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One of Victoria's largest regional hospitals remains in an "internal emergency" with nurses describing Bendigo Health as overrun by patients.
Bendigo Health on Wednesday called a "code yellow", an internal emergency that means the hospital's systems are unable to cope with demand.
Nurses say every bed was full and support staff trained in nursing had to help in intensive care units and emergency departments.
On Thursday afternoon, Bendigo Health said it remained in a state of code yellow.
Damian Hurrell has been an intensive care nurse for 23 years at Bendigo's hospital and was reassigned from his support role to prepare beds and care for patients coming into the intensive care unit.
"When I went down to the emergency department to pick up the patient that I was able to care for, every bed was full," he told ABC Central Victoria.
"There were many colleagues doing the same thing as me — coming out of really important support roles to provide clinical care. There were many, many people in the waiting room and in ambulances waiting for care."
Hospital workers have told the ABC that the code yellow internal emergency was a "s**tshow" and "the busiest day I've ever worked", and said ambulance trolleys jammed the hospital's emergency department corridor.
Last year, a survey at Bendigo Health found 50 per cent of staff planned to leave the hospital in the next two years.
Rise in flu and COVID-19 causes internal emergency
Bendigo Health said the code yellow was called because of an increase in the number of COVID-19 inpatients and a high number of patients with respiratory illness in its wards.
The hospital urged patients to go to their GP or seek alternatives to coming to the emergency department.
"We have expanded our hospital in the home services and aged care respite. A significant amount of this demand is related to respiratory presentations, so we encourage everyone to get their COVID and flu vaccinations as a priority," a spokesperson for Bendigo Health said.
"We had great support from our regional health services yesterday with 30 patients returning to the regions to be cared for locally and we are confident of their support over coming days."
Mr Hurrell said nurses at the hospital were working double shifts to meet demand and that it was common to get three text messages a day from the hospital requesting people to fill shifts.
On Thursday afternoon, Victorian Premier Jacinta Allan, who is also the Member for Bendigo East, told the ABC she had not received any advice about the code yellow at the hospital.
She wanted Victorians to help hospitals by staying home if they were sick to help stop the spread of flu and viruses during winter months.
"To make sure we protect our health, the health of others in the community and to support hardworking healthcare workers as well, because they're the ones that have to have that frontline response to the pressures that are put on our system," she said.
The Victorian government said it would continue to monitor the escalations at health services.
In a statement, Bendigo Health said patients needing surgery were being seen first.
Mr Hurrell said nurses had rejected the Victorian government's latest pay offer because it was inadequate to keep nurses and midwives in the state's health system.
"They're burning out. And we can't continue to provide the care if we don't rebuild our system and rebuild the nursing and midwifery workforce," he said.
"Morale is low. People are tired, people are desperate, and people are leaving the profession because they just can't do it anymore."
Health system 'struggling and unsafe'
Australian Medical Association vice-president Simon Judkins said hospitals rarely declared a code yellow, and asking for people to not attend emergency departments was a "Band-Aid solution" for an "unprepared" health system.
"When you get to this point there are higher mortality rates, more people die, and treatments are delayed [with people] spending longer times in hospital," he said.
"The usual reason they get to this point is because there is not enough capacity in the hospital system. We're seeing patients spend longer in hospital beds."
The Victorian government said as of May 29, there were 361 COVID patients in hospital across the state — 191 more than the same time last month.
This included 21 patients in intensive care units, with eight patients on a ventilator.
Dr Judkins said last week there had been 40 patients lined up for the Ballarat Base Hospital emergency department's 20 beds.
"If this is not the sign of a health system that is really struggling and is unsafe, it shows the system is not working," he said.
"Yes, seasonal flu and COVID-19 are having an impact, but this is on top of a health system that is working at capacity most of the time.
"The flow-on effect is we see staff getting exhausted and making errors because they're multitasking. It's more than what just happens on that one day."
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