The public hospital system is filled with inefficiencies, lack of productivity - long waiting lists, long emergency department waiting times, bungled treatments and so forth.
Procedures and systems are not put in place by the nurses or doctors on the floor. They are put in place by the administrators/executive level staff.
For the most part, all hospitals run well and provide good care. Can they be run better? Absolutely, but like all hospitals, dollars are limited, everything takes time to decide upon and implement.
All levels of staff can make a mistake, and I've even seen a doctor in an ICU pull an arterial-line out of a patient's arm (in ICU), and take it to the basin to give it a bit of a wash, so he could use it again.
Fortunately the NUM saw him, stopped him and reported him. So don't talk to me/us about untrained nurses.
Part of the problem of long waiting times at hospitals is due to staff levels - both doctors and nurses. The reasons can range from nurses not available to work, and the respective ward/department can't get any agency staff to fill the gap, and doctors not being available. Less staff to care, less beds can be used for patients.....so they wait.
I recently had to have a hernia re-repair done (why was the first one not a success and needed another go? - surgeons are not infallible), and I had to go for a follow-up appointment with the surgeon at his rooms.
After a 45 minute wait to be seen, I walked out without being seen - whose fault is that long waiting time?
Another reason for long waits (in ER's) is folk using the ER as a doctor's clinic because their GP doesn't bulk bill anymore.
And finally; cost of running the facility.
Contrary to popular beliefs of inadequate numbers of nurses and overworked nurses, the nursing union and the culture of absolute laziness and mediocrity this union perpetuates is a major factor accountable for public health system failures.
So far from accurate it's laughable.
Most nurses simply go to work, do their shift and go home; they are not out campaigning and being a militant unionist. Thank god for the ones who do though, otherwise you'd have 1 to 10 patients per nurse and so on.
As usual; you take a minor stat in an argument, and make it the only stat.
My wife has been a nurse in both the public and private hospital system virtually all over Melbourne for approx 20 years, and at Cedars-Sinai Hospital in Beverly Hills, L.A for 2 years, and a further 12 months at the Santa Rosa Public Hospital in CA.
She can vouch that the level of care in many Private Hospitals is no better, and sometimes worse than a public Hospital. Why? Dollars.
Also, the attitutes and work ethics of people doesn't improve just because their employer is a goverment body, or a privvate corporation - in any walk of life. So; dud nurses and doctors will be evident in a private hospital too. As long as no-one dies, they can plod along flying under the radar, being useless forever.
Private Hospitals are a business that needs to be profitable, so costs have to be trimmed, and this often happens with less staff. Many times my wife has been an anesthetic nurse in a private hospital, and had to double as the scout and so on. I won't name names, but a well known hospital where many famous celebrities go to is one of them.
I've also worked in the Frankston Public Hospital for 3 years as a nurses assistant. We had many private patients in that Unit; transferred from a Private Hospital not geared for their level of care.
For the large majority of nurses; they are caring, dedicated and do their absolute best to provide good patient care.
Yes, there are deadwood and clock-watcher elements, but that applies to any job on the planet - and both genders, and all ages.
Nursing practices in this country went down the drain when pseudo-university courses were introduced and an aversion to emptying bed pans was developed.
They are not psuedo, and they haven't "gone down the drain" and now you are insulting nurses (and nurses assistants) everywhere who have to clean up vomit, spit, urine, diarrhea on a daily basis.
When I was in the ICU we had patients who were tubed and on liquid feed diets who needed total bed changes every couple of hours, because they were swimming in malena (blood saturated liquid poo). Who do you reckon cleaned it up...doctors? No; me and the nurse.
But I will agree with you about this aspect; the "on the job" training which nurses used to have should be re-introduced. Many nurses hit the floor and are floundering; their time manangement skills aren't developed, so they are less efficient than yer 10 year nurse.
As an example, when the nursing union campaigns for better patient to nurse ratios, it has nothing to do with patient safety but everything to do with working less for more pay.
Again; totally mis-informed and inaccurate.
Once patient/nurse ratios go above 1 to 4, the nurse cannot possibly offer the best level care. It is simply impossible from a time point of view; paperwork, hourly obs, and so on.
Add to this; discussions with concerned relatives, a new nurse who hasn't got a good level of time management skill, low awareness of where equipment and storage are located - all time wasters, and you have a potential disaster.
You clearly have a very low view of nurses, and god help any that have to help you perform your job - if you ever become a $2mill per year specialist, or worse; just an ordinary public/private system surgeon only making a decent wage - then you really would be hard work..
Incidentally; I just showed your post to my wife - I can't repeat what she said and not get slapped over the wrists by the mods...again.