Firstly, no one wants to remove the ALC patients. They are ALC for a reason. They have an Alternative Lease arrangement in the Community whereby they live in hospital instead of in long term care or on the streets. The only change for ALC patients will be that they will become hospital employees. The can work in the information booth or they can register new patients or collect money from the parking lots or evening security detail or pushing buttons on the elevator.
Next we will triple our overall beds by re-purposing “wasteful” areas of the hospital. This is the brilliance of hallway beds. It will be gradual starting in logical areas.
Hallway beds for emergency patients are already being done. But we can eliminate the waiting rooms and just place gurneys there for patient care. Hallway beds can be used for low acuity procedures like tonsillectomy, kidney stone lithotripsy, birthing, colonoscopy and appendectomy. Look all you need is some IV anesthesia or a spinal block and you are good to go. Some of these hallway beds could be in the bathroom to help with washing the newborns or the surgical equipment afterwards or disposing of the kidney stones. Hallway beds can be used for cataract surgery. Most of these can be done under local anesthesia. In fact, if you move these patients into the Tim Hortons in the hospital and they take your order before the procedure starts and then the patient gets the hot piping brew when their eye is being bandaged all within 8 minutes. Hallway beds can be used for post-operative care as well. They need to mobilize and feed these patients so move them into the cafeteria in their gurneys. Big open space for physiotherapy, lots of light, supportive camaraderie, and nice food is exactly what the doctor ordered for these patients. Perfect. Now we can refurbish the post-operative care to cancer therapy or radiation suites. We can do xrays or CT in the same area as the radiation therapy for cancer patients. Two for one. Gift shops are a perfect area for taking blood and doing ultrasound and echocardiograms. You need to distract patients and they can buy gifts from the hospital marketing department. A hospital gown (deluxe edition with the bum covered) with the slogan “I didn’t cry when I got my blood taken and used Apple pay”. We can move patients into the administrative offices and they can manage the patient advocacy area. We can move patients into the entrance foyer which will make visiting with patients so much easier. We can move patients into the parking lots in the spring to early autumn. They need the fresh air and vitamin D from the sunshine which will improve recovery. We can move patients into the ambulance bays to to give them pre-medication anesthesia like exhaust fumes prior to operations.
So many opportunities in hallway medicine.
Why should we spend more dollars on healthcare when there is so much untapped resources in the system now?