Who is to blame for the emergency department becoming a night clinic? A netizen from Lilac Garden shared his views on this topic in the community:
It is not uncommon to see reports of emergency departments turning into night clinics. Roughly speaking, patients who are not very urgent often wait until late at night to come to the hospital because they need to work and socialize during the day. Among these patients, some of them have mild symptoms: cold, runny nose, and long-term leg pain and low back pain, and they all come to the emergency department, thinking that the emergency department is fast. I think that the patient's cause is one of the reasons for this phenomenon, and the doctor's reason is also a very important part.
For patients who treat the emergency department as a convenient outpatient clinic, first of all, the registration office does not give discrimination, and then the triage nurse of the emergency department, none of them can adhere to the principle, but those who come do not refuse. (At the grassroots level, the famous top three in big cities are still a little better)
When I go to the emergency doctor, it's the same, most of them think: I've come here, just show him. There are individual doctors who stick to the principle and may also be rejected by the patient's complaint. For a long time, the emergency department became a night clinic. What do you think?
For such a view, many peers do not "buy it".
"I refuse to be alone for a long time, and the treatment is long over. ”
"Usually in this case, our triage nurse will tell the patient that it is not an emergency, and the doctor has the right to refuse the treatment, and there will be a registration slip. If the complaint is reported to the National Health Commission, it is also a non-emergency patient, and the emergency doctor has the right to refuse treatment. There is a half-day clinic on Saturday morning, and that time is for those who go to work and school from Monday to Friday. Some station friends believe that doctors should not be responsible for this phenomenon, and some station friends bluntly say that the hospital's lack of rules and implementation has led to the current situation.
The emergency department, where every second counts, has become the most disorderly hospital department, whose responsibility is it? In reality, many people, obviously not suddenly ill or seriously ill, have to come to the hospital at night, and they are still very confident.
The function of the mainland emergency department is not only to deal with critical and serious diseases, but also its "convenience and speed", which is deeply loved by the Chinese people. For example, office workers can't ask for leave during the day and have no time to see a doctor, no matter what the disease, they can only see a doctor at night, such as just prescribing medicine, or even issuing sick leave at night, etc.
The resources you occupy may be someone else's life. 、
The emergency department is a place to rescue critically ill patients, and undertakes the task of providing emergency medical assistance 24 hours a day, 365 days a year.
Since 2012, the number of emergency departments in large tertiary hospitals has increased year by year. According to the statistics of the Beijing Municipal Hospital Authority, the data shows that:
One of the reasons for the increase is that the large number of non-emergency patients occupies emergency resources, resulting in an increase in the number of emergency patients and a crowded environment.
The emergency department is like an emergency lane on the highway, occupied by private cars that are robbing time, and when there is a real emergency, this road of life may have been blocked.
It also has a standardized diagnosis and treatment order in the emergency department, which is related to the life interests of each of us. In the same way, abiding by the emergency order is to leave a life channel for others and for yourself.
The emergency department is really not a night outpatient clinic! It is a place for the diagnosis and treatment of critically ill patients, facing the crowd waiting for treatment in the emergency department, but how many people really meet the standard of "emergency"?
△ Are you familiar with this dialogue in the TV series "Emergency Doctor"?
Wasting first aid resources, you and I could be victims
I believe that we all have the experience of "rejection" in the emergency department, which seems to be impersonal, but this is not the indifference of the emergency medical staff, but the performance of responsibility to the patient. If the emergency department of the hospital does not set a threshold for patients and does not refuse to come, it seems to be a kind of respect for patients on the surface, but in fact there are many hidden dangers. After all, the capacity of the emergency department is limited, the scope of treatment is too wide, and the continuous influx of patients will eventually lead to a moment of saturation.
At that time, the medical staff will be overwhelmed, the treatment environment will be messy, the emergency service and treatment intensity will decline, and the unsafe factors will increase, on the one hand, causing the dissatisfaction of the patients who come to the clinic, causing doctor-patient disputes, on the other hand, the emergency resources are abused, resulting in the original shortage of emergency resources is more strained, so that in the face of a really dangerous patient, doctors often can't take more energy to deal with it. Non-emergency patients are in the emergency department, occupying emergency resources, and everyone can be a victim.
Seeing a doctor in the emergency department is nothing more than the word "urgent", the condition is critical, the doctors and nurses are urgent, and the family members are also urgent. These patients and their families, who are the first to wait for one more second, are like being tortured. But at this time, the rescue hall was crowded with patients with stomach pain, back pain, slight abrasions and even just came to buy medicine, doctors and nurses were surrounded by patients with colds and mild vomiting and diarrhea, and they couldn't pull away, they wanted to be "anxious", but they couldn't get up helplessly. Equipment, space, manpower and other resources are all occupied by non-emergency patients, so where do emergency patients go?
The medical staff in the emergency department have a stunt but nowhere to perform, which is very frustrating and chilling. The emergency doctor is an emergency principle, which is different from the treatment principle of the specialist outpatient doctor, and there is no first-come, first-served basis.
Who needs to see an emergency department?
Some patients who are urgent, seriously ill and dangerous, and urgently need hospital diagnosis and treatment. The following categories are typically included:
1. Acute febrile illness
2. Patients with severe wheezing, dyspnea, and coma
3. Pain caused by various acute bleeding and various acute inflammation
4. Those with severe hypertension or severe fluctuations in blood pressure; Patients with hypertensive encephalopathy and cerebrovascular accident
5. Patients with acute urinary tract diseases, urinary insecurity, hematuria, and acute renal failure
6. Patients with acute syndrome
7. Patients with seizures and shock
8. Acute trauma, burns, poisoning, accidents
9. Other critical conditions
When registering for the emergency department, the patient should first go to the emergency room pre-examination table for the nurse to pre-test, and only after obtaining consent can he go to the emergency department according to the requirements of the nurse triage at the pre-examination table.
Who should not go to the emergency department?
Various hospitals do not give immediate diagnosis and treatment, and patients who are not at risk or even aggravate their condition do not appear. The following categories are typically included:
1. All kinds of chronic diseases are not acute
2. Rash without symptoms other than the skin
3. Mild to moderate vomiting and diarrhea without dehydration
4. Common cold
5. Minor trauma
6. It is troublesome to register for outpatient clinics; I don't see a doctor during work hours, so I have to wait until the evening to come
7. Other non-critical conditions
To return emergency resources to emergency patients, for others, and for ourselves, we need all parties to work together on the road of first aid.
Source: Emergency medicine information is comprehensively compiled from Lilac Garden Community, etc