Emergency Communications ...

On the way home to Salatiga, call it Y along with her husband and children who were aged 5 years, had an accident in Sleman area where motorcycles are dinaikinya tersenggol bus. In the event her husband died on the spot, Y and his son was seriously injured. They were taken to a nearby health centers. But because of the limited equipment at health centers, the Y is only given first aid and then referred to an IV to a larger hospital.
At first glance, there is no problem that occurred here. But in a state of panic and was seriously injured while waiting for the process of moving to a larger hospital Y continually ask why she did not 'diapa-apain', why doctors do not do anything even though all his ribs broken and answer any doctor asked was' waiting families come '. Apparently, Y immediately assume that what is meant by the words 'family waiting to come' equals 'complete all the administrative alias is no guarantee the new payments are handled patients'.
When to see him in hospital where he was treated later, the Y still vehemently expressed his anger that it was the time when things are on the brink of death though, medics still must ensure the administration had settled before taking action. I try to listen well and pay close chronological problem. It was that sort of thing is often heard. In the case of Y, is actually the sub-health centers already perform all medical acts that may be performed in such conditions in accordance with procedures and capacities. However, given the limitations of equipment, not all the checks can be done at the time, for example, to photograph rongent course should be referred to hospitals that provide these facilities.
Can be understood, the condition of the patient who lost her husband and schock due to severe injuries he suffered and the child's condition would make it panic. Psychologically he hopes soon to get help or integrated care as is often seen in movies ER. Did not realize that he was in a health center.
This problem, if viewed from the perspective and slightly different treatment would cause a different impression.
What is meant by 'family waiting to come' by the health center when it is, we've been doing first aid and for further action which requires medical personnel and adequate equipment more you should be referred to the Hospital which has better facilities. Technical details on this is better discussed with the family, assuming the patient's condition is not possible to receive all the information. This is the actual message to be conveyed and then captured a very different by the patient because of stereotypes that are so inherent in the words 'family waiting to come'.
Amazing, how a sentence / message can mean very different by the recipients of the message. In such situations sometimes medics are trapped on the idea that, not allowed to communicate something about the conditions and actions to be taken in patients with severe conditions considering the factor of lack of patients to receive the information in these conditions.
Then, how to communicate properly with no contributing factors that aggravate the condition of the patient?
In the case of Y, may be tried packaging the message is more informative than just 'wait for family to come'. For example, to convey that it was performed first aid on you and because of limited medical personnel and equipment owned health centers, then the examination and further treatment will be referred to Hospital A.
Give a brief message is informative, as far as possible easily digested by the patient so that patients are not allowed to be a helpless creature who had to wait, wondering and making assumptions that develop into worse in every second of The wait. Create a calm patient with that information.
Sometimes when waiting for action to be given, patients often feel overlooked because there was no confirmation from the medical officer who handled it. Better to communicate if indeed the patient had to wait a while for observation first.
Establish good communication during an emergency is difficult. Especially in these conditions which are preferred course is to help patients as soon as possible. But it never hurts to reduce the misunderstandings that often occur, the quality of communication between medical staff and patient need to be improved. Apart from emergency situations, patients should be treated much and how tired medical staff have been working, it is important to keep that communication with patients going well.
Already we often hear complaints about the doctor patient quiet, impatient alias will not listen to complaints of patients until complete, stingy, etc. information. There must be reasons why it finally emerged this serious perception. Such a noble profession of medicine is not supposed to end with such a negative stereotype just because of events that should be created with better quality.
If anything, doctors have been very tired because of dense activity, patients should be treated so much, keep a schedule leaves no time off at all and has lot of other reasons. But the problem does the patient know and understand it? Keep in mind that when someone is lying as a patient, he just wanted to be checked and treated with all possible attention. At that time sensifitasnya will increase, so boro-boro want to think, 'wow yes doctor probably tired of talking and so he rarely hurry ..' What will happen is the opposite, hence the negative perception is then developed.
Then how do I fix this?
Never tired to create good communication. From some instances, this weapon proved quite efficacious for building good relationships with patients and avoid misunderstandings that led to numerous allegations of malpractice more intense lately.