1 00:00:00,200 --> 00:00:05,080 Speaker 1: Now I can't believe this story. This is about hospitals. 2 00:00:05,120 --> 00:00:08,000 Speaker 1: It appears and it's breaking news. It appears at Flinder's 3 00:00:08,080 --> 00:00:14,360 Speaker 1: Medical Center, a proposal under consideration to install pre fab buildings, 4 00:00:14,640 --> 00:00:16,480 Speaker 1: And from the picture I've seen, I'm not sure if 5 00:00:16,480 --> 00:00:18,840 Speaker 1: it's a modified container crate like the ones you see 6 00:00:18,840 --> 00:00:21,600 Speaker 1: on ships, or a builder's type heart, the type of 7 00:00:22,079 --> 00:00:24,920 Speaker 1: something you see plucked at a construction site and office. 8 00:00:25,239 --> 00:00:27,800 Speaker 1: But the idea is these hearts will be used to 9 00:00:27,840 --> 00:00:31,600 Speaker 1: offload patients on arrival in an ambulance at the Flinder's 10 00:00:31,600 --> 00:00:34,360 Speaker 1: Medical Center. Now, surely it can't be a permanent thing. 11 00:00:34,400 --> 00:00:37,680 Speaker 1: You wouldn't think, but nothing would surprise, and you'd have 12 00:00:37,760 --> 00:00:39,839 Speaker 1: to wonder if it's an attempt to bring down ramping 13 00:00:39,880 --> 00:00:43,440 Speaker 1: figures by creating somewhere for ambulances to drop off patients. 14 00:00:43,920 --> 00:00:46,640 Speaker 1: In which case, then the question is who looks after 15 00:00:46,680 --> 00:00:48,519 Speaker 1: them when they're dropped off? Are we going to have 16 00:00:48,520 --> 00:00:52,480 Speaker 1: more doctors and nurses in what will be a pre 17 00:00:52,960 --> 00:00:57,200 Speaker 1: admin area. I understand medical staff, doctors, nurses aren't happy 18 00:00:57,280 --> 00:00:59,880 Speaker 1: with the proposed arrangement. Talks are underway now as to 19 00:01:00,000 --> 00:01:03,200 Speaker 1: how it'll be managed if it goes ahead, But Mulholland essay, 20 00:01:03,200 --> 00:01:06,520 Speaker 1: Salary Medical Officers Association on the line. But good morning. 21 00:01:06,840 --> 00:01:09,039 Speaker 1: Surely this morning, this isn't permanent, is it? 22 00:01:10,400 --> 00:01:14,360 Speaker 2: You know? I sometimes just shake my head in disbelief 23 00:01:14,400 --> 00:01:18,039 Speaker 2: when these ideas fell to their way through to the 24 00:01:18,120 --> 00:01:21,640 Speaker 2: doctors and nurses in our emergency departments, only to be 25 00:01:21,959 --> 00:01:24,360 Speaker 2: told if they don't want to accept it, then it 26 00:01:24,360 --> 00:01:27,280 Speaker 2: may be forced upon them, even though the same questions 27 00:01:27,280 --> 00:01:31,120 Speaker 2: you're actually asking, who's responsible? Where are the right staff 28 00:01:31,480 --> 00:01:34,360 Speaker 2: who came up with this thought bubble? What's the reason 29 00:01:34,480 --> 00:01:36,520 Speaker 2: for it? Do we just crane them in and then 30 00:01:36,560 --> 00:01:41,400 Speaker 2: they might use them? You know? It beggars belief that 31 00:01:41,440 --> 00:01:45,560 Speaker 2: we're not focusing on what is causing all of the 32 00:01:45,600 --> 00:01:49,600 Speaker 2: issues for our emergency department and not looking at the 33 00:01:49,680 --> 00:01:53,960 Speaker 2: solutions for things like outpatients and mental health and those 34 00:01:54,000 --> 00:01:56,360 Speaker 2: sorts of things. Rather, we're putting more pressure on our 35 00:01:56,400 --> 00:02:00,760 Speaker 2: emergency departments. We're not listening to the doctor's conditions who 36 00:02:00,800 --> 00:02:05,520 Speaker 2: work in those areas. It's simply disrespectful to put these 37 00:02:05,560 --> 00:02:08,800 Speaker 2: ideas out there and not start to listen. I'm starting 38 00:02:08,840 --> 00:02:12,880 Speaker 2: to actually really worry that there's no listening skills in 39 00:02:12,919 --> 00:02:17,080 Speaker 2: the administration When professionals stay this is what we need, 40 00:02:17,560 --> 00:02:20,920 Speaker 2: how about you help us, and nothing gets done. It 41 00:02:21,000 --> 00:02:25,440 Speaker 2: has to be their ideas or nothing. And it's growing 42 00:02:25,600 --> 00:02:29,880 Speaker 2: very frustrating and very very demoralizing when we hear these 43 00:02:29,919 --> 00:02:34,320 Speaker 2: sorts of things come up without any substance or any 44 00:02:34,400 --> 00:02:37,280 Speaker 2: meat around its bones, just testing it out to see 45 00:02:37,320 --> 00:02:40,320 Speaker 2: whether this is something that could happen, rather than asking 46 00:02:40,400 --> 00:02:44,160 Speaker 2: the functions to bring their ideas for and put those 47 00:02:44,240 --> 00:02:46,560 Speaker 2: up and what they can do in terms of their 48 00:02:46,600 --> 00:02:50,760 Speaker 2: professional responsibilities. What's good for patients. We need a patient 49 00:02:50,919 --> 00:02:54,720 Speaker 2: centered focus on the healthcare that we're providing. And I 50 00:02:54,760 --> 00:02:58,160 Speaker 2: think while we focus so much on our emergency departments, 51 00:02:58,160 --> 00:03:00,679 Speaker 2: we're not looking for long term solution for the rest 52 00:03:00,720 --> 00:03:03,560 Speaker 2: of our hospital areas for the community. 53 00:03:03,720 --> 00:03:06,400 Speaker 1: Do we have any idea yet if it goes ahead, 54 00:03:06,400 --> 00:03:08,799 Speaker 1: who's going to be in there looking after patients? It's 55 00:03:08,840 --> 00:03:11,800 Speaker 1: not presumably it's not the paramedics staying in the heart 56 00:03:11,919 --> 00:03:13,800 Speaker 1: rather than in the back of the ambulance. 57 00:03:14,440 --> 00:03:17,440 Speaker 2: Look, these are all really good and really sound questions, 58 00:03:17,480 --> 00:03:20,440 Speaker 2: and there's really you know, there's things like security and 59 00:03:20,480 --> 00:03:23,680 Speaker 2: the types of patients that we go in something like this, 60 00:03:23,800 --> 00:03:26,840 Speaker 2: and how long they're saying it's staying. We know that 61 00:03:26,880 --> 00:03:30,520 Speaker 2: once these things start to play a role, whether good 62 00:03:30,600 --> 00:03:33,520 Speaker 2: or bad, they seem to linger around. You know, they're 63 00:03:33,520 --> 00:03:35,440 Speaker 2: only going to be for a short period of time. 64 00:03:35,480 --> 00:03:38,280 Speaker 2: Next thing, you know, we've got these pods sitting around 65 00:03:38,960 --> 00:03:41,320 Speaker 2: out all of these different areas. We're just wondering what 66 00:03:41,360 --> 00:03:44,800 Speaker 2: they're all about and how does this desist the back 67 00:03:44,840 --> 00:03:49,200 Speaker 2: of pals who start to adjust issues of flow and efficiency. 68 00:03:49,320 --> 00:03:52,520 Speaker 2: You know, we should be looking at things like our patients, 69 00:03:52,640 --> 00:03:55,800 Speaker 2: like forensic mental health, like general rehab, all of the 70 00:03:55,880 --> 00:03:58,680 Speaker 2: things that have been raised with the administration, and yet 71 00:03:58,720 --> 00:03:59,760 Speaker 2: we can get no traction. 72 00:04:00,240 --> 00:04:04,080 Speaker 1: So essentially, if I'm reading this right, the idea is 73 00:04:04,120 --> 00:04:06,960 Speaker 1: we're extending our emergency department by plunking a couple of 74 00:04:06,960 --> 00:04:08,120 Speaker 1: granny flats out the front. 75 00:04:08,760 --> 00:04:12,840 Speaker 2: Well, yes, that's hopefully functional granny flats for the purpose 76 00:04:12,920 --> 00:04:17,640 Speaker 2: that they're actually intended. But yes, that's the idea that 77 00:04:17,760 --> 00:04:21,360 Speaker 2: seems to be floating around, and you know, it shows 78 00:04:21,360 --> 00:04:24,599 Speaker 2: a lack of value and respect for our clinicians when 79 00:04:24,600 --> 00:04:29,479 Speaker 2: they've got real problems in their emergency departments. It's daily 80 00:04:29,560 --> 00:04:32,360 Speaker 2: that they come to work. It's a difficult slog as 81 00:04:32,360 --> 00:04:35,640 Speaker 2: it is, and just to plunk something in addition that 82 00:04:35,680 --> 00:04:38,000 Speaker 2: they would or we think they would have to look 83 00:04:38,040 --> 00:04:42,880 Speaker 2: after and more worry about their patients. I just think 84 00:04:42,960 --> 00:04:46,680 Speaker 2: we're really putting now too much pressure from the administration 85 00:04:46,839 --> 00:04:49,839 Speaker 2: onto our clinicians and we should be focusing and looking 86 00:04:49,839 --> 00:04:53,400 Speaker 2: at some really good long term solutions and I don't 87 00:04:53,440 --> 00:04:55,960 Speaker 2: think we're doing that, And that's a real worry at 88 00:04:56,000 --> 00:04:58,520 Speaker 2: the moment amongst the broad range of doctors that we 89 00:04:58,640 --> 00:05:01,960 Speaker 2: work in. Where is the planning for the future. We 90 00:05:02,000 --> 00:05:03,960 Speaker 2: did need to control these We. 91 00:05:03,920 --> 00:05:06,159 Speaker 1: Did ask SA Health for a statement and some of 92 00:05:06,160 --> 00:05:09,279 Speaker 1: those questions as well, but we ask them to come on, 93 00:05:09,360 --> 00:05:11,680 Speaker 1: but they're preparing a statement for us and we don't 94 00:05:11,720 --> 00:05:13,760 Speaker 1: have that yet. But when they send that through, I'll 95 00:05:13,760 --> 00:05:16,520 Speaker 1: certainly read that out. But it would be better if 96 00:05:16,560 --> 00:05:18,840 Speaker 1: they came on and explain that. And you want answers too, 97 00:05:18,920 --> 00:05:20,640 Speaker 1: So any idea when this is going to get a 98 00:05:20,680 --> 00:05:21,440 Speaker 1: head go ahead. 99 00:05:23,360 --> 00:05:26,400 Speaker 2: I think they're testing it out. From what I heard 100 00:05:26,880 --> 00:05:29,520 Speaker 2: from our membership last night, they're just testing it out. 101 00:05:29,600 --> 00:05:33,320 Speaker 2: There was a significant pushback that this is not good 102 00:05:33,480 --> 00:05:36,360 Speaker 2: clinical care for patients. This is not the way they 103 00:05:36,400 --> 00:05:40,400 Speaker 2: were trained to provide medicine. It's really a simple modification. 104 00:05:40,520 --> 00:05:43,240 Speaker 2: I guess of fifty years ago, we probably would have 105 00:05:43,320 --> 00:05:46,080 Speaker 2: used tents or things like that. So what they are 106 00:05:46,120 --> 00:05:50,880 Speaker 2: wanting is really robust solutions for those patients who are 107 00:05:51,080 --> 00:05:54,000 Speaker 2: white arriving and waiting a long period of time to 108 00:05:54,000 --> 00:05:57,440 Speaker 2: get the care and access to specialized care within the hospital. 109 00:05:57,839 --> 00:06:00,800 Speaker 2: That is where we should be focusing, not thinking about 110 00:06:01,040 --> 00:06:07,000 Speaker 2: shall we crane some pods or or these containers in 111 00:06:07,600 --> 00:06:10,479 Speaker 2: to assist. Let's look at the long term solutions and 112 00:06:10,560 --> 00:06:12,680 Speaker 2: stop putting more and more pressure on our doctors and 113 00:06:12,760 --> 00:06:14,400 Speaker 2: nurses in our emergency department. 114 00:06:14,520 --> 00:06:18,200 Speaker 1: Bernadete, appreciate your time. Thank you, Thank you, Bernadette mar 115 00:06:18,240 --> 00:06:21,760 Speaker 1: Holland Essay Salary Medical Officers Association wanting answers on this 116 00:06:21,839 --> 00:06:26,680 Speaker 1: proposal for pods at the ED. So the AMBO turns 117 00:06:26,760 --> 00:06:28,839 Speaker 1: up patient in the back. If you go into a pod, 118 00:06:28,880 --> 00:06:32,479 Speaker 1: we'll head off ramping numbers down, Aren't we great? Says 119 00:06:32,560 --> 00:06:35,920 Speaker 1: Essay Health because the ambulance isn't there anymore. The patient's 120 00:06:36,040 --> 00:06:38,960 Speaker 1: now in the care of somebody in a pod out 121 00:06:39,040 --> 00:06:41,880 Speaker 1: the front of d That's not the way it should work.