.DrRobertGlatter; HeidiKnowles17; and EMDrChick, discuss the nationwide crisis of hospital boarding and the dire consequences it poses. MedTwitter EmergencyMedicine EMDocs
The question is, what do we need? Do we need national guidelines? Do we need a national response? I think that's where this is coming to. Storytelling now might be more effective than providing data, which is what ACEP seems to be doing. Hopefully, this will make changes. People will wake up. The mental health act that they're trying to pass seems like a no-brainer. For whatever reason, it just still hasn't passed.
You truly have to invest in your leadership to ensure that they understand the goals and that they have the training to facilitate difficult conversations with frontline staff and ensure that everyone knows that, even if they feel like they have a small role in the process, everyone has a huge role to play in meeting the goals.
We also met with the neighboring departments. Dr Knowles talked about having meetings with EVS, having meetings with the ICU, and talking to consultants about turnaround time. Those things are all huge and ensuring timely throughput of your department.That's important. Locums and temporary staffing certainly have been something that was so prevalent during the pandemic.
They'll say,"Well, that is taking too long. Get the patients out of the department," or"Your lab turnaround time is taking too long." This is a tool that can allow departments real time to tweak and modify processes or call for help when you realize that the algorithm is telling you it's not going to reach your goal if these numbers aren't fixed very quickly or very soon.
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