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If this transfer doesn’t happen within 30 minutes of the ambulance arriving at the hospital, the ambulance is ‘ramped’. It does not mean the patient is still in the back of the ambulance, just that the transfer of care from paramedics to the ED clinicians has not yet happened.
Rampingmeaning slang
If this flow is disrupted at any point, it can cause problems in the whole system. Think of it like a river—water starts to back up if something blocks the flow.
In addition, West Moreton, Wide Bay, Sunshine Coast, Metro South, Metro North, Mackay, Darling Downs and Central Queensland HHSs are receiving a combined $9.1m. This will be used for:
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People may need to go to ED for severe or urgent conditions like heart attacks, severe pain, loss of consciousness and problems with breathing or bleeding.
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On the whole, Queensland’s Emergency departments are performing well when compared with other jurisdictions, reporting the second-best median wait time (18 minutes) and the second largest proportion of patients seen within clinically recommended timeframes (67 per cent) in the 2022-23 fiscal year – performing better than the national average in both metrics.
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Satellite Hospitals and Medicare Urgent Care Centres are available across Queensland for treatment of urgent care that isn’t life-threatening. These are open 7 days a week, free for Medicare card holders and don’t require an appointment.
An emergency department (ED) is a busy part of a hospital where patients who need urgent medical attention for severe injuries or illness go, without an appointment.
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Each year, almost 1 million emergency department cases are not medical emergencies and could have been treated by a General Practitioner (GP) or pharmacy instead.
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Ramp meaning in Hindi
Most Queensland public hospitals have an ED that is open 24 hours a day. Patients can arrive at any time and with any medical condition.
For less urgent or less serious conditions, always visit a GP. They treat many general conditions such as viruses, infections, removing stitches, UTIs, sprains, earaches and much more.
In Queensland, our hospitals function as a network. If one hospital is experiencing high demand, ambulances may transport patients to other nearby hospitals, but only if it is safe for the patient.
Sometimes, things happen suddenly, like an outbreak of disease or a big accident, which means lots of people need help at the same time.
Optimising our processes throughout the entire patient journey from admission to discharge is essential to ensure timely, effective, and high-quality care and to avoid ambulance ramping.
It also means that patients with less serious conditions may need to wait, especially when the ED is very busy. Sometimes, those patients in categories 4 and 5 might wait several hours.
Ambulance ramping is not a new phenomenon; it occurs around the world, including in places with highly advanced health systems, such as Australia.
If you’re not sure if your medical condition requires emergency care, call 13 HEALTH (13 43 25 84). Registered nurses are available 24 hours a day. They will advise you on what to do and if you need to go to a GP, pharmacy or ED.
Hospitals plan for periods of high demand, but even the best planning doesn’t ensure unlimited ED treatment bays, hospital beds and staff.
There is no consistent national measure for the recording or reporting of ramping; meaning each state has their own differing method of measuring performance. These differences can include what constitutes the ‘start’ and ‘end’ times of ambulance transfer times, the types of transfers which are included or excluded from the reporting datasets and even the target timeframe for transfers to be completed within.
When someone comes to ED with a serious injury or illness, they are triaged by specially trained staff to determine how quickly they need care. From there, staff will treat and start their care as needed.
When all the ward beds are full, patients can't come in from the ED. This means that ED patients who need a hospital bed stay in the ED and can cause a backlog.
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Patient flow is the term used to describe a patient’s journey through the hospital system from arrival at ED to admission to a hospital ward and discharge home.
Ramp up meaning in Urdu
If a patient arrives at the ED by ambulance, and there’s an ED bay available, the paramedics transfer care of the patient to the ED doctors and nurses.
Despite having the busiest ambulance service within Australia, when applying the methods used by other states to Queensland’s data, Queensland’s performance was found to be better than three of the five comparable jurisdictions. As per the latest publicly available reporting period for each jurisdiction, Queensland outperformed these jurisdictions by a margin between 3.6 and 16.6 percentage points. Whilst for one further jurisdiction, the performance differential was reduced significantly.
Before we look further into what ramping is, it’s helpful to understand how a patient moves through the hospital, from when they arrive to when they are well enough to leave.
It’s important to note that on arrival to our hospitals—even in instances of ambulance ramping—no patient is ever without care, either from a paramedic, or ED doctor or nurse
These initiatives are improving healthcare accessibility and providing prompt medical attention for non-life-threatening emergencies.
If the patient needs more treatment in the hospital, they’re admitted and moved to a hospital bed in another area of the hospital (a hospital ward).
The Queensland Government is working to improve healthcare by addressing the challenges of ambulance ramping and bed block. This includes building new hospitals and expanding existing facilities to increase the capacity of the public health system.
As of August 2023, there were 877 long-stay patients in our hospitals, which is equivalent to the number of beds across the Rockhampton, Toowoomba, and Redcliffe hospitals.
Ramp meaning in Urdu
Non-urgent (Category 4 and 5) emergency department presentations decreased by more than 13 per cent in locations where satellite hospitals are operating (Caboolture, Kallangur, Ripley, Redlands, and Tugun).
When a patient is taken to hospital in an ambulance, their care is transferred from the paramedics in the ambulance to the doctors and nurses in the emergency department (ED).
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But demand is increasing faster than population growth. Patients are presenting with more complex and chronic conditions. Access to residential aged care and disability care is not keeping pace with demand. Costs of private healthcare is rising, and many Queenslanders are struggling to access primary care.
If the doctor decides the patient is well enough to leave the ED, they’re discharged and can go home, sometimes with a plan to see a GP or specialist later.
Pharmacies can also help with conditions such as cold and flu symptoms, skin conditions and irritations, minor or mild allergy symptoms, headaches, diarrhoea or constipation, and sleeping problems.
These patients who are medically ready for discharge—that is, they no longer need to stay in hospital—but cannot leave as they don’t have a residential aged care bed, an aged care support package or a disability support package that would allow them to live safely in the community.
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About one-third of Queenslanders use an ambulance to get to an ED. They are dispatched by the Queensland Ambulance Service—the largest and busiest ambulance service in Australia. In fact, Queensland is the only mainland Australian state that has a free ambulance service, increasing the number of people who use the service.
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Rampingup meaning
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No patient is ever without care. Even at Queensland’s busiest EDs, all Category 1 patients with imminently life-threatening conditions are seen immediately.
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An important part of this strategy is the introduction of new services like Minor Injury and Illness Clinics (MIICs) at our Satellite Hospitals and Medicare Urgent Care Centres. These services provide free, walk-in urgent care for those who need medical attention but can’t get an appointment with their GP. They treat conditions that aren’t life-threatening, such as simple fractures and infections, toothaches, and minor burns.
If this continues, it can result in a backlog of patients in ED waiting for a bed to become available, which means ED has no space to accept new patients that present to ED.
EDs are busy places. Doctors and nurses treat patients according to the severity of their condition, not when they arrived or whether they came by ambulance.
It can be helpful to think of a typical patient’s stay in hospital as a journey—from the ED to a hospital bed in a ward, and finally, discharged to go home.
On arrival to our hospitals, no patient is ever without care—either from a paramedic or ED doctor or nurse—and even at Queensland’s busiest EDs, all Category 1 patients with imminently life-threatening conditions are seen immediately.