I used to work for an Adventist healthcare organization, and I always was heartened by how important it was to provide the best care possible. I fear that with lawsuits and the notion that hospitals and other healthcare groups should be run more like a business has lead to some “unhealthy” changes.
For instance, take this story about Portland Adventist Hospital from msn.com:
>>Man dies in hospital parking lot — waiting for ambulance
PORTLAND – An injured man who had just crashed his car in a hospital parking lot was forced to wait for an ambulance because of hospital procedure, Portland police said.
Investigators said 61-year-old Birgilio Marin-Fuentes died afterwards from cardiac complications.
An officer who had been investigating a possible DUII near Portland Adventist Hospital was flagged down early Thursday morning by someone who had just witnessed the crash.
The witness told the officer a man had just crashed his car into a light pole in the hospital parking lot, according to Sgt. Pete Simpson.
The officer responded to the crash scene and found Marin-Fuentes unresponsive. Simpson said the driver had apparently suffered a medical condition not associated with the crash.
Adventist spokeswoman Judy Lindsay Leach said the charge nurse directed a paramedic to go immediately to the scene, then dispatched first responders.
The crash was approximately 100 yards from the hospital, but the victim could not be processed without following standard ambulance protocol.
When the security staff arrived, the police were already doing CPR and actively preparing the patient for transport to our emergency room, she said.
A spokesperson for the hospital said when the call came in, they immediately put their security first reponse team out to the parking lot and by the time a nurse got out there, paramedics were already on scene.
The officer performed CPR for six minutes while waiting for the ambulance to arrive. The announcement came several hours later that Marin-Fuentes had died.
A statement was released by Adventist Medical Center Thursday afternoon:
“Our hearts and prayers go out to the family and friends who lost a loved one today.”
“We do NOT have a policy against responding to emergencies in our parking lot. In fact, we always call 9-1-1 and send our own staff into these situations whether they are gun shot wounds, heart attacks, or any other medical emergency. We have done so many times in the past year alone. We want to reassure the community that Adventist Medical Center continues to be wholly committed to serving the medical needs of all of our patients, as we have been for more than 115 years. We want to assure all patients that we will always respond immediately to their health care needs with the highest quality medical attention.”<<
This story troubles me because the paramedics got to the man in the car before the hospital medical personnel did … even though he was only 100 yards away.
A hospital is not a bookstore. You have people to take care of, and they aren’t like placing novels or cookbooks in a store window or on a shelf. Sometimes you have to throw out the rulebook to provide good care.
Somehow, Olivia Newton-John‘s “Let Me Be There” seems appropriate: