Gosh we could be workin in the same ED.
It's amazing to me how people that are sooo sick when they come to the ER can suddenly become soooo hungry. Sometimes that's the first thing they say after their assessment. "I haven't eaten all day, can I have a dinner tray?"
And of course "I need one of those cab slips to get to timbucktoo". They never live any where close to the hospital.
If the pt belongs to an HMO we can collect whatever their copay is upon discharge. Even the medical assistance HMO's have copays. If they don't have cash with them they can write a check, use a charge card or take with them a self addressed stamped envelope to send their payment back.
I don't know how cooperative people are going to be and we have to treat them whether they pay or not so it may not change anything.
I also like the medical assistance pts that want prescriptions for over the counter meds(Tylenol ect) because they have no money. Mean while they have 2 packs of cigarettes hanging out of their purse and their kids playing with a Game Boy the entire time they are there.
We also had a balls to the wall Friday and the holiday weekend from hell is sure to continue on through Tues. We have no beds so we've had a lot of holds. Our day after the holiday can sometimes be worse because everyone party's hard and they don't want to go back to work Tues.
Hope yours isn't too bad or I hope your off. No such luck for me.