2023-10-05 03:45:12
NWe are not writing to you to obtain your sympathy or empathy. You have heard many times regarding the difficult conditions in which we do our work, you have applauded us during the Covid-19 crisis, sometimes accompanied us in demonstrations, and we thank you for your support.
We are writing to you today to alert you of the danger to which you are exposed: from now on, we, caregivers, are forced in all circumstances to sort patients, to sort you. Worse: sometimes, we can no longer even prioritize you in order of severity.
We sort you when you dial 15. This was normal when 15 was an emergency number allowing rapid treatment of vital situations (cardiac arrest, stroke, etc.). But if you have already waited long, agonizing minutes for yourself or one of your loved ones, and insisted, without success, to access the emergency room in your city, you know, 15 has now become the triage tool to access to emergencies. The waiting time has therefore increased dramatically.
This puts those of you who need immediate care at risk. In certain areas, like in Vendée this summer, it is worse. You arrive one or more hours late than what is considered acceptable for a cardiac emergency. It’s likely that many of you are no longer even supported.
If you still manage to access an emergency service – if it is not closed, as was the case in 163 towns in France, at least occasionally, this summer – there are no longer enough of us to take properly manage your medical problem and answer your questions. In a large hospital in France – we are not allowed to give names – the still open emergency rooms are missing thirty nurses out of a theoretical staff of sixty-five. We get exhausted. But we’re not telling you that. Because the worst is for you.
We hope in silence
We are also not telling you that there are not enough beds in our hospital. Nearly 80,000 hospital beds were eliminated between 2003 and 2019 out of a political desire to promote care lasting less than twenty-four hours. And currently, due to the resignation of staff, in certain hospitals in France there are up to 30% of closed beds, sometimes entire departments.
Upon your arrival, if you need to stay in hospital, we know that it will be very difficult to find a service to accommodate you. To prevent you from ending up on a stretcher in a corridor, we will be obsessed with the idea of returning you home in certain places, whether it is day or night, whether you live alone or not, whether you be a child or an elderly person. This makes us unpleasant, because we are faced with untenable ethical dilemmas and did not choose this profession to subject you to this violence, to be abusive.
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