Saturday, June 23, 2018

Things They Should Invent: replace emergency room waiting rooms with beds

I previously came up with the idea that emergency room waiting rooms should be sleepable.

After having been to the emergency room myself recently, I have a better idea: there should be no waiting room whatsoever, and patients should do all their waiting in beds.

You show up at the emergency room, get triaged, and then are put directly in a bed.  Not necessarily admitted to the hospital (in the sense of expected to stay overnight), but, unless medically contraindicated, every patient goes straight into a bed.

Ideally each bed should be in a private room, but that would require extensive renovations, so in the interim wards are fine. At a minimum, each bed should have privacy curtains around it, a chair for a support person, and somewhere for patients to put their shoes, coat and purse once they get into bed. It should be dark behind the curtains by default, but there should be a light the patient can turn on.

Patients wait for medical treatment in this bed.  Whenever possible, the medical professionals come to the patient and do stuff like physical exams and taking blood at the patient's bed, although the patient may be taken elsewhere if particular non-portable equipment is needed.

This way, patients can sleep if they are capable of doing so, and rest comfortably in any number of seated or recumbent positions or anything in between. Patients also have privacy from other patients, and probably less exposure to other patients' germs.

Being in a hospital bed would also make the patients more, well, patient (sorry!) with the situation, because they'd feel more like they're getting care. If you're admitted to a hospital, you're put in a bed and lie there resting, with medical professionals occasionally coming in to check on you.  Waiting in a bed would feel exactly like that, whereas waiting in a chair just feels like waiting.

If I had been put in a bed when I went to the hospital with my head injury, I would have spent those six hours lying in the dark with my eyes closed - as is recommended for concussion patients! Children with fevers or flu symptoms could sleep if they are able while their worried parents wait for them to get checked out. And all manner of patients whose symptoms come on at night wouldn't have to choose between seeking medical care and getting a full night's sleep.

Q: What about patients for whom sleeping or lying down is medically contraindicated?
A: They could continue to do whatever it is they do now. But that's no reason not to make things better for the many patients for whom sleeping or lying down is neutral or beneficial.

Q: Wouldn't this cost money?
A: Probably. And it would make things better. That's what money is for.

No comments: