spider
Senior Member
It is definitely a system wide issue, much of which is due to patients clogging ER beds that require complex continuing care somewhere else. The 'offload delay' that you're talking about where you're seeing multiple crews stacking up waiting to transfer care is actually much better now than it used to be with increased nurse availability. The Toronto average is about 40 minutes from a crew entering the ER to being available to take another call, which is actually a pretty good number.
With all due respect, and I do value and respect your contributions, 40 minutes is not a good number considering that your function is to stabilize and deliver the patient to the hospital not to continue to treat and monitor them for 30 minutes after arrival. Your workplace has wheels because it is primarily a delivery system not an extension of a hospital.