to expect to be able to find a doctor to see a child, in the uk, closer than 15 miles and less than a 4 hour wait?

[SheelaNeGig]

Shes actually not ill as such but does have spreading infected skin rash. (but imagine if she was ill?)

And 15 miles and 4 hours wait away isn't a Doctor but a triage nurse. I think it needs more than a nurse prescriber considering the fucidin isn't working and she can't take anything orally. But not ill enough to endure a 4 hour wait.

The NHS is in trouble isn't it.

No bitch. You keeo on saying this is about me and my situation.

12 hors ago I said this wasn't about me.

I find it extraordinary that anyone thinks it is acceptable to wait 4 hours for a child to be seen. And more than a bit sad that it is acceptable. I don't think it is.

Monthly - late shift finishes at 21.45.
Early starts at 07.00.

Hi Sheela, I DO understand what you are saying...

However (eek) if your child is THAT ill they WON'T have to wait 4 hours.

If your child is ACUTELY ill they will be classified as a priority and been seen swiftly.

So please don't worry about that. x

Yes. Monthly. They do. Under 5s are fast tracked. Everyone else waits.

Where I used to live (commuter London), nearest A&E was 25 miles away which was 3 buses and the wait was always longer that 4 hours.

So what's your workable solution then? You keep complaining but other than having everyone working 24/7 your not making any suggestions.

If someone is well enough to be at Out of hours then they can wait 4 hours to be seen. Not ideal but not going to do any harm to anyone.

In an a and e situation the vast majority of the time urgent cases are seen immediatly. Others are seen in order of clinical need. I have never waited more than 10 minutes for DS to be seen in a and e because he is always in high need when he arrives. Other I know have had to wait a couple of hours but most people understand that's what happens when your not an urgent case

I have been there. 4 hours wait while ill is not acceptable. Adult or child. And if you think that is ok then you have a higher pain threshold and more patience than I have.

I haven't a solution but that does not stop me thinking there needs to be one.

No, Sheela. I don't keep saying its about you and your situation. You say things, I respond based on the things you say. It's called debating.

If they are your genuine hours you should speak to your ward manager.

How ill is ill, though?

If it will keep until Monday, then 4 hours is neither here nor there - it will keep until Monday, so 4 hours isn't a problem, because you just wait until Monday, when the wait will be shorter.

If a child really is ILL, then the wait will be less than 4 hours because your case will be urgent and you won't have to wait.

A wait for a non-urgent case, at a weekend, is reasonable - because that non-urgent case should wait until Monday when there won't be such a long wait. A 4 hour wait for something urgent / life-threatening would obviously be unacceptable - but is vanishingly unlikely to happen as such patients are prioritised.

Staffing etc for non-urgent cases to be seen immediately over the weekend would be poor use of resources....

In an ideal world of course 4 hours wait wouldn't happen. However it does and in general no-one is harmed from waiting thanks to the triage system filtering the urgent cases.

procrastinor Sat 06-Oct-12 11:20:38
If the child is sick they will be seen sooner. All triage nurses stick their heads out of the door and eyeball the patients waiting - anyone sick gets triaged earlier. The receptionists are clued up too - they will haul ass if they see a sick child. The reason why they tell people that there is a four hour wait is 1) to let patients know so that they don't expect to be seen the minute they walk in (and if they get seen at say three hours they're happy campers because it's before 4 hrs); and 2) to discourage the inappropriate use of ooh services. So people who could wait to see their regular GPs are put off by the wait and wont go

Seems straightforward to me.

Wjat the actual bloody hell 'if those hours are genuine'???? What? Just what?

Sorry. Am now laughing too much to carry on. And phone really not likimg long winded discussion.

I still think it is unacceptable.

Rather than working over your hours for free which you said you do, 7 extra hours you worked this week you mentioned...

Np. I worked extra because of the impossibility of habing any sort.of break. Too much to do amd not enpugh staff.

'speak to your ward manager' hahahahahahahahahaha. You are funny!

I work the same hours as you sheela, not sure where you are coming from though?
I'm a bit confused.com. lol.

And because I actually a nice human(contrary to popular opinion) I can't just walk out and leave stuff umdone.

Hence the approx 7 hours extra this week.

European WTD states people must have something like 11 hors between shifts. But adds in a disclaimer about HCPs.

Bitchdoctor thinks this can be sorted by speaking to my manager. Whicj i thought was funny.

I'm glad you find me amusing Sheela :) you've not mentioned what you do so perhaps you have a different form of management. Either way, if you are not having an 11 hour break between shifts then it is illegal and you should speak to someone about it be it management or union.

No one has said you are not a nice person either, you've been the confrontational one on here because fundamentally people think YABVVVU.

I too work over my hours. Most of my colleagues do too. Its part of working in healthcare/medicine.

But do you think it is acceptable for anyone who is ill to wait 4 hours?

And is it ok to expect you to work extra hours (unpaid) because you work in healthcare?