
management to set up an incident management team under
the
control of Hayley McConnell.
The goal for the team
is to reduce hospital occupancy to 98 per cent
by
discharging more patients to rural and Midland
hospitals, increase front
door clinical management,
assign specialty-based patients to private
hospital lists
and identify any barriers to discharge.
Medical staff
moved 12 patients from Emergency Department
to
alternative areas such as patient lounges in wards and
the Transit
Lounge.
Eight beds in a same-day unit
opened to take patients.
At present there are 25 patients
in the Emergency Department waiting
for inpatient beds,
down from 36 at 8am, and only two available.
"At this
time of the morning we would normally expect to have
between
15 and 20 patients," said Ms McConnell.
"This
is putting incredible pressure on us."
The conversion
rate for patients from the Emergency Department
was
usually in the mid to late 30 percentage. At the
moment the rate was
closer to 50 per cent, she
said.
Two acute theatres are running.
Ms McConnell said
staffing was good today and she thanked staff for
their
incredible commitment in the face of incredible
pressure.
The private Braemar Hospital today offered its
assistance.
There will be a further incident management
team meeting at midday and
a bed meeting at
1pm.
Waikato Primary Health clinical operations manager
Erica Amon said GP
practices were also under pressure.
Practices at Morrinsville, Te
Awamutu and two in Hamilton
reported increased numbers - a lot of viral
infections in
particular.
Most practices were struggling and asking
patients to go to accident
and medical centres.
Ms
McConnell encouraged people with chronic conditions to
make
appointments with their GPs sooner before their
conditions deteriorated
further.
Patients were coming
into the hospital with general medical
conditions,
cardiology and respiratory conditions plus
patients with injuries from
the weekend.
"We cancelled
more than 110 elective operations last month to
ensure
our surgery was done in a timely fashion and this
month it could be more
than 100."
The Emergency
Department last month saw a record 4779 patients, up
from
4455 in August 2007 and nearly 200 more than the
previous month's record
in March this year of 4585
patients.
"We've opened more beds but unrelenting acute
numbers and an overall
increase in length of stay are
contributing factors," said
Ms
McConnell.
ends