Trying some out of the box thinking – crazy stuff.

Thinking about how people are continually being rushed to hospitals. And the problems of hospital-acquired diseases.

Why do we have hospitals at all? What can be done in a hospital that can’t be done at home, in an ambulance, pharmacy, medical school or consulting room?

If legislation allows.

This also makes me wonder about the history of hospitals. The first hospitals would have been mobile, wouldn’t they, following troops from battle to battle. Temporary hospitals in disaster zones. Then permanent hospitals at the colloseum and similar places. But when would a set of doctor’s consulting rooms have become a hospital? First as a school, perhaps, a school for teaching doctors?

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

As someone else said to me. Stay away from hospitals, they are full of sick people.

roughbarked said:

As someone else said to me. Stay away from hospitals, they are full of sick people.

of course, they are also full of healthy people helping the sick people.

Arts said:

roughbarked said:

As someone else said to me. Stay away from hospitals, they are full of sick people.

of course, they are also full of healthy people helping the sick people.

Same could be said for daycare.

Divine Angel said:

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

In your examples; battlefield hospitals & disaster areas

That’s where you’ll find PILES OF LIMBS lying about.
Without the proper equipment and facilities they’re
more suited to hacking them off than reattaching them.

Ogmog said:

In your examples; battlefield hospitals & disaster areas

That’s where you’ll find PILES OF LIMBS lying about.
Without the proper equipment and facilities they’re
more suited to hacking them off than reattaching them.

Also, asepsis is very difficult to achieve there.

I think a reduction in patients could be achieved if hospitals talked more with patients about” if this happens again do this this and this “.

Give patients a better idea of where they are in the variable queue (most sick will be looked at first).

Display a list of most urgent symptoms for admission to least0urgent symptoms.

Symptoms could be colour coded red for urgent, orange for moderate, yellow for least urgent.

This would be displayed in emergency rooms and entrances to the emergency room etc.

Tau.Neutrino said:

I think a reduction in patients could be achieved if hospitals talked more with patients about” if this happens again do this this and this “.

Give patients a better idea of where they are in the variable queue (most sick will be looked at first).

Display a list of most urgent symptoms for admission to least0urgent symptoms.

Symptoms could be colour coded red for urgent, orange for moderate, yellow for least urgent.

This would be displayed in emergency rooms and entrances to the emergency room etc.

My hospital has one of those charts, and also a chart that gives an approximate waiting time for non-urgent cases. It looks like those fire warning charts, the semi circle with coloured parts. Eg red = long wait, green = no wait etc.

Divine Angel said:

Tau.Neutrino said:

I think a reduction in patients could be achieved if hospitals talked more with patients about” if this happens again do this this and this “.

Give patients a better idea of where they are in the variable queue (most sick will be looked at first).

Display a list of most urgent symptoms for admission to least0urgent symptoms.

Symptoms could be colour coded red for urgent, orange for moderate, yellow for least urgent.

This would be displayed in emergency rooms and entrances to the emergency room etc.

My hospital has one of those charts, and also a chart that gives an approximate waiting time for non-urgent cases. It looks like those fire warning charts, the semi circle with coloured parts. Eg red = long wait, green = no wait etc.

there is a website for Perth Hospitals you can go to and it tells you all the approximate waiting times for EmD…

Divine Angel said:

Tau.Neutrino said:

I think a reduction in patients could be achieved if hospitals talked more with patients about” if this happens again do this this and this “.

Give patients a better idea of where they are in the variable queue (most sick will be looked at first).

Display a list of most urgent symptoms for admission to least0urgent symptoms.

Symptoms could be colour coded red for urgent, orange for moderate, yellow for least urgent.

This would be displayed in emergency rooms and entrances to the emergency room etc.

My hospital has one of those charts, and also a chart that gives an approximate waiting time for non-urgent cases. It looks like those fire warning charts, the semi circle with coloured parts. Eg red = long wait, green = no wait etc.

Good, I know waiting times can be stressful for people, information helps with the waiting frustration which is normal with urgent admissions being looked at first before non urgent admissions.

Ballarat hospital has a big screen on the wall showing a large waiting times meter. That helps with taking away some uncertainty.

Urgent to least urgent charts also take away some uncertainty.

mollwollfumble said:

This also makes me wonder about the history of hospitals. The first hospitals would have been mobile, wouldn’t they, following troops from battle to battle. Temporary hospitals in disaster zones.

Battlefield medicine has had a few ups and downs and different emphasis in different cultures. European it was largely forgotten, troops would have a designated area, usually a church in the rear where the wounded could be taken and the surgeon would set up. Troops would be evacuated by other troops, not ambulance, and it was a NCOs job to make sure not to many able bodied were assisting.

After the battle the armies would move on leaving the wounded who would hope and pay for the townsfolk to look after them.

Lady nightingale did a huge lot for medical reform, she was the first to use a pie graph and used it to demonstrate to the generals how much combat strength they were losing via illness and badly designed barracks or field quarters. She also revamped nursing, prior to this nurses were either ladies on tour who were paid nothing but did nothing more than mop brows, knit bandages and swoon about majestically, or women who did actual work but with little pay and would rob soldiers and dabble in prostitution.

If they predict non urgent admissions at other hospitals that would help greatly

Tau.Neutrino said:

If they predict non urgent admissions at other hospitals that would help greatly

*

If they could predict non urgent admissions at other hospitals that would help greatly

I also discovered that people can share what information appears on MY Health.

I’m going to ask my doctor about that.

That might help in the long run.

Emergency hospitals and busy wards need self cleaning toilets and self cleaning wash basins.

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

There are also specialised clinics in hospitals.

Like the fracture clinic

Clinics for paraplegics and quadriplegics

Clinics for premature babies

Dozens of others.

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

It often takes a week to get an appointment with my GP (thats saying that I’m willing to see any doctor at the practice)

How about if you’re old and lonely, you go to a bowls club, don’t fucking go to a GP for a chat

Have military field hospitals become smaller or larger over the years.

Tau.Neutrino said:

Have military field hospitals become smaller or larger over the years.

yes

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

I think toilet manufactures for hospitals should really look at self cleaning toilets for emergency wards and busy wards.

That would help greatly.

Field hospitals

There is a lot of diagnostic equipment that is getting smaller and smaller.

There are many apps for smart phones now that use both internal and external diagnostic equipment.

Things are getting smaller that way.

Dropbear said:

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

It often takes a week to get an appointment with my GP (thats saying that I’m willing to see any doctor at the practice)

How about if you’re old and lonely, you go to a bowls club, don’t fucking go to a GP for a chat

Have you ever seen the rules of engagement for ED Triage?

Cat 1. Dying right now. Immediate care.
Cat 2. Likely to be dead within 10 minutes.
Cat 3. Likely to be dead within 30 minutes.
Cat 4. Very severe. Possibly not fatal but unstable. 60 minute max.

Cat 5. Go home.

The current Australia-wide time-to-treatment for Cats 1-4 is below four minutes.

The fact of the existence of doctors within the department doesn’t make this system an alternative to seeing your GP any more than it is appropriate to call an Ambulance for a paper cut.

Michael V said:

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

To be fair, there’s about ten viable alternatives.

Rule 303 said:

Michael V said:

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

To be fair, there’s about ten viable alternatives.

Knocking yourself out over the head is one alternative.

One doesn’t have to worry about the symptom at all then.

Arts said:

Divine Angel said:

Tau.Neutrino said:

I think a reduction in patients could be achieved if hospitals talked more with patients about” if this happens again do this this and this “.

Give patients a better idea of where they are in the variable queue (most sick will be looked at first).

Display a list of most urgent symptoms for admission to least0urgent symptoms.

Symptoms could be colour coded red for urgent, orange for moderate, yellow for least urgent.

This would be displayed in emergency rooms and entrances to the emergency room etc.

My hospital has one of those charts, and also a chart that gives an approximate waiting time for non-urgent cases. It looks like those fire warning charts, the semi circle with coloured parts. Eg red = long wait, green = no wait etc.

there is a website for Perth Hospitals you can go to and it tells you all the approximate waiting times for EmD…

I checked waiting times last time i went. Chart said waiting time 20 minutes. Actual waiting time 3 hours and 5 minutes.

Tau.Neutrino said:

Rule 303 said:

Michael V said:

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

To be fair, there’s about ten viable alternatives.

Knocking yourself out over the head is one alternative.

One doesn’t have to worry about the symptom at all then.

Or just chopping the body part off with a knife?

Tamb said:

Divine Angel said:

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

I was wondering about specialised equipment. Oxygen on tap for one. But ambulance would normally have that, wouldn’t it. As for pulse, blood pessure, eeg and similar monitors, you can get apps or watches for that.

Scanning – MRI, PET etc. requires specialised equipment but is normally done outside hospitals. Surgery – specialised.

Wouldn’t any hospital have cancer treatment and cytotoxic stuff. It should. Gven that cancer is a major cause of death all around Australia and not just in major cities.

mollwollfumble said:

Tamb said:

Divine Angel said:

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

I was wondering about specialised equipment. Oxygen on tap for one. But ambulance would normally have that, wouldn’t it. As for pulse, blood pessure, eeg and similar monitors, you can get apps or watches for that.

Scanning – MRI, PET etc. requires specialised equipment but is normally done outside hospitals. Surgery – specialised.

Wouldn’t any hospital have cancer treatment and cytotoxic stuff. It should. Gven that cancer is a major cause of death all around Australia and not just in major cities.

Some small hospitals have normal intravenous cancer treatment and even some cytotoxic but while intravenous is for a few hours weekly or even monthly my type requires 7 pairs of injections over 9 days. Something most small hospitals don’t do.

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

AwesomeO said:

mollwollfumble said:

This also makes me wonder about the history of hospitals. The first hospitals would have been mobile, wouldn’t they, following troops from battle to battle. Temporary hospitals in disaster zones.

Battlefield medicine has had a few ups and downs and different emphasis in different cultures. European it was largely forgotten, troops would have a designated area, usually a church in the rear where the wounded could be taken and the surgeon would set up. Troops would be evacuated by other troops, not ambulance, and it was a NCOs job to make sure not to many able bodied were assisting.

After the battle the armies would move on leaving the wounded who would hope and pay for the townsfolk to look after them.

Lady nightingale did a huge lot for medical reform, she was the first to use a pie graph and used it to demonstrate to the generals how much combat strength they were losing via illness and badly designed barracks or field quarters. She also revamped nursing, prior to this nurses were either ladies on tour who were paid nothing but did nothing more than mop brows, knit bandages and swoon about majestically, or women who did actual work but with little pay and would rob soldiers and dabble in prostitution.

Interesting take. I had never thought of nurses in those two categories.

It might be the same now. Nurses who plug in and unplug machines, and push trolleys around, while studiously avoiding eye contact with every patient. And those people who do the real work of mopping up blood, vomit and shit.

mollwollfumble said:

Wouldn’t any hospital have cancer treatment and cytotoxic stuff. It should. Gven that cancer is a major cause of death all around Australia and not just in major cities.

$$$$$$$$$$$$$

Then again, specialised cancer treatment doesn’t have to be in hospitals… already private clinics do it. For wealthy patients, of course.

I wonder if doctors and nurses have opinions and suggestions for other professions?

We seem to have plenty of ideas for theirs.

Tau.Neutrino said:

There are also specialised clinics in hospitals.

Like the fracture clinic

Clinics for paraplegics and quadriplegics

Clinics for premature babies

Dozens of others.

I hadn’t heard of those. How does a woman having a premature baby get to a specialised clinic in time?

mollwollfumble said:

AwesomeO said:

mollwollfumble said:

This also makes me wonder about the history of hospitals. The first hospitals would have been mobile, wouldn’t they, following troops from battle to battle. Temporary hospitals in disaster zones.

Battlefield medicine has had a few ups and downs and different emphasis in different cultures. European it was largely forgotten, troops would have a designated area, usually a church in the rear where the wounded could be taken and the surgeon would set up. Troops would be evacuated by other troops, not ambulance, and it was a NCOs job to make sure not to many able bodied were assisting.

After the battle the armies would move on leaving the wounded who would hope and pay for the townsfolk to look after them.

Lady nightingale did a huge lot for medical reform, she was the first to use a pie graph and used it to demonstrate to the generals how much combat strength they were losing via illness and badly designed barracks or field quarters. She also revamped nursing, prior to this nurses were either ladies on tour who were paid nothing but did nothing more than mop brows, knit bandages and swoon about majestically, or women who did actual work but with little pay and would rob soldiers and dabble in prostitution.

Interesting take. I had never thought of nurses in those two categories.

It might be the same now. Nurses who plug in and unplug machines, and push trolleys around, while studiously avoiding eye contact with every patient. And those people who do the real work of mopping up blood, vomit and shit.

I have never come across the former.

Divine Angel said:

mollwollfumble said:

Wouldn’t any hospital have cancer treatment and cytotoxic stuff. It should. Gven that cancer is a major cause of death all around Australia and not just in major cities.

$$$$$$$$$$$$$

Then again, specialised cancer treatment doesn’t have to be in hospitals… already private clinics do it. For wealthy patients, of course.

That’s the problem……….. wealth.

mollwollfumble said:

AwesomeO said:

mollwollfumble said:

This also makes me wonder about the history of hospitals. The first hospitals would have been mobile, wouldn’t they, following troops from battle to battle. Temporary hospitals in disaster zones.

Battlefield medicine has had a few ups and downs and different emphasis in different cultures. European it was largely forgotten, troops would have a designated area, usually a church in the rear where the wounded could be taken and the surgeon would set up. Troops would be evacuated by other troops, not ambulance, and it was a NCOs job to make sure not to many able bodied were assisting.

After the battle the armies would move on leaving the wounded who would hope and pay for the townsfolk to look after them.

Lady nightingale did a huge lot for medical reform, she was the first to use a pie graph and used it to demonstrate to the generals how much combat strength they were losing via illness and badly designed barracks or field quarters. She also revamped nursing, prior to this nurses were either ladies on tour who were paid nothing but did nothing more than mop brows, knit bandages and swoon about majestically, or women who did actual work but with little pay and would rob soldiers and dabble in prostitution.

Interesting take. I had never thought of nurses in those two categories.

It might be the same now. Nurses who plug in and unplug machines, and push trolleys around, while studiously avoiding eye contact with every patient. And those people who do the real work of mopping up blood, vomit and shit.

I’m sure nurses would be grateful for robots to help clean up beds

automated electric wheel chairs for ward transfer of patients

mollwollfumble said:

Tau.Neutrino said:

There are also specialised clinics in hospitals.

Like the fracture clinic

Clinics for paraplegics and quadriplegics

Clinics for premature babies

Dozens of others.

I hadn’t heard of those. How does a woman having a premature baby get to a specialised clinic in time?

The clinic is for after it’s born prematurely Moll.

Tau.Neutrino said:

mollwollfumble said:

AwesomeO said:

Battlefield medicine has had a few ups and downs and different emphasis in different cultures. European it was largely forgotten, troops would have a designated area, usually a church in the rear where the wounded could be taken and the surgeon would set up. Troops would be evacuated by other troops, not ambulance, and it was a NCOs job to make sure not to many able bodied were assisting.

After the battle the armies would move on leaving the wounded who would hope and pay for the townsfolk to look after them.

Lady nightingale did a huge lot for medical reform, she was the first to use a pie graph and used it to demonstrate to the generals how much combat strength they were losing via illness and badly designed barracks or field quarters. She also revamped nursing, prior to this nurses were either ladies on tour who were paid nothing but did nothing more than mop brows, knit bandages and swoon about majestically, or women who did actual work but with little pay and would rob soldiers and dabble in prostitution.

Interesting take. I had never thought of nurses in those two categories.

It might be the same now. Nurses who plug in and unplug machines, and push trolleys around, while studiously avoiding eye contact with every patient. And those people who do the real work of mopping up blood, vomit and shit.

I’m sure nurses would be grateful for robots to help clean up beds

automated electric wheel chairs for ward transfer of patients

They would need to be very versatile. Not only transfer but getting the patient into & out of the chair, making sure all the drips etc are dealt with properly.

Rule 303 said:

Michael V said:

Rule 303 said:

I’m a bit suprpised that we expect an Emergency Departments to make all sorts of elaborate accommodations for non-urgent patients. How about this – If your medical condition is not a medical emergency, don’t fucking go to an emergency department!

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

To be fair, there’s about ten viable alternatives.

Such as?

Tamb said:

Tau.Neutrino said:

mollwollfumble said:

Interesting take. I had never thought of nurses in those two categories.

It might be the same now. Nurses who plug in and unplug machines, and push trolleys around, while studiously avoiding eye contact with every patient. And those people who do the real work of mopping up blood, vomit and shit.

I’m sure nurses would be grateful for robots to help clean up beds

automated electric wheel chairs for ward transfer of patients

They would need to be very versatile. Not only transfer but getting the patient into & out of the chair, making sure all the drips etc are dealt with properly.

Yes some drip rods don’t fit into some bases on wheel chairs or beds so that would be one thing needed to be sorted first.

Then an exoskeleton that can do lifting.

Divine Angel said:

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

yes but I need to see a doctor.

Tau.Neutrino said:

Tamb said:

Tau.Neutrino said:

I’m sure nurses would be grateful for robots to help clean up beds

automated electric wheel chairs for ward transfer of patients

They would need to be very versatile. Not only transfer but getting the patient into & out of the chair, making sure all the drips etc are dealt with properly.

Yes some drip rods don’t fit into some bases on wheel chairs or beds so that would be one thing needed to be sorted first.

Then an exoskeleton that can do lifting.

I’ve seen a kind of exoskeleton in use. It takes two nurses to fit it to the patient.

Divine Angel said:

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

In the cities.

Michael V said:

Divine Angel said:

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

In the cities.

come on V. I know for a fact there’s a couple of vet clinics at Rainbow.

Michael V said:

Rule 303 said:

Michael V said:

To be fair, if you’re sick or slightly injured and cant arrange an appointment with your GP for three weeks, the
Emergency Department might very well be the only place you can go.

To be fair, there’s about ten viable alternatives.

Such as?

Nurse on call, 24-hour clinics, Pharmacists, Locum doctors, Nurse-practicioners, phone apps and websites…

Dropbear said:

Michael V said:

Divine Angel said:

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

In the cities.

come on V. I know for a fact there’s a couple of vet clinics at Rainbow.

?

Michael V said:

Dropbear said:

Michael V said:

In the cities.

come on V. I know for a fact there’s a couple of vet clinics at Rainbow.

?

they have all the good drugs

Rule 303 said:

Michael V said:

Rule 303 said:

To be fair, there’s about ten viable alternatives.

Such as?

Nurse on call, 24-hour clinics, Pharmacists, Locum doctors, Nurse-practicioners, phone apps and websites…

Big city stuff.

Dropbear said:

Michael V said:

Dropbear said:

come on V. I know for a fact there’s a couple of vet clinics at Rainbow.

?

they have all the good drugs

I was questioning the vet clinics. Where?

Tamb said:

Tau.Neutrino said:

Tamb said:

They would need to be very versatile. Not only transfer but getting the patient into & out of the chair, making sure all the drips etc are dealt with properly.

Yes some drip rods don’t fit into some bases on wheel chairs or beds so that would be one thing needed to be sorted first.

Then an exoskeleton that can do lifting.

I’ve seen a kind of exoskeleton in use. It takes two nurses to fit it to the patient.

Exoskeletons are still in development

An exoskeleton that can fit itself to the patient would be ideal.

or a Wheelchair with an exoskeleton built in to it that can lift the patient into the chair.

Michael V said:

Dropbear said:

Michael V said:

?

they have all the good drugs

I was questioning the vet clinics. Where?

“Gympie Veterinary Services are now providing weekly house visits every Tuesday to the Rainbow Beach area”

sold. :)

Tau.Neutrino said:

Tamb said:

Tau.Neutrino said:

Yes some drip rods don’t fit into some bases on wheel chairs or beds so that would be one thing needed to be sorted first.

Then an exoskeleton that can do lifting.

I’ve seen a kind of exoskeleton in use. It takes two nurses to fit it to the patient.

Exoskeletons are still in development

An exoskeleton that can fit itself to the patient would be ideal.

or a Wheelchair with an exoskeleton built in to it that can lift the patient into the chair.

Exoskeletons would help a lot at field hospitals.

Dropbear said:

Divine Angel said:

There’s a ton of after-hours, bulk billed, GP-to-your-door services.

yes but I need to see a doctor.

But sometime your local GP will send you off to the local ED because hospitals have shit that local clinics just don’t have. An example was senior sprog last year. Injured playing weekend sport, went to local GP, she basically apologised and told us to head off to the Children’s Hospital. I took her in ‘knowing’ we were in for a long wait. It actually wasn’t too bad, they have specialised nurses carrying out much of the care.

I wonder if the purpose of hospitals is to provide enough patients to keep the specialists busy.

Michael V said:

Rule 303 said:

Michael V said:

Such as?

Nurse on call, 24-hour clinics, Pharmacists, Locum doctors, Nurse-practicioners, phone apps and websites…

Big city stuff.

Country towns don’t have Pharmacists, Nurse-practicioners, phone apps or websites?

I wish it were true that people consulted the alternatives in big cities, but it seems that people wildly over-estimate the urgency of their conditions everywhere. People are just as likely to attend EDs in the big cities (80% of whom go into Cat 5).

(obviously, I acknowledge that people who live in the middle of nowhere have very limited access to everything, medical services included)

Computer performance and network performance speeds at hospitals need improving too.

Some have horrible lag times.

Tau.Neutrino said:

Tamb said:

Tau.Neutrino said:

Yes some drip rods don’t fit into some bases on wheel chairs or beds so that would be one thing needed to be sorted first.

Then an exoskeleton that can do lifting.

I’ve seen a kind of exoskeleton in use. It takes two nurses to fit it to the patient.

Exoskeletons are still in development

An exoskeleton that can fit itself to the patient would be ideal.

or a Wheelchair with an exoskeleton built in to it that can lift the patient into the chair.

That’s what I saw exoskeleton on wheels. Long way to go to make it autonomous. Much better to use a wardie who can deliver the patient then go on to other tasks.

mollwollfumble said:

I wonder if the purpose of hospitals is to provide enough patients to keep the specialists busy.

People seem to do that task really well.

mollwollfumble said:

I wonder if the purpose of hospitals is to provide enough patients to keep the specialists busy.

Quality of service and quality of life. ?

An Emergency triage service over video phone could prevent a lot of unnecessary hospital emergency visits.

Tamb said:

Divine Angel said:

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

Ah, i see now. Given current legislation it requires four specially qualified staff to administer one dose of cytotoxic agent.

Dropbear said:

Michael V said:

Dropbear said:

they have all the good drugs

I was questioning the vet clinics. Where?

“Gympie Veterinary Services are now providing weekly house visits every Tuesday to the Rainbow Beach area”

sold. :)

:)

Good-oh. I guess I should go to them, then.

:)

mollwollfumble said:

Tamb said:

Divine Angel said:

Hospitals hold a lot more equipment than an ambulance, for a start. Those X-ray machines are pretty big, ya know.

Secondly, anywhere there is sick people, there are harmful bacteria. By removing hospitals, you’re not ending the problems of MRSA. You’re just spreading it around to different places.

I’m sure there’s a thousand more reasons, not just medical and legal, but things like insurance.

And that’s just from a layperson’s perspective.

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

Ah, i see now. Given current legislation it requires four specially qualified staff to administer one dose of cytotoxic agent.

Not quite. Pharmacists to make up the dose then one specially trained nurse to administer.
If you are interested the medication is Azacitadine.

Tamb said:

Ogmog said:

In your examples; battlefield hospitals & disaster areas

That’s where you’ll find PILES OF LIMBS lying about.
Without the proper equipment and facilities they’re
more suited to hacking them off than reattaching them.

Also, asepsis is very difficult to achieve there.

Seriously
It’s a great place to go from sick to dead of infection.

Ogmog said:

Tamb said:

Ogmog said:

In your examples; battlefield hospitals & disaster areas

That’s where you’ll find PILES OF LIMBS lying about.
Without the proper equipment and facilities they’re
more suited to hacking them off than reattaching them.

Also, asepsis is very difficult to achieve there.

Seriously
It’s a great place to go from sick to dead of infection.

I was put into isolation several times when my immune system collapsed. Kept the bad hospital bugs away.

Tamb said:

mollwollfumble said:

Tamb said:

My treatment is cytotoxic and can’t even be given at Atherton hospital, only in Cairns. Hospitals have many kinds of specialised equipment.

Ah, i see now. Given current legislation it requires four specially qualified staff to administer one dose of cytotoxic agent.

Not quite. Pharmacists to make up the dose then one specially trained nurse to administer.
If you are interested the medication is Azacitadine.

Ta.

For four people i was quoting “royal children’s hospital melbourne”. Not sure whether this is four or five, gave them the benefit of the doubt.

In general

• only Division 1 Registered Nurses that have completed the RCH Cytotoxic agent Administration Course may administer chemotherapy
• 2 Registered Nurses must check all cytotoxic agents (at least 1 Registered Nurse must be accredited to administer cytotoxic agents)
• a consultant/fellow must countersign the cytotoxic agent medication order
• A pharmacist must sign that the order has been processed by oncology pharmacy

>>>Thinking about how people are continually being rushed to hospitals. And the problems of hospital-acquired diseases.

Why do we have hospitals at all? What can be done in a hospital that can’t be done at home, in an ambulance, pharmacy, medical school or consulting room?

Some hospital visits could be avoided with information sheets

If every home was sent an information sheet dealing with most urgent to least urgent admissions, and helped along by more phone triage services

I think that would help.

Standards across hospitals would help, example drip poles not fitting into bases.

Self cleaning toilets and basins.

More cleaning drones for floors would help keep baceria down

Hepa 5 plus air filtration across the ward areas

A streamlined waiting system with prediction.

More online patient information.

Beds with inbuilt exoskeletons that can the patient can use to get in and out of the bed.

Sometimes a detailed system and design analysis can remove further inefficiencies such as duplication and waiting.

Tau.Neutrino said:

>>>Thinking about how people are continually being rushed to hospitals. And the problems of hospital-acquired diseases.

Why do we have hospitals at all? What can be done in a hospital that can’t be done at home, in an ambulance, pharmacy, medical school or consulting room?

Some hospital visits could be avoided with information sheets

If every home was sent an information sheet dealing with most urgent to least urgent admissions, and helped along by more phone triage services

I think that would help.

Standards across hospitals would help, example drip poles not fitting into bases.

Self cleaning toilets and basins.

More cleaning drones for floors would help keep baceria down

Hepa 5 plus air filtration across the ward areas

A streamlined waiting system with prediction.

More online patient information.

Beds with inbuilt exoskeletons that can the patient can use to get in and out of the bed.

Sometimes a detailed system and design analysis can remove further inefficiencies such as duplication and waiting.

>A streamlined waiting system with prediction
Many hospitals now have a triage nurse as first point of contact. This reduces waiting times.

Bump for PWM

Tamb said:

Tau.Neutrino said:

>>>Thinking about how people are continually being rushed to hospitals. And the problems of hospital-acquired diseases.

Why do we have hospitals at all? What can be done in a hospital that can’t be done at home, in an ambulance, pharmacy, medical school or consulting room?

Some hospital visits could be avoided with information sheets

If every home was sent an information sheet dealing with most urgent to least urgent admissions, and helped along by more phone triage services

I think that would help.

Standards across hospitals would help, example drip poles not fitting into bases.

Self cleaning toilets and basins.

More cleaning drones for floors would help keep baceria down

Hepa 5 plus air filtration across the ward areas

A streamlined waiting system with prediction.

More online patient information.

Beds with inbuilt exoskeletons that can the patient can use to get in and out of the bed.

Sometimes a detailed system and design analysis can remove further inefficiencies such as duplication and waiting.

>A streamlined waiting system with prediction
Many hospitals now have a triage nurse as first point of contact. This reduces waiting times.

Yes, I think its now more about managing and streamlining patients in emergency.

That can be one of the busiest areas in a hospital, patient levels can fluctuate with the flue and other spreadable baddies.

Tau.Neutrino said:

Tamb said:

Tau.Neutrino said:

>>>Thinking about how people are continually being rushed to hospitals. And the problems of hospital-acquired diseases.

Why do we have hospitals at all? What can be done in a hospital that can’t be done at home, in an ambulance, pharmacy, medical school or consulting room?

Some hospital visits could be avoided with information sheets

If every home was sent an information sheet dealing with most urgent to least urgent admissions, and helped along by more phone triage services

I think that would help.

Standards across hospitals would help, example drip poles not fitting into bases.

Self cleaning toilets and basins.

More cleaning drones for floors would help keep baceria down

Hepa 5 plus air filtration across the ward areas

A streamlined waiting system with prediction.

More online patient information.

Beds with inbuilt exoskeletons that can the patient can use to get in and out of the bed.

Sometimes a detailed system and design analysis can remove further inefficiencies such as duplication and waiting.

>A streamlined waiting system with prediction
Many hospitals now have a triage nurse as first point of contact. This reduces waiting times.

Yes, I think its now more about managing and streamlining patients in emergency.

That can be one of the busiest areas in a hospital, patient levels can fluctuate with the flue and other spreadable baddies.
That’s where the triage nurse. She sends A&E patients to a specialist department or into cas to where she has arranged the appropriate specialist.

economies of scale

and what about the Sydney ethanol curfew then eh, what about that