A hospital is a network of many different departments that need proper communication and cooperation. When the system breaks down, there are many problems for both staff and patients. The quality of service begins to suffer, and the environment becomes stressful and unhealthy for healing. The provision of healthcare has always been an important and controversial issue. There are times in life when anyone might require some form of medical attention and it is everyone’s right to receive the proper treatment.
Problem areas:
- The waiting room is not equipped to suit the patients. The emergency room is the face of the hospital, as this is the first area that people come into and where they wait to be seen by the nurse. It is rather small and does not adequately seat all patients. As a result, people have to wait in the hallway and around the entrance into the sanitary emergency ward. Also, the traffic in the hallways becomes congested and the ambulance personnel, as well as porters who are transferring patients have problems maneuvering around people; fire safety procedures suffer as a result.
- The waiting room is not separated into adult and child sections and so, children are suscepted to potentially dangerous infections.
- The communication between the psychiatric ward and the waiting room are completely disorganized. A patient who comes into the hospital for a psychiatric assessment is forced to wait more than two hours in a room 2 meters by 2 meters with uncomfortable seating and an absence of a bed. This leads to constant problems with their stress levels, which causes the emergency room personnel and doctors to control these patients and assign unneeded medication. The communication between the 5th floor (psychiatric ward) and transfer of patients is inefficient.
- The nurses in the ICU-intensive care unit are disorganized with the time a medication or other procedures must be administered to the patients.
Improvements:
The waiting room: must extended for the greater amount of people and separated into a child section, adult section and one for those who might transfer an infectious disease to others.
Communication: healthcare revolves around individuals and just attendance to their needs. An administrator who is in charge of changing or creating medical policies or the nurses and doctors themselves, are obligated to provide proper care to anyone in need, including psychiatric patients. The long wait times must be cut in half, as people are susceptible to further and unnecessary stress. It is morally necessary to make sure that the person gets the treatment and medication they require.
Programs for nurses: as education for doctors and nurses is particularly serious, there should be in-hospital classes provided. People become morally used to the patients and their suffering, thus the medical staff needs a refreshment of their understanding and knowledge.
Organization: certain criteria and parameters must be outlined for nurses for better history of medical problems and physical assessment. The patient is another person who must be shown how to do the monitoring themselves, with clear guidelines and goals in the reach for stability. The use of multidisciplinary team is very helpful, as it increases the scope of diagnostics and treatment but also approach towards patients. The focus is on older adults and children, in order to establish the reasons for their delay in seeking medical attention or advice on how to deal with the issue.