tag:blogger.com,1999:blog-28089527.post-66106436692144053112008-03-15T19:11:00.000Z2008-03-15T19:11:00.000Z2008-03-15T19:11:00.000ZDear A and E charge nurse,<BR/><BR/>I am sure that you have excellent inpatient experience, but is that experience from before the 4 hour target time or have you seen the effects on MAU/SAU? Things have changed and not for the better.<BR/><BR/>If a Nurse sees a patient, "correctly" triages them then they have to wait a few hours before the Dr can see them then surely the nurse has a responsibility to check back on them from time to time?<BR/><BR/>Of course now the Nurse would now have the ability to discharge "correctly" triaged patients from the dept to meet a target, so instead of waiting a few hours they do not see the Dr at all. But that is a seperate issue...<BR/><BR/>The other noticeable effect of the 4 Hour wait is to slow down the productivity of both nursing and medical staff, by getting them to spend loads of time completing EDIS rather than actually see patients.<BR/><BR/>Its this sort of Bollocks that caused my wife (former Staff Nurse in Casualty) to quit NHS nursing.fox in soxnoreply@blogger.com