Investigating the impact of influenza on excess mortality in all ages in Italy during recent seasons

[nayr69sg]

KNN even before covid19 my uncle discovered in sg (public hospital - subsidized peasant) triage was already happening and interestingly it is not due to insufficient resources but due to laziness of staff members KNN eg when loctor or admission cust svc tells you not enough beds or have to either wait very long or discharge is an option etc the actual thing that was happening in the background can be shocking KNN I.e the ward nurses or bed mgt coordinator or maybe the approval etc was either too busy or lazy to process the logistics but actually there were many empty beds when my uncle did the verification walkabout spot checks KNN

There is a turnaround period. Depending on time you are at the hospital.

In Singpapore discharges usually happen at noon. The patient physically leaves around mid afternoon. Bed is cleared and ready for a patient early evening.

The BMU people work very hard and it is a thankless job. Often departments are asked to clear beds because the hospital is full. So we will try to discharge more patients.

Hospital admin prefers a hospital working close to capacity as it is good for reporting. Lean and mean.

Maybe your uncle was at the hospital in evening near visitor hours?

Also some departments and wards have more empty beds than others. Sometimes we get overflow patients. Eg surgical patient admitted to renal medicine ward.

BMU is tough. Really thankless. Can never make everyone happy.

 

[sweetiepie]

KNN even before covid19 my uncle discovered in sg (public hospital - subsidized peasant) triage was already happening and interestingly it is not due to insufficient resources but due to laziness of staff members KNN eg when loctor or admission cust svc tells you not enough beds or have to either wait very long or discharge is an option etc the actual thing that was happening in the background can be shocking KNN I.e the ward nurses or bed mgt coordinator or maybe the approval etc was either too busy or lazy to process the logistics but actually there were many empty beds when my uncle did the verification walkabout spot checks KNN

Think about at the ward nurse perspectives first KNN for every discharge patients they have many items to follow through getting docs discharged summary fixing patients tcu coordinating with pharmacists etc and the cleaner needs to disinfect the beds etc and for the nurse side fast processing would also mean another round of headaches of admitting new patients and the answer can be found KNN

 

[nayr69sg]

Think about at the ward nurse perspectives first KNN for every discharge patients they have many items to follow through getting docs discharged summary fixing patients tcu coordinating with pharmacists etc and the cleaner needs to disinfect the beds etc and for the nurse side fast processing would also mean another round of headaches of admitting new patients and the answer can be found KNN

Right on.

Same for the houseman.

Quick quick discharge.

Then before you know it oh new cases in beds 8 22 34 and 40

But A&E happy to send up. But then got new people coming in all the time. So also same thing.

It has been a while since I worked at ED. But really damn crazy one. You drive to work in evening roads quite peaceful then go into the ED wah full of people buzzing. Hectic.

Then finish shift in early morning drive home roads so quiet.

You wonder wah lau what a difference! Real world and hospital world!

 

[sweetiepie]

There is a turnaround period. Depending on time you are at the hospital.

In Singpapore discharges usually happen at noon. The patient physically leaves around mid afternoon. Bed is cleared and ready for a patient early evening.

The BMU people work very hard and it is a thankless job. Often departments are asked to clear beds because the hospital is full. So we will try to discharge more patients.

Hospital admin prefers a hospital working close to capacity as it is good for reporting. Lean and mean.

Maybe your uncle was at the hospital in evening near visitor hours?

Also some departments and wards have more empty beds than others. Sometimes we get overflow patients. Eg surgical patient admitted to renal medicine ward.

BMU is tough. Really thankless. Can never make everyone happy.

Basically when ER side tells you have to wait very nong due to insufficient beds most sinkie would think it is really full house but actually is not the case lo KNN but what to do peasants mah KNN

 

[nayr69sg]

Basically when ER side tells you have to wait very nong due to insufficient beds most sinkie would think it is really full house but actually is not the case lo KNN but what to do peasants mah KNN

I am not totally sure but I think when they say is full it is really full.

I know we used to send patients from NUH to AH when NUH got full. And TTSH notorious for often declaring full. Then send to SGH TPH KTPH. TTSH is the most crazy ED.

You have to remembe that there are elective surgeries planned too. So they need to keep those beds ready for patients who will be coming in morning for their surgery. This can be quite a lot of beds set aside too.

As I said BMU really headache. I feel for them.

 

[syed putra]

So I can go boogy woogy. Maybe go to hotel bar since pubs are forced to shut?

 

[3_M]

Alot is just media overblown because it happens in China. Now they are reaping their own bad karma of gloating at others misfortune.

 

[sweetiepie]

I am not totally sure but I think when they say is full it is really full.

I know we used to send patients from NUH to AH when NUH got full. And TTSH notorious for often declaring full. Then send to SGH TPH KTPH. TTSH is the most crazy ED.

You have to remembe that there are elective surgeries planned too. So they need to keep those beds ready for patients who will be coming in morning for their surgery. This can be quite a lot of beds set aside too.

As I said BMU really headache. I feel for them.

From my uncle experience when is really full they will admit patients opted for peasant class to the pte class wards KNN

 

[nayr69sg]

From my uncle experience when is really full they will admit patients opted for peasant class to the pte class wards KNN

Yes that happens too. Overflow to A class.

As the houseman our job was fo make those lists for the team. Where the patients are. Most would be in our usual ward but often got overflow. So got to walk to other levels and see one or two here one or two there.

Then later after discharges they move them back to the main ward for the department.

Which is why I think if declare full is really full.

Although I did remember hearing that SGH cannot declare full one. Not allowed.

 

[sweetiepie]

Yes that happens too. Overflow to A class.

As the houseman our job was fo make those lists for the team. Where the patients are. Most would be in our usual ward but often got overflow. So got to walk to other levels and see one or two here one or two there.

Then later after discharges they move them back to the main ward for the department.

Which is why I think if declare full is really full.

Although I did remember hearing that SGH cannot declare full one. Not allowed.

KNN this one another kind of problem will surface KNN some lazy primary team consultant would send loh koon gia aka houseman to represent them for the round walking when the class A ward is in a faraway different building KNN especially for subacute to chronic repeated case patients KNN

 

[nayr69sg]

KNN this one another kind of problem will surface KNN some lazy primary team consultant would send loh koon gia aka houseman to represent them for the round walking when the class A ward is in a faraway different building KNN especially for subacute to chronic repeated case patients KNN

Yes that happens sometimes. Usually registrar will be in charge lah.

I did work at the old TTSH. First posting as HO was in Resp Med.

There were these wards we called them Siberia wards. Damn far away from the main building! Must walk damn far. Have to jog there!

When on call when they start admitting to beds in Siberia damn super sian!

The old TTSH the lift cannot make it also so we end up running up and down the stairs. My first day at work I was on call. Wah lau run non stop feet had blisters and my underwear also give me groin sores.

So I switched to Nike running shoes (black) and boxer shorts.