FILES - DON’T REMOVE!! DAMMING RAMP THS Bed allocation Delivered Ambulance Limited Space Monday Tuesday More Beds Patient Admitted Pressure from the ramp Ramp Walkaround Ideation files Staff morale Fragmented treatment Handover to Wrong Person Collection and Transit Pathways prenotification Appointment access Triarge interuptions Admission planning ambulance equipment triage cat time multiple patient handover ed identificaition