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Drop in patients at Emergency but nurses still overworked

The campaign aimed at ensuring that only urgent cases call at Mater Dei Hospital's emergency department seems to have paid dividends but patient turn-over remains high in relation to the number of nurses working there, according to emergency nurse Trevor Abela Fiorentino.

The campaign, launched by the government last July, had been criticised as it came in the wake of statistics showing very long waiting lists for some surgical operations.

However, since the campaign was launched the number of registered patients dropped by 968 (almost 10 per cent) from 10,177 in July last year to 9,209 this year. In August, there was a drop of 660 people (about seven per cent) from 9,839 last year to 9,179 this year.

Yet, while the drop in patients helped, emergency nurses still have to cope with a significant load of patients as "the number of nurses remains small compared to patients", Mr Abela Fiorentino, president of the Malta Emergency Nurses' Association (Mena), said.

He was speaking at the first conference organised by Mena since it was set up in 2004.

The campaign - which included billboards showing a man's hand with a finger in plaster together with the question: Is it really an emergency? - was launched after research showed that only 20 per cent of people who went to the department needed emergency treatment.

Nonetheless, Mr Abela Fiorentino says that despite the drop in numbers the nature of the cases remains the same with patients still turning up for reasons which are not urgent.

He said the association would like to see more cooperation between members of the various professions working within the emergency department, he said.

Speaking during the conference, the Parliamentary Secretary for Health, Joseph Cassar, highlighted the challenges faced by emergency nurses who work round the clock, at a fast pace and meet patients of different ages, socio-economic backgrounds and different ailments.

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Comments

lawrence debono (on 12/10/08)
as a member of the nursing staff working in A&E department at MDH, and proudly be a member of the MENA, i strongly agree with Mr.Abela Fiorentino and Mr.N.Enriquez and their statements. we are constantly working in a stressful environment cause by the authorities who are not dealing well with the primary health problems, so unfortunately then the general public will have to seek and call at the A&E at MDH for medical assistance. as emergency nurses, we are facing other problems being imposed on us by the MDH / DH, such as issues with vacation leave due to lack of staff, qualified staff is being allocated in different areas within the same department, not enough logistics and resources and others.
so to conclude, the A&E is understaffed, under equipped, non- flexible with employees, too much and unnecessarily work load 24/7, but all these can be corrected if good planning takes place and good communication is present.
Roberto Cassar (on 11/10/08)
@frank cachia are you joking?

of course...you are right....private hospitals don't even come near to match the 8 hrs waiting time at the emergency and the huge waiting lists at Mater dei.....and according to you waiting more than 2 yrs for eye operations and orthopaedic operations! I agree almost with everything Mr. enriquez said.
Nevertheless, we should never blame the workers cause they are doing a fantastic job without the appropriate number of staff, without the appropriate stuff cause most of the time many essentials are out of stock and mainly with a lot of bureaucracy so thumbs up to the staff but definitely thumbs down to the system and lack of organization from managers, directors and the government.
What is the use to do campaigns when there are no alternatives in most of the cases? What happens when you fall and hurt your hand after 1pm since no x rays are available after that? What happens if you live in qormi, siggiewi, zebbug and you happen to need assistance after 5pm? is it an easier route to mater dei or to floriana HC where no xray is available and its much far away than mater dei?
Frank Cachia (on 10/10/08)
The number of patients going to the Emergency could go down much more if we had the same level of service at the health centres. Unfortunately it is not the case: just try the Paola health centre and you will know what I'm talking about. Then you go to Mater Dei and you will get a level of service which even the private hospitals cannot match. Thanks to the dedicated staff at Mater Dei and of course to the Government who gave us, as someone was quoted as saying, 'a state of the art' hospital. Now, please, give a 'state of the art' health centres.
Noel Enriquez (on 10/10/08)
Shouldn't health centres be made more accessible to the public? With accessible I mean leaving them open round the clock, equipping and manning them accordingly. Why are referral tickets being issued still for non-urgent cases because the health centre does not have certain equipment? Why do we have to wait for ten minutes to have the door opened at a health centre at 03:00? Then wait for a further 20 minutes to have a bewildered doctor see us like he's doing you the biggest favour of your lifetime? Why is there an indirect encouragement for you not to call at health centres at awkward hours next time? I do not blame Mr. Abela Fiorentino, but the public knows they will eventually be shoved to A&E. Finally, how can you expect the authorities to man casualty properly when after spending 300 or so million liri in the completion of the hospital, they did not have the decency of purchasing a fleet of fully equipped ambulances for the benefit of the public- shame indeed!
Diane Duric (on 10/10/08)
Maybe a new approach to recruitment of nursing staff is required, they should make it easier to apply. I am under the impression that part time staff are not really preferred, they could help support the workforce. Consideration into utilizing other countries qualified roles like ODPs would also support the staff, in theatre.

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