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Beds crisis leaves sick in hallways

Health Minister Dr Duane Sands.

Health Minister Dr Duane Sands.

By SANNIE BROWN

Tribune Staff Reporter

sdorsett@tribunemedia.net

SCORES of patients are being forced to sleep on gurneys in the hallways at the Princess Margaret Hospital, according to Health Minister Dr Duane Sands who told The Tribune yesterday the hospital is continuing to have significant challenges with overcrowding and a shortage of beds.

Dr Sands said the situation is “embarrassing” and it is sad people have to stay in the hallways for up to “three to four days” because “there is just nowhere to put them”.

Dr Sands said the problem will require deliberate structural change, which will not happen in the short-term.

To make matters worse, Dr Sands said there are about 30 long-term patients who no longer need emergency medical services but have been using much needed beds for years. However, he said because there are no long-term facilities to transfer the persons to, they have to stay in the hospital despite not needing the care — at a cost of more than $7million a year.

“We are still seriously challenged, as much as 25 per cent beds of our beds are out of circulation and when you put that together with the significant challenges of overcrowding in (the) Emergency Room, you have patients remaining on emergency virtual wards for days. This is a problem that will require deliberate structural change, none of which will happen in the immediate or short-term,” Dr Sands said.

“In the meantime, it’s a day-to-day struggle because we have tried to decompress the hospital by augmenting services to community clinics but patients have to be admitted unlike other countries, where you have fly by and when the hospital is full to capacity you are no longer allowed to take patients, but the Rand Memorial (in Grand Bahama) and PMH do not have that luxury, we have to take patients as they come.

“This means that persons are in the hallways for days, sometimes on ambulance trolleys, sometimes operating room gurneys and this interferes with the function of the ambulance services and operating room. When you look at the reality of the hospital and the implications of the decisions made and not made, it has had a very real impact on the public’s perception on how much you care as a country,” the Elizabeth MP said.

“When you take your grammy to the emergency room and she ends up in the hallways for three or four days, people think you do not care but it is not that, it is the final consequence of many different decisions made over time.”

Speaking about long-term patients officials hope to phase out of the hospital into another facility, Dr Sands told The Tribune: “So we have 67 beds out of commission plus these 30 or so beds.

“So we have these 30 plus chronic patients in there because there is no long-term or chronic care facility to put them in and when we look at cost, it’s in excess of $7m a year for these long-term chronic patients. What we now have to do is establish or enter into partnership with a long-term facility to provide the level of care to these patients because they can’t go into a regular nursing home because some of them have psychical and mental challenges but they don’t really require in patient care and are using beds for the wrong reasons.”

Dr Sands said in order to fix the problems, health officials have to complete the renovations at PMH, increase the hospital’s capacity, get patients in and out faster and take non-essential services out of PMH.

Last month, the Accident and Emergency Department at PMH experienced a series of challenges, forcing some patients to be relocated to the South Beach Clinic and others to wait for more than 24 hours in some cases.

At the time, Dr Sands the “perfect storm” was caused by years of “dumb and inappropriate decisions” and he is “honestly not sure” when a solution to the “mess” will be found.

Comments

Well_mudda_take_sic 6 years, 8 months ago

This is what happens when you appoint a corrupt despicable scoundrel like Frank Smith as Chairman of the PHA.....he was just too busy feathering his own nest rather than serving the interests of the people. And corrupt Christie and his equally corrupt cohorts simply turned a blind eye to Smith's wayward and illegal activities because they too were too busy feathering their own nests at the expense of the people. Truth be told, people have died and are dying as a result of the unconscionable disregard that Frank Smith had for the vitally important duties of his office. This idiot was beholden to himself and no one else - pure personal greed and selfishness with deadly consequences for many past and current patients at PMH.

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Reality_Check 6 years, 8 months ago

Dr. Sands, a quick word of advice: Get these unacceptable problems resolved pronto because even the loss of one life due to the existing deplorable hospital conditions is one life too many!

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birdiestrachan 6 years, 8 months ago

Doctor Sands tell the Bahamian people something they do not already know.. for example how soon will you fix the situation. and how soon some of you rich guys will donate your salaries to charity and buy you own cars and gas. Now that will be real news.

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TigerB 6 years, 8 months ago

Nassau has it really good, Freeport has 4 ICU beds to service the entire island almost 55,000. Patients in GB has long been in the hallways, that's all they know. Brave Davis took the Old hotel that the former PM had purchased for more hospital space and let it become an eyesore down town before they they finally knocked it down. Years pass they are now building a cafeteria... still no beds that needs fixing too. The population is growing here in Freeport as well.

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Sickened 6 years, 8 months ago

We are like Venezuela. If you need to be admitted to hospital you have to bring your own medicine, bandages and a bed! Sickening!

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ashley14 6 years, 8 months ago

Very sad! People deserve care when their sick. The elderly have busted their butts their entire lives. Look what the end hands them. Disgraceful. Have you been sick enough you could not help yourself. I have. At least I knew I had good medical care available to me. This needs to change.

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hallmark 6 years, 8 months ago

My, my! Wouldn't the hotels like to have such a problem.

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tell_it_like_it_is 6 years, 8 months ago

Okay Dr. Sands, do you have any ideas of your own? Exactly why do you think you were appointed? It's time to hear specific solutions. How are you going to get patients in and out faster? (Hopefully not by neglecting care). I'm so tired of the whiny doctor's complaints. Let us hear your long-term 'detailed' plans, sheesh!

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