My experience has been that it is not the doctor stafing that causes the
bottle neck in processing the patients. Rather it is a critical shortage of
nursing and ancillary personel. Especially involving laB, XRAY AND STAFF TO
TRANSPORT PATIENTS OUT OF THE ED. I HAVE ALSO WITNESSED SIGNIFICANT BOTTLE
NECKS WHEN FLOOR or unit staffing is low because we then have to stack
patients in our ED awaiting beds.
So I would be reluctant to stretch my physician staffing any further until the
hospital gets its nursing and ancillary resources up to full coverage.
Think about how many times a physician stands around waiting to see a patient
that needs a nursing history, vital signs, chart made etc. How much delay is
there in getting labs, XRAYS, RT for treatments, and what about transporting
your patients to rooms and thus freeing up your ED beds to keep the patients
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