Does the ED stand for Emergency Department or the Everything Dumpster? - page 2
Why, why, why does it seem like we are the dumping ground for the whole medical community? From primary care providers offices, to nursing homes, to the urgent care it just seems like no one wants to be accountable for taking... Read More
- 4Jan 21, '13 by N1colinaQuote from Tyler's momJust want to point out that all that APAP would be tough on your liver but either way, it sounds like BS that they didn't send you home with any pain meds after breaking your legs... 1 Lortab while you were there?? I'm sorry that you encountered that kind of experience.Unless you truly need the pain meds then you are given less than adequate. Just speaking from personal experience. I broke both legs when thrown from my horse a couple years ago. I stayed in the ED for four hours in agony. When I asked for something for the pain you would have thought I asked for oxycotin. I was given Hydro 5/325mg one and sent home with discharge instructions to see ortho surgeon on Monday. I left the ED Saturday morning at 0200 in a wheel chair praying I could make it till Monday without killing my kidneys on extra strenght apap.
- 0Jan 21, '13 by N1colinaQuote from N1colinaI stand corrected. I guess new research (new to me) shows that Tylenol can be nephrotoxic as well :/
Just want to point out that all that APAP would be tough on your liver but either way, it sounds like BS that they didn't send you home with any pain meds after breaking your legs... 1 Lortab while you were there?? I'm sorry that you encountered that kind of experience.
- 3Jan 21, '13 by tewdlesThe ED as a dumping ground is the way our capitalist system has evolved.
It is not likely going to change in the near future.
LTCs/SNFs/ALFs will continue to send their elderly and ill patients to you for all sort of crazy reasons and a few good ones. Those patients will be transported to a large degree the way their families want them transported...even perhaps in the back seat of their car.
- 7Jan 21, '13 by woohQuote from canoeheadOr you could just not use the word. You obviously know that some would birth a bovine by its use, yet your comment was really sooooo important to be offensive anyway?It's the Exasperated Room, or Everyone's Retarded.
And by retarded I mean Snookie, or Tom Cruise jumping on Oprah's couch. Nobody have a cow.
- 1Jan 21, '13 by VioletKaliLPNYou know what is weird though, sometimes family members ask that an ambulance NOT be used. I swear, I love my job, but the whackadoo family members really grate on my nerves!
Then we had one family member attempt to demand we send a patient with an ingrown toenail via 911 to the ER. Podiatrist visit was the very next day, but his foot hurt. Yanno, I could have given him his percocet... Family ended up calling 911 because *I* did not under orders from doc and DON.
I have all sorts of fun stories.
- 0Jan 21, '13 by twinkletoes53Is it because people with no insurance HAVE to be seen if they show up at the ER? I know so many patients who use the ER as their PCP. Which really sucks. It makes waiting time longer for everyone and takes staff away from patients who are truly sick. If ER is overrun with patients, some may be either incorrectly triaged, or triaged; sent to wait their turn, then can't speak up when their condition worsens.
- 0Jan 22, '13 by ktwlpnQuote from crazy&cuteRNIn my LTC if the resident has DNR they almost always go in a transport van.In PA. if we sent them in an ambulance and they tried to die they would be coded despite their DNR status. What was the status on your patient? DNR? What was the outcome?The problem in the OP is that a LTC facility chose to send a sick resident via van instead of an ambulance. If it is a life threatnening emergency than the resident should have been sent via ambulance. I'm sure it is cheaper to use the van however it is not the most prudent.
Often the family insists the resident be transferred,it's not up to us.
I have transferred dying patients to acute care and I have received new admissions and hospital returns from acute care who were obviously in that transition and died within the hour.It happens and it's not something we can control. I try not to take it personally and let it ruin my day
- 0Jan 22, '13 by NutmeggeRNQuote from Esme12Sorry Disagree with the idea completely..... that we send them out for a breakBecause the ED/ER always has been the dumping grounds. It always will be. This nursing home sending patients out by transport needs to be talked to....you can't necessarily blame the staff as you have NO idea what they have been told to do. If they have been told by admin that his is what must be done of be fired....in this job market...you do what you are told. Sending out "half dead" patients....if they have had too many deaths recently....and they want their numbers down....guess where they are going to be sent.
Some staff at NH will send problematic patients to the ED to give themselves a rest.Last edit by NutmeggeRN on Jan 22, '13 : Reason: clarification
- 4Jan 22, '13 by T-Bird78Quote from woohYay! Thank you!!! I HATE that word and can't stand hearing it!Or you could just not use the word. You obviously know that some would birth a bovine by its use, yet your comment was really sooooo important to be offensive anyway?