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CARE CO-ORDINATION IN A&E

This narrative explores the process of care coordination in the Accident & Emergency (A&E) department from a patient's perspective. Through my personal experience of being triaged as a "3," I recount the lengthy waiting periods and the various staff interactions that shaped my care. This story highlights the critical roles of emergency care coordinators, nurses, and medical staff, while emphasizing the importance of teamwork and communication in delivering effective patient care in emergency situations.

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CARE CO-ORDINATION IN A&E

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  1. CARE CO-ORDINATION IN A&E …what do we really do???

  2. LET’S GO BACK • but only 6 years!! STAY IN BED. DO NOT EVEN THINK OF GETTING OUT. DO NOT EAT OR DRINK DO NOT CAUSE A FUSS.

  3. AND • wait …… • ……….. • …………

  4. Triage categories • 1 – time is the essence

  5. 2 – time still critical

  6. 3 – stable; reviewed half hourly

  7. 4 – less acute; reviewed hourly

  8. 5 – maybe you should go to your GP; waiting time not relevant

  9. “I waited “I waited 18 hours on a trolley” …. • I was triaged as a “3” at 2pm • Waited 2 hours in the waiting area, monitored & looked after by nurses • Waited another hour in the cubicle to see the doctor • Had lots of tests, waited to see the specialist’s registrar, had medication prescribed, etc, & this all took another 12 hours • It was 6am, so I waited till breakfast, then was picked up by my family at 8am

  10. Emergency Care Co-ordinators • Have time to delve • Find cases from the most unlikely of sources…..

  11. Ambos

  12. Clerical/support staff

  13. Medical staff

  14. Nursing staff

  15. Friends, neighbours, anyone!!

  16. SO … formal + informal + teamwork = care co-ordination in ED

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