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If an ER patient is Not Sick, are we still supposed to treat?



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No. 40
from NewbieEDRN
Old Oct 05, 2009, 11:24 AM

Default Re: If an ER patient is Not Sick, are we still supposed to treat?
Originally Posted by whatdayoftheweekisit View Post
Sounds like you need the QMP or ESP process....using the ESI five-level acuity system, all 4s and 5s in our ED are QMP eligible. The ED phsyican provides the MSE - if no EMC (emergency medical condition) exists, then the patient is visited by registration. They are given the choice to pay their co-pay if they want to stay and see the physician for tx anyways - or a lump sum if they have no insurance. If they can't/won't pay then they are let go with a not that states that the patient chose not to be treated by the phsyician. Perfectly legal and cost-effective. We have a list of QMP exclusions - basically old people, babies...and a list of medical complaints that are no brainer emergencies anyways.
This is the process used in my ER. We love it
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No. 41
from MikeyBSN
Old Oct 07, 2009, 12:20 AM

Default Re: If an ER patient is Not Sick, are we still supposed to treat?
Originally Posted by mwboswell View Post
"Standard of care" is defined by experts, professionals, professional organizations, educational entities and peer leaders.

"Expectation of care" is defined by the public at large and what they perceive as what should be done - the public (nor the jury) sets the standard. The jury may subcumb to it at the hands of a skillful prosecution or defence, but precedence is NOT set in the courtroom which establishes "standard of care"...some lawyers may tell you that it does, but it does't.... the experts (et al) set and re-establish the standard during each testimony.

PS: you still haven't given me any citations or references for your statements...
If you want a specific citation to an article that says the standard of care is what people say it is, then I can't give you one. I'm not saying a person will certainly win, I'm saying that they can make the argument. Under what I understand of tort law, the plaintiff has to show that the defendant fell below the standard of care, and the plaintiff can use current practices and call witnesses to testify as to what the standard of care is.
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