New measures to tackle overcrowding at UHL

University Hospital Limerick

UNIVERSITY Hospital Limerick (UHL) has introduced a series of measures to deal with โ€œcrisisโ€ levels of patient overcrowding after it experienced a surge in patient numbers last week.

Responding to calls from the Irish Nurses and Midwives Organisation (INMO) for the introduction of a โ€œmajor emergency planโ€, hospital management admitted it does not have sufficient bed capacity to cope with surges in patient numbers.

UHL was the countrysโ€™ most overcrowded hospital this Wednesday with 51 patients on trolleys.ย There were 400 ย patients waiting for beds around the country including 286 in overcrowded emergency departments.

A statement from the UL Hospitals Group said that the emergency department at UHL was one of the busiest in the country.

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Last week it said it experienced โ€œa surge in presentations including manyย fromย frail elderly patients with complex medical conditionsโ€.

A โ‚ฌ25 million emergency department was opened at the hospital in June 2017 with designated spaces for 49 patients, compared with the old 33 bay accident and emergency unit.

โ€œWhile patients still face delays in the new emergency department, it provides for a much-improved patient experience compared to the old department and has resulted in improved patient outcomes,โ€ a UHL spokesman said.

โ€œUHL has just over 450 inpatient beds. This is recognised as not being sufficient for the needs of the MidWest Regionโ€, he added.

โ€œMeasures being taken to relieve pressure on the emergency department include the transfer of suitable patients to other hospitals within the group, and other community care settingsโ€.

The strategy also includes improving access to homecare packages and transition care; working with Community Intervention Teams to provide appropriate care in a patientโ€™s home or care facility and asking doctors to ensure patients are referred to the emergency departmentย only where appropriate.

The spokesman said that UHL was โ€œmeeting and exceeding national target of five days average length of stay for surgical and medical patients and are within target for medical and surgical re-admissionsโ€.

Last week, INMO Limerick representative, Mary Fogarty, said UHL was in โ€œcrisis modeโ€ and called on the management to โ€œhalt all activity at the hospital with the exception of emergency admissionsโ€ to help ease pressures.

โ€œWe are gravely concerned about the capacity of the service to provide safe care to patients. Itโ€™s clearly time for a major emergency plan at the hospital,โ€ she added.