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China - Emergency room at Children's Hospital of Guangdong over capacity by 15% due to colds and fever - parents making frequent trips

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  • China - Emergency room at Children's Hospital of Guangdong over capacity by 15% due to colds and fever - parents making frequent trips

    machine translation

    Children's Hospital of Guangdong slow clinic accused of emergency hospital said the patient get together Beijing Sina (2013-06-06 15:27)


    Enlargement
      Emergency department patients Jiucheng night get together is not "urgent."

      Children's Hospital of peak incidence of extreme shortage of manpower

      Yangcheng Evening News reporter Chen Yingping correspondent Feng Guangjiang careful

      Children's Hospital emergency room on the middle of the night to wait for five minutes? ! Earlier people complained at Children's Hospital "Emergency slow clinics' experience, yesterday, the Guangzhou Women and Children Medical Center initiative to contact the Yangcheng Evening News reporter on the "slow emergency clinic" to explain the phenomenon.

      According to the hospital said, resulting in "slow emergency clinic," First, because ninety percent of patients do not have to get together and look to see emergency night clinic;

    Second, because since April, the increasing number of children reached up to 7300 people / day door diagnostic capacity (far beyond the center can withstand 6,300 / day outpatient limit), it is more scarce hand. The vice president Gong four expressed the hope that non-acute and critically ill patients do not get together at night to see the emergency, also called a pediatric patients diverted to other hospitals.

      Public confusion: why hospitals do not quickly arrange for medical treatment

      Eliminating hospital: Jiucheng emergency emergency department patients without

      Middle of the night to the hospital, the children's parents anxious, triage nurse had commanded the "sit down slowly and so," and told the waiting time of about five hours! This is very critical to many residents: Why Women and Children Hospital not be anxious parents are anxious, quickly arrange doctors for sick child to see a doctor?

      In this regard, the Guangzhou Women and Children Medical Center vice president Gong four explains: Emergency Emergency, is designed specifically for patients with severe and emergency services for. In response to the completion of this part of the patient later, there is spare capacity and staffing circumstances, visits will be arranged for addressing other needs. Health Ministry emergency patients by the disease into "four", endangered patients, critically ill patients, emergency patients, non-urgent patients. According to this classification, an endangered critically ill patients and two patients must be handled immediately, while three and four patients with acute and non-acute patients only need to arrange visits within a certain time.

      He said, according to the hospital in May to statistics, from the 1st to the 28th issue of the children with the disease to the emergency room, the real need to go through the green channel for emergency treatment of children with severe acute, less than ten percent of all emergency patients; remaining Jiucheng patients are all three and four patients. The latter can look normal clinic during the day, at night without having to get together and look at the emergency room.

      Zhu Cuiping hospital emergency department director explained that some parents nervous child illness, daytime seen in other hospitals do not worry, take a look at the evening; others came to see the day, but at night they repeated fever, a nervous and quickly straight Ben hospitals; Some kids condition was not serious, waiting when the child is still everywhere, but parents feared that if the disease has changed the night, tirelessly ran trips hospital ......

      Zhu Cuiping stressed that the judgment is not urgent acute illness in children, do not be the only light in the degree of fever criteria, depending on age, degree of fever and mental status. If the child is a high degree of fever over 39 degrees Celsius and accompanied by poor face, rapid heartbeat or breathing high fever, poor spirit, and needs immediate disposal. But generally a fever of 38.5 degrees Celsius or less, a good mental state, multi- drink attention to rest, do not need to see emergency (except children less than month).

      People confused: Why not temporary additional hospital doctors

      Eliminating the hospital: patients without a doctor may send too much

      Recently, Guangzhou, hot weather, cold child fever was significantly increased. It is understood that since June, women and children every night to Guangzhou City Medical Center emergency room by an average of more than 200 people, and arrange a stay in hospital outpatient observation room charge plus the doctor a total of only three. So, why can not the temporary additional staff hospital?

      In this regard, Gong four explained that the current hospital's human arrangements, no doctor can deploy. Because every hospital doctors are completely overloaded. A total of 177 hospital physicians, the current two daily outpatient hospital district is seven thousand people or so, on average, about every doctor every day to see seventy sick children.

      From April to enter the peak incidence in children, increasing the number of children. Measures taken by the hospital during the day doctor to try to work overtime, eight have medical qualifications temporary administrative staff to support the clinical bed line; deputy director of internal medicine physicians and above suspended from the hospital to go out; internal medicine ward morning rounds left after all the necessary medical , the rest all outpatient visits to the doctor. "This is not a hospital that we can solve the problem, Shanghai City, there are four large children's hospital, Guangzhou Yuexiu District with only our two children's hospitals, the overall number of children's hospitals is insufficient! "Gong four stressed.

      Reporters asked: Most children with the disease do not meet the night emergency patients requirements are crowded to see the doctor, perhaps working parents do not have time during the day, and perhaps too many people despise the day, why not deploy more staff to meet the demand at night? "Deploy more staff at night, during the day and will face shortage because of the children during the day very much!" Gong four responded by saying, "The key is the patient's medical attitudes and habits to change!"

      Since the doctor shortage, why not recruit more doctors do? Office of the Lord Ren Zhongjun outpatient frustration that, on the one hand full of hospital preparation, on the other pediatricians treatment is not ideal, difficult to recruit people, medical personnel lost quite serious. Last year alone, the hospital nurses have officially resigned forty people.

      Chen Yingping, Pingguang Jiang, careful

    (Original title: Emergency slow clinic accidental)



  • #2
    Re: China - Emergency room at Children's Hospital of Guangdong over capacity by 15% due to colds and fever - parents making frequent trips

    This story explaining why the waiting time at the emergency department is so long is published in several media.

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