Things you wonder about.

I said house not aras 🙂

There have been quite a few studies published about this issue.

It's the psychological step from saving to spending that many older people find difficult.

Why People Who Spend Their Whole Life Saving Money Have Difficulty Spending Money When They Get Old | by The Money Matters | Medium https://share.google/e5AKpbmpy62LAPV4D

They only run in an emergency . And believe me that's when the adrenaline is pumping !

We were always told in order to function in an organized manner, to keep calm no running except it was strictly necessary . Even dealing with real life or death emergencies you need to keep your head and be organized !

All care in A&E is not emergency but it is urgent however that doesn't mean people should be running around . Not only would that be to the detriment of the staff working there but imagine how chaotic and upsetting for patients waiting .

Would you expect every worker to run or hurry around for their entire working day ? Everyone would be in A&E themselves with cardiac stress , high BP and burst gastric ulcers 😊

There is a lot more going on every time somebody takes your pulse or blood pressure in hospital. A trained nurse is looking for any signs of deterioration or any other changes and assessing your condition visually as well. Not just recording your Pulse and Blood Pressure .I have found it's when people rush this or are interrupted with busy-ness ( phone calls, questions from other staff etc ) that important things are missed .

Also the documentation is a tool developed to helped quantify how severely affected a person is and whether they need medical intervention sooner so needs to be done properly .

Assessment of condition does not stop after the Triage desk .

I have been waiting in A&E with a relative and a food trolley with tea coffee and sandwiches came around for everyone we were waiting soo long !

You have to appreciate that sicker patients will get priority and will take up nursing and medical time in A&E . Otherwise attend a minor injury clinic .

It's when staff are so rushed off their feet that the simple regular observations are missed that problems arise .

I would much prefer to attend a calm slower relaxed setting as a patient than one described above .

I would feel safer .

With all due respect even I as a nurse can tell you some stories that would make your hair stand on end , from the stupid people I have worked with to the patients that came in by ambulance , drunk or stoned, take up a valuable trolley bed and then exit stage left to get high out the front door, and end up in respiratory arrest ..a true emergency !

What I am saying is aside from all that, the pace that somebody deals with a patient or walks from one area to another is not anything to do with the calibre of care .

When I started my nursing career by the way meals were not served as a rule in A&E precisely for the reasons you outline ...spillages no tables or trolleys as in normal wards Also patients not kept fasting or deteriorating and delays as a result to urgent treatment etc

Never mind that patients were never intended to be in A&E longer than 4 to 6 hours !! Nursing staff doing regular medicine rounds in A&E was an anomaly back then ..Seems laughable now but A&E has become a holding pen over the years for patients , while bed managers move people around trying to create space and HSE bosses try to deny how many patients are being cared for in hospital really while they attempt to cut down nursing hours at the other end .

The only A&Es that work are the large ones where there are areas where those waiting on beds in wards are transferred to overflow wards or / urgent care wards away from the unsuitable A&E area and where staffing and facilities are more like regular wards. Why they don't just staff them permanently is a mystery to me but it's "oh , we don't need a permanent fixture so it saves money ? " It doesn't. It just results in bottlenecks poor patient care and stressed staff making mistakes until those overflow beds / wards are reopened .

(For this, see Limerick ,)

A&E is a disaster in Ireland precisely because nurses and medics are being asked not to do urgent care only but are caring for some patients for days without the adequate facilities .

I am not excusing bad care or any of the incidents you outline but it will never improve unless a head of HSE whose job and pension is reliant on them fixing the problem in a certain timeframe .

Overcrowding in A&E, lack of appropriate trained staff and Jack of beds in the hospital system are three areas that need urgent care , forgive the pun .

Anyhow this is gone completely off topic for this thread at this stage .

What I wonder about is ..

Will we ever see a day when it does get fixed , ever ?

similar here, and this is in letterkenny a&E, had an accident with a hedge trimmer. was in and out xrayed and patched up in 2.5 hours sent on my way with extra dressings, pain killer and antibiotics.

i think if you dont need to be admitted they try and get you through as the place was packed with people on chairs who were waiting for admission ( had the same issue when i was waiting for admission)