I was back in work on Saturday for another shift and some time on-call.

It was lovely actually, which always surprises me. Good bunch of new docs and it wasn’t as crazy as it often was. I came away having made a lot less of the compromises that I normally have to make that make me hate the job.

Our esteemed leadership had put this up in the tea room:

Many of you will be aware from this blog and general knowledge that we have a target of 4 hours from when the patient arrives at the ED until they are disposed of (an appropriate term for a target that dehumanises patients that much) at either admission to a ward or discharge.

We have lots of patients who breach on a marginal basis eg they get admitted at 4hrs 2mins or something like that.

So in their wisdom and cunning the powers that be have decided that telling us the target has changed to 3 hrs 30 mins will help cut out these marginal breaches.

The target of course has not changed (for now). Surely they must know that we know that. Though perhaps the fact this poster exists at all is a testament to how stupid they must think we are.

Incidentally i think it’s a great thing that patients should wait less than 4 hours in the ED but not because of a target, simply because it’s the right thing to do. I bust my ass in work to see patients in less than 4 hours, not because of a target but because it is the right thing to do.

And yes I am a better person than you.


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August 2010
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