Two Kerry TDs have said they have been told that staff in University Hospital Kerry have been instructed to move emergency department patients to wards – even if there is no space for them there – if and when the number waiting to be seen in accident and emergency unit reaches 20 or more people above the agreed maximum
Kerry TD Michael Healy-Rae said nurses and their union representatives are very fearful of the move and believe that it is not in the best interests of the patients as it could actually put them at risk.
“The whole situation in A&E needs to be looked at, of course, but considering it is going against the wishes of the nurses, is it a decision that has not been thought through with the best interests of the patients in mind?” he asked.
Deputy Healy-Rae has written to HSE chief executive, Bernard Gloster, asking him to clarify his position on the issue.
His letter expresses concern that if a person is waiting on a trolley, with no access to necessary lifesaving machines, it will lead to an unsafe situation.
“I am asking you to clarify your position on this. Are you 100% confident that this is in the best interest of the patients? If the nurses on the ground are fearful, why are you not?” the Kerry TD asks Mr Gloster.
The matter has also been raised by Sinn Fein TD, Pa Daly, who said staff are concerned about the directive recommending the placement of emergency department patients into wards.
“Without adequate diagnosis and triage, they say it creates risks for both themselves and patients.
“In many instances, patients may be given beds or trolleys in spaces that are not adequate for their needs. These areas are not serviced and lack oxygen ports as well as other important features,” Deputy Daly stated.
He maintained that the directive is an inevitable consequence of a lack of government planning for the challenges of this winter and necessary supports for GP and primary care centres to see more patients in the community need to be introduced.
“Without sufficient step-down and rehabilitation capacity outside of hospital, such as in nursing homes, it is impossible to shorten length-of-stay and expedite discharges.
“I understand staff consider this directive to be an industrial relations matter. The matter must be addressed urgently before an avoidable tragedy occurs,” Deputy Daly warned.
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