The Tasmanian Liberals have promised to ‘ban’ ambulance ramping, but will it work?

The Tasmanian Liberals have promised to ‘ban’ ambulance ramping, but will it work?

Efforts to Address Ambulance Ramping Prevention Strategy

  • The ongoing scrutiny faced by the Liberals regarding ambulance ramping at hospitals has prompted their health spokesperson to propose a potential solution.
  • According to Guy Barnett, ambulances will be required to transfer patients to emergency departments within a 30-minute timeframe by the year 2026.
  • Despite the upcoming implementation of a 60-minute transfer protocol this month, medical professionals express concerns about the feasibility and safety of such a timeline for both staff and patients.

Concerns have been raised by doctors groups regarding the Tasmanian Liberal party’s approach to addressing ambulance ramping prevention strategy, citing it as unsafe, merely a temporary fix, and potentially detrimental to workforce recruitment and retention.

Guy Barnett, the Liberal health spokesperson, announced the election pledge on Sunday, proposing that patients must be swiftly transferred from ambulances to emergency departments within a 30-minute window.

A phased approach will be taken, starting with 60-minute transfers this month, followed by a reduction to 45 minutes next year, and ultimately reaching a 30-minute target the year after. It is important to note that the timing commences only after a patient has been triaged.

A few ambulances lined up at the bottom of a ramp at a hosptial.

When a hospital cannot admit a patient, leading to the individual staying in the care of ambulance paramedics, it results in ambulance ramping, which in turn renders the ambulance unavailable. This situation underscores the importance of implementing an ambulance ramping prevention strategy.

Paramedics Request Patient’s Family for Blankets and Pillows

During a recent incident, a gentleman who was still mourning the passing of his mother earlier this year recounted how ambulance paramedics requested him to supply blankets and pillows for her comfort. This situation sheds light on the challenges faced by emergency medical services, especially in light of the ongoing Tasmanian inquiry addressing issues such as prolonged wait times and substandard care.

The importance of having an effective ambulance ramping prevention strategy becomes even more evident in such instances, where the need for timely and quality care is paramount. The experience shared by the grieving son underscores the significance of ensuring that emergency medical services are well-equipped and prepared to handle various situations efficiently.

Joseph Kowaluk looks at the camera.

Improving Healthcare Services in Hobart

Mr Barnett’s recent announcement includes a commitment to enhance healthcare services at the Royal Hobart Hospital (RHH). This plan involves recruiting 44 additional full-time doctors, 25 more full-time nurses, and 10 extra general practitioners to ensure round-the-clock coverage.

During an interview with ABC Radio Hobart, Mr Barnett explained that the initiative to prevent ambulance ramping was developed in collaboration with various stakeholders. The primary goal is to enable paramedics to promptly attend to emergencies within the community.

According to Mr Barnett, this approach aligns with Australia’s best practices and is already successfully implemented in the Australian Capital Territory (ACT).

This announcement follows intense scrutiny faced by the Liberal government regarding ambulance ramping at the RHH. The emergency department director at RHH emphasized the urgent need for improvements to ensure a safe environment for both patients and healthcare staff.

While the implementation of the ramping prevention strategy is a positive step, concerns have been raised about the potential challenges it may pose.

Challenges in Southern Tasmania’s Health System Revealed in Dispatch System Data

In a recent development, a union has highlighted a concerning issue in southern Tasmania’s health system through a dispatch system data display. The data showcases a scenario where all ambulances were unavailable, shedding light on the escalating “crisis” in the region’s healthcare services.

A screen showing all southern Tasmanian ambulance crews and where they are, including 8 ramped at Royal Hobart Hospital

Challenges with Implementing Ambulance Ramping Prevention Strategy

According to Dr. Michael Lumsden-Steel from the Australian Medical Association (AMA) Tasmania, the idea of an ambulance ramping prevention strategy is commendable. However, he expressed concerns about the feasibility of achieving 60-minute ambulance transfer times, let alone 30-minute transfers.

Dr. Lumsden-Steel highlighted that ensuring 60 minutes of ‘no ramping’ would require significant cutbacks on elective procedures and surgeries to reduce the influx into public hospitals. This reduction in elective procedures is seen as the primary lever to alleviate the strain on hospital resources.

One of the major challenges identified is the inability to conduct thorough patient examinations due to overcrowding. Patients are often left on stretchers or chairs without proper assessment or access to beds. This situation hampers the ability of emergency department (ED) staff to provide adequate care in appropriate settings.

The Health and Community Service Union (HACSU), representing paramedics, supports the ambulance ramping prevention strategy as a means to free up paramedics. However, they seek more clarity on the detailed implementation plan to address existing concerns.

Emergency Doctors Express Doubt Over Ambulance Ramping Prevention Strategy

Dr. Juan Carlos Ascencio-Lane, faculty chair of the Australasian College for Emergency Medicine (ACEM), voiced skepticism regarding the feasibility of implementing the ‘ban’.

He emphasized that the proposed solution of imposing a time limit on paramedics to prevent ambulance ramping is deemed unsafe and detrimental to the well-being of both staff and patients.

Man with shaved head and Hawaiian shirt stands in front of building and tree.

**The Challenge of Implementing an Ambulance Ramping Prevention Strategy**

**Dr Juan Carlos Ascencio-Lane’s Perspective**

Dr Juan Carlos Ascencio-Lane, currently serving at the Royal Hobart Hospital, expressed skepticism regarding the feasibility of enforcing an ‘ambulance ramping prevention strategy.’ He raised concerns about the lack of thorough consultation preceding the announcement of this initiative. According to him, the decision to implement this strategy seemed to have been made without adequate input from key stakeholders such as ED directors and the Australasian College for Emergency Medicine. Dr Ascencio-Lane emphasized the importance of prioritizing patient care over political considerations in the realm of healthcare.

**Concerns from the Australian Nursing and Midwifery Federation (ANMF) Tasmania**

Emily Shepherd, the secretary of the Australian Nursing and Midwifery Federation (ANMF) Tasmania, echoed apprehensions about the potential repercussions of the proposed ‘ambulance ramping prevention strategy.’ She highlighted the issue of insufficient staffing levels in hospitals, which could impede the delivery of timely care to patients in emergency departments. Shepherd cautioned that while the strategy might free up paramedics for community responses, it might not necessarily translate to quicker access to care for individual patients, especially considering the likelihood of extended waiting periods.

In conclusion, the implementation of an ‘ambulance ramping prevention strategy’ poses significant challenges and concerns within the healthcare sector, as highlighted by Dr Juan Carlos Ascencio-Lane and Emily Shepherd. It is crucial for policymakers to address these issues comprehensively to ensure that patient care remains the top priority amidst any strategic changes.

What Promises are the Liberals, Labor, and Greens Making to Tasmanians?

Staying updated on the commitments of the major parties to address ambulance ramping prevention strategy is crucial for voters to make well-informed choices.

Tasmanian election promise tracker 2024 thumbnail

Addressing Bed Block: A Priority for Healthcare Organizations

The importance of addressing bed block in healthcare systems cannot be overstated. The Australian Medical Association (AMA) and the Australasian College for Emergency Medicine (ACEM) have both emphasized the urgent need for action in this area. The AMA has specifically called for a focus on “workforce reinvigoration” and the recruitment of additional emergency medicine physicians, with a target of up to 25 new hires. ACEM has echoed this sentiment, emphasizing the critical nature of addressing bed block as a top priority.

One key strategy proposed by healthcare organizations is the implementation of an ambulance ramping prevention strategy. This approach aims to streamline patient flow, particularly for those requiring aged care and disability beds. By improving infrastructure and coordination between state and federal governments, hospitals can enhance the efficiency of patient transfers and reduce the strain on emergency departments.

Criticism from Progressives on Labor’s Move to Secure Federal Funding

In Tasmania, the Labor party has committed to transitioning 500 healthcare professionals to permanent positions, moving away from temporary contracts.

Anita Dow, the spokesperson for Labor’s healthcare initiatives, expressed intentions to collaborate with the Commonwealth to secure additional funding for enhancing hospital infrastructure.

Anita Dow smiling and wearing a high-vis orange vest and hard hat.

Anita Dow advocates for collaborative efforts between the state and Commonwealth in developing health infrastructure, while facing criticism from the Liberals. According to ABC News reporter Monte Bovill, Dow expressed her commitment to working alongside Federal Health Minister Mark Butler to secure funding for various projects. The Liberals, on the other hand, have pledged an additional $53 million towards expanding the Launceston General Hospital’s Emergency Department and implementing the $175 million master plan for the North West Regional Hospital and Mersey Community Hospital. In response, Mr. Barnett accused the Labor party of solely relying on requesting more funds from Canberra. The discussion revolves around enhancing healthcare facilities and services to address critical needs in the region.

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A woman’s spouse provided morphine as they awaited the arrival of the ambulance.

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Dispatcher Shares Challenges of Handling Non-stop Emergency Calls

An ambulance dispatcher recently recounted the relentless stream of emergency phone calls they faced, emphasizing that they did everything in their power to manage the situation effectively. The dispatcher highlighted the ongoing need for an ambulance ramping prevention strategy to address the overwhelming influx of emergency calls.

A female paramedic walks past an ambulance parked outside the Royal Hobart Hospital.

Union Claims Half of Tasmania Experienced Ambulance Shortage Due to Lack of Ambulance Ramping Prevention Strategy

According to the union, a significant portion of Tasmania faced an ambulance shortage on Monday afternoon. The union attributes this issue to the absence of an effective ambulance ramping prevention strategy.

A screen showing all southern Tasmanian ambulance crews and where they are, including 8 ramped at Royal Hobart Hospital

To learn more about the ambulance ramping prevention strategy, you can explore related topics such as Ambulance Service, Emergency Care, Hobart, Launceston, State and Territory Elections, and TAS. For further information, please visit our site 60time.com Don’t forget to follow us on social media at facebook.com

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