When I was on an emergency medicine rotation, I asked for a room to tell a patient news about an X-ray. I was told that this was not a common practice given the scarcity of private rooms. It was advised that I inform them in the waiting room where other strangers sat nearby. I was also told to present cases to staff in small spaces in earshot of patients. This was unsettling to me, and pushed me to reflect on confidentiality and privacy breaches in the ED.
Canadian EDs are well-known to be overcrowded. With limited resources and a high patient volume, the space of a department is used to house a maximum of patients. Sometimes thin curtains are separating patients, or nothing is separating them at all. Often, they are placed in hallways and close to workstations where healthcare staff outside of their circle of care are working. ...continue reading