ER Tour questions and expectations
I want to see the occupation of healthcare practitionners. Are ER effervescent? I mean are the practitionners always running and have they any minute to breathe?
I would like to see the organisation in terms of planning, management and equipment. What people uses to work? How do they work and when do they work? Which problems are they facing?
What are the different kinds of profession which are working together? How do they manage (or not) to work together? What are their tools (planning, communications, paperwork for patients) to do so?
What are the different flows (patients, drugs, equipments)? What are their sized? Who manages them? What are the processes which are used?
After the ER Tour I will only give my feelings about the ER as I saw it and the differences between what I thought about it and what I saw.
The main feeling is the calm. I was expected a more living, a noisier place with many people running everywhere. But I felt a rather calm atmosphere. It seemed to work like a well-oiled machine. I think this is due to the fact that ER's activity depends strongly on hours. But it was a reassuring atmosphere too. If I would go to the ER, I would prefer to see people who seem confident in what they do and who don't look overbooked.
Another fact that surprised me is that some patients where waiting in their beds on the hallways while several rooms where empty. I'm sure that there are reasons for this (it is unworthy to put a patient in a room for only few minutes or maybe the rooms aren't equipped approprietly,...) but it shows that there is a problem of conception or design. The rooms are maybe not enough multipurpose or another place should have been dedicated to people who are in transition (kind of waiting rooms for gurneys).
The Clinical Decision Unit is a solution which considers at the same time the quality of care and the costs. So I think that it is a good solution for the health care system, the aim of which is to improve access, quality and to reduce costs.
I noticed the equipment which is very recent and sophisticated (in the positive sens of the word) which allows to monitor the patients as well as treat them.