Daniels said all nurses were asked to work extra shifts or overtime and that such calls to work extra hours were routine.
”This is a normal type of text, apart from the code red, we get these desperate ‘I’m begging you on my knees’ every day and we have been getting them for a long time.
”We are unable to care for our patients safely.”
SDHB senior staff met Daniels and emergency staff and management on Monday to discuss the Pin and will meet again tomorrow.
Specialist services executive director Patrick Ng told a SDHB board meeting yesterday that while patients numbers were relatively static, more seriously ill patients were arriving at ED and that they were taking longer to treat.
”We have worked out a way in which we are going to respond to the notice.
”We believe there is some nursing we can supply in the short term and some reprioritisation which can make a meaningful difference.
”We are going to explain in our response what we think the longer term solution is.”
Daniels said the department was ”hemorrhaging staff” and could not recruit replacements.
”Staff are leaving because they can no longer emotionally, ethically or professionally work in the department.”
A provisional improvement notice (Pin), an action taken under the Health and
Safety at Work Act, demands Dunedin Hospital emergency department needs to
have on duty:
• Three registrars and one house surgeon on night shift seven nights a week.
• Two resuscitation nurses on each eight hour shift.
• One extra triage nurse in the waiting room on each shift.
• One extra associate charge nurse manager on each shift.
• Two healthcare assistants on each shift.
• One clerical staff member to cover rush periods and meal breaks.
• One mental health nurse practitioner.
• Two security staff on all afternoon and night shifts.
• One orderly per shift.