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- Title
We're open: Caring for the walking well in a rural emergency department.
- Authors
Norman, Paul; Heeley, Thomas; Patey, Christopher
- Abstract
Emergency departments (EDs) are increasingly unable to cope with patient volume, leading staff to question the arrival of those seeking non-urgent care. However, these patients ideally should be afforded appropriate management and treatment. In 2014, the Carbonear General Hospital ED in Newfoundland and Labrador took decisive action, engaging front-line staff and shifting the focus of care away from why patients were visiting to prioritize how best to treat those who did. By 2019, the ED had not needed to resort to hallway medicine, despite a visit volume that increased to 30,000 patients over five years, and staff grew into a close-knit, quality improvement and community force. From this experience, it is evident that small investments in education and system redesign can shift attitudes toward ED care for patients, and provide support for primary care in the community. It has already started in one hospital -- we're open for assistance with primary and non-urgent care.
- Subjects
NEWFOUNDLAND &; Labrador; HOSPITALS; HOSPITAL emergency services; HUMANITY; WALKING; EMERGENCY medical services; QUALITY assurance; RURAL population; EDUCATIONAL attainment
- Publication
Canadian Journal of Emergency Nursing (CJEN), 2023, Vol 46, Issue 1, p10
- ISSN
2293-3921
- Publication type
Article
- DOI
10.29173/cjen165