“I am afraid that a mistake will be made at the moment classification (triage) and the child who really needs urgent attention waits 3 or 4 hours in a crowded waiting room, “he wrote, as the first of the great fears of pediatricians, followed by that caused by “work overload”. “The need to work as quickly as possible to prevent the accumulation of so many children can lead to a failure in assessment and lead a minor to an inappropriate diagnosis or treatment,” he explained.
Fear that a mistake will be made during the triage and the child who really needs urgent help will wait 3 or 4 hours in a crowded waiting room like other children with non-emergency conditions.
– David Andina (@daandina) June 15, 2022
As a third great fear, Andina admits this “fear of error in the supervision of residents”. The reason? Due to the large number of patients there, “in most cases we cannot physically check the child”, relying solely on the clinical data reported by the resident “Which is also exhausted.”
What fears do pediatricians constantly suffer from?
Numerous security incidents. These are the words chosen by the doctor to explain the fourth fear of pediatricians. “Medication errors that occur with any security guard due to working conditions can reach the patient and also cause damage,” he added. The doctor continues with “tense situations in exploration pits”. “Moments with some parents end in verbal or perhaps physical aggression,” says Andina.
Fear that one of the many security incidents and treatment errors that occur on each shift due to working conditions will reach the patient and that in addition to reaching the patient, they may cause harm.
– David Andina (@daandina) June 15, 2022
“I am afraid that this situation is becoming chronic and that collapse of public health make the whole search for health care be directed only through the Emergency Room “, the pediatrician continued the confession. While the seventh fear on his list refers to “parents’ health education”. “The fear that the demand for medical care in trivial conditions continues to grow exponentially and there are no campaigns for basic care for colds, fevers or stings,” he explained.
The fear that no politician understands that the responsibility of caring for more than 300 children every day, along with running a factory with more than 30 adopted children, cannot fall on 3 assistants and 5 residents (two of them first graders and who will need direct supervision)
– David Andina (@daandina) June 15, 2022
The pediatrician concludes his list of criticisms that “no politician takes responsibility” and that they continue to talk about “Safety culture, personalized healthcare or telemedicine”without realizing that “public health today is undergoing the biggest decline in decades.”
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