Acute Medicine  |  Waiting Times




Acute Medicine

Waiting Times

The Emergency Departments at Tauranga and Whakatane aim to admit, discharge or transfer 95 percent of patients within six hours.  

The specific target of 95 percent within six hours was devised by clinicians who thought it represented the right amount of time, for the right proportion of patients, to deliver good quality care.  Both the Australasian College of Emergency Medicine (ACEM) and the College of Emergency Nurses New Zealand (CENNZ) agree that six hours is a reasonable amount of time in which to treat and admit patients; that is, long enough for good clinical care, but not unjustifiably long.

Patient Waiting Times:

BOPDHB uses the Australasian Triage Scale (ATS).

ED patients will ideally be discharged, transferred or admitted to hospital within six hours of presentation.

Patients Treated in APU:

All admissions to the APU will not exceed 36 hours.

a) If at any time it becomes apparent that the admission duration will exceed 36 hours the patient will be transferred to another longer stay ward.

b) It is the responsibility of the inpatient Registrar and the APU CNC to make plans for the transfer prior to 36 hours.

c) The clinical exception to the 36 hours rule is when the consultant in charge of the patient has negotiated with the Medical Director (MD) or deputy, and Director of Nursing (DON) or deputy that patient safety will be compromised 

d) BOPDHB uses the NSW 3.2.1. Model:

  • Three hours for the ED team to investigate and refer to the relevant specialty team.
  • Two hours for the specialty team to make disposition decision; and
  • One hour to transfer the patient from ED to an inpatient bed.

 



Last updated : Tuesday, September 29, 2015
Next review date : Wednesday, September 28,2016


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