Marina Young

“When hospital management are aware that, due to hospital capacity issues or other reasons, patients will be spending more than the usual expected time in A & E, A & E managers should be alerted of this perspective status as soon as possible”

“Any patient remaining in A & E beyond the usual expected time should have an assessment of their care needs”

“Care needs of patients held in A & E, particularly those with complex care needs, should be identified and managed”

“Asthma is a common condition. However, A & E lacked nurses with any knowledge of when basic assessment such as peak flow should be taken and no request for assistance from a specialist ward was made”

“Although the nursing staff made attempts to engage the acute medical team, no attempt was made to escalate problems identified by the treating nurses to senior nursing staff”