by jo172 » Tue Jun 07, 2022 12:16 pm
by stan » Wed Jun 08, 2022 8:06 am
There a bit more to Jack Batty than just another man in suit. He comes with some good experience in the legal world at private law firms as well as his work for the high courts.Booney wrote:Voters - Hey, political parties, we want more diversity and more women in politics.
Libs - Here's a bloke in a suit.
#bragg
by Jimmy_041 » Wed Jun 08, 2022 11:38 am
stan wrote:There a bit more to Jack Batty than just another man in suit. He comes with some good experience in the legal world at private law firms as well as his work for the high courts.Booney wrote:Voters - Hey, political parties, we want more diversity and more women in politics.
Libs - Here's a bloke in a suit.
#bragg
Whilst yes Australia is looking for more diversity you also need to select the best person for the position as well.
Pound for pound, this isn't a bad selection by the Liberal party.
by mighty_tiger_79 » Thu Jun 09, 2022 6:55 pm
by JohnnyDog » Fri Jun 10, 2022 5:21 pm
by Jimmy_041 » Sun Jun 12, 2022 3:30 pm
JohnnyDog wrote:RAMBO Malinauskas is gonna fix the problem.
Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.
More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.
by Dinglinga75 » Wed Jul 20, 2022 4:31 pm
by Booney » Wed Jul 20, 2022 4:34 pm
JohnnyDog wrote:RAMBO Malinauskas is gonna fix the problem.
Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.
More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.
by Jim05 » Wed Jul 20, 2022 5:11 pm
Amazing that just before the election the Ambo’s were scrawling graffiti on their vehicles and proactively slamming the Libs to get their mates elected and now ramping is worse crickets from them.Booney wrote:JohnnyDog wrote:RAMBO Malinauskas is gonna fix the problem.
Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.
More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.
Just go and advertise for more nurses and doctors then, yeah?
by Jim05 » Wed Jul 20, 2022 5:12 pm
Yep, disgraceful that neither party interested in fixing itDinglinga75 wrote:Irrespective of who is in power
Is WorkSafe and Department for Child Protection the most toothless organisation in this state.....
by jo172 » Wed Jul 20, 2022 5:16 pm
Jim05 wrote:Amazing that just before the election the Ambo’s were scrawling graffiti on their vehicles and proactively slamming the Libs to get their mates elected and now ramping is worse crickets from them.Booney wrote:JohnnyDog wrote:RAMBO Malinauskas is gonna fix the problem.
Ramping 40% up now with extra Ambulances and staff all not warranted what is needed is all these poor patients going past 1st base thats the ED doors so they can be given expert medical attention.
More more wards beds staff are needed blind freddy can work that out why cant the beaureaucrats.
Just go and advertise for more nurses and doctors then, yeah?
Who would have thought the mob that destroyed health in this state would be up to their old tricks
by MW » Wed Jul 20, 2022 5:20 pm
by Jimmy_041 » Wed Jul 20, 2022 6:50 pm
MW wrote:You mean how the ambulance union successfully argued for a 30.4 hour working week with anything over that being overtime rates?
Imagine the money you'd save reverting back to a standard 38 hour week with overtime rates after that...or spending it on extra ambos, drs, beds in hospitals etc...
Labor has pledged to build a $120 million Adelaide headquarters for the South Australian ambulance service along with a new city-based station with 32 paramedics if it wins the March state election.
Opposition Leader Peter Malinauskas says the plan will help fix the state's ambulance ramping crisis and allow staff to better deliver emergency services across SA.
by Psyber » Thu Jul 21, 2022 8:17 pm
by am Bays » Mon Jul 25, 2022 11:22 am
Psyber wrote:More ambulances and more paramedics will just add to the numbers ramping.
The real issue is the lack of public hospital beds and nurses to run them.
No beds available - therefore they cannot clear the Emergency Departments by transferring patients who need longer observation to short stay beds.
No space in the ED makes the ambulances ramp. Years back when I worked in ED at the old RAH, because the hospital had beds, the ED was not chock full. Therefore a doctor and a staff member with a barouche bed could be at the ED entry when an an ambulance arrived and empty it immediately to free it up for the next call.
During the 1980s, under the Bannon government in SA, the state government scrapped training student nurses in hospitals, and once they had to go to CAEs instead of being paid for working while training more chose other courses.
Trained nurses get full pay so running more beds costs more, and so closing beds and selling off the land at the Psych hospitals like Glenside came next. Then all the Psych patients had to seek help via the EDs instead of going directly to the psych centres and helped clog up the EDs.
Ramping wasn't happening under the earlier Dunstan state government...
by Jimmy_041 » Mon Jul 25, 2022 12:12 pm
am Bays wrote:Psyber wrote:More ambulances and more paramedics will just add to the numbers ramping.
The real issue is the lack of public hospital beds and nurses to run them.
No beds available - therefore they cannot clear the Emergency Departments by transferring patients who need longer observation to short stay beds.
No space in the ED makes the ambulances ramp. Years back when I worked in ED at the old RAH, because the hospital had beds, the ED was not chock full. Therefore a doctor and a staff member with a barouche bed could be at the ED entry when an an ambulance arrived and empty it immediately to free it up for the next call.
During the 1980s, under the Bannon government in SA, the state government scrapped training student nurses in hospitals, and once they had to go to CAEs instead of being paid for working while training more chose other courses.
Trained nurses get full pay so running more beds costs more, and so closing beds and selling off the land at the Psych hospitals like Glenside came next. Then all the Psych patients had to seek help via the EDs instead of going directly to the psych centres and helped clog up the EDs.
Ramping wasn't happening under the earlier Dunstan state government...
It's not the beds so much IMO (we have the beds) but clinicians available to to make the assessments and plan discharges to free up capacity in the system is what's required.
As you pointed out it is more expensive to pay registered nurses more than enrolled nurses and it's interesting to note that across Australia last year we started using 3rd year nursing students in hospitals to cover nursing shortages - a quasi return to the old enrolled nursing train on the job model.
Having staff furloughed due to Covid isn't helping either Australia wide.
In essence we need more Doctors and nurses, in the entire system especially doctors in the PHN so we can safely transfer patients out of hospital to create capacity in the system - especially in country areas where the populations are older and their health needs are more complex. Can be discharged out of a major metro hospital.
We need to change the funding models to allow for more clinicians so better decisions and better v communication can occur within hospitals and with community health services.
by am Bays » Mon Jul 25, 2022 5:32 pm
Jimmy_041 wrote:
Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public
by Jimmy_041 » Mon Jul 25, 2022 5:40 pm
am Bays wrote:Jimmy_041 wrote:
Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public
Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.
But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.
15% GST to fund more Doctors and Nurses??
by am Bays » Mon Jul 25, 2022 5:56 pm
Jimmy_041 wrote:am Bays wrote:Jimmy_041 wrote:
Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public
Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.
But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.
15% GST to fund more Doctors and Nurses??
Very Labor
I’m a Thatcherite
The answer is never to increase taxes
I have some suggestions but I’ve been out to lunch all day so I’ll post when I’m lucid.
I wouldn’t want anyone to think I’m raving
by Psyber » Mon Jul 25, 2022 7:58 pm
.am Bays wrote:Jimmy_041 wrote:
Talking with numerous friend doctors over the past couple of months, we are in for world of pain going forward
All have said that many doctors have had it, and retiring, and there aren't enough to replace them let alone increase numbers
That goes for public, GP and specialist but especially public
Yup, it's been happening in country areas for the last two decades complex insurance issues behind it too.
But the last two years has led to lots of fatigue and frustration amongst clinicians that has made many of them consider their future in the health system, Australia wide.
15% GST to fund more Doctors and Nurses??
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