Now you can schedule APPOINTMENTS in the ER...???? - page 2

by mwboswell

3,360 Visits | 19 Comments

Okay, first we had waiting times posted on the internet, then we had that you could send a SMS/Text message and get the waiting time in the ER....now we have....wait for it - "Scheduling Appointment Times" for the ER....can you... Read More


  1. 0
    Quote from Altra
    EMTALA is not the issue ... assuming they're seeing everyone that does present. But you raise a very good point about triage principles. Imagine having to defend your actions as the triage nurse, juggling the VIP call aheads with the walkins who are actually sick. Not a pleasant picture.
    I have something to occupy me for a few days......EMTALA/COBRA/Triage requirements differ between free standing urgent cares and clinics than the ones a part of an Emergency Department. The requirment of the MSE is different for the minute clinics than UC's connected to the main ED's. The medical screening exam and higher level of care requirement if they are presenting to their appointment having an Acute MI, the time to seeing the "triage nurse" or transfer of care to the "higher" level. There are a TON of nuances to the regulations and I'm really curious how they solved the issues. How do you answer that the person with heartburn sat at home while waiting for the MD. What is the real door to MD time, are they seen by triage, where does liability begin?

    This has peeked my curosity.....Thanks MWboswell. I have digging to do.... I'll get back to this one later.
  2. 0
    i can even......

    if you can schedule an appt or hold your spot in the ER triage line...you probably arent that sick in the first place. Judging by the people that i see out in the field, i bet they'd set an appt for their nosebleed then call 911 so they can be transported by ambulance so they "get seen faster"...
  3. 1
    Quote from Altra
    I also think there is a margin of liability with this ... the laceration with controlled bleeding that does need suturing but because it's not convenient, does not actually present until the window since the time of injury has elapsed. The sprain vs. fracture that turns out to have vascular involvement. The middle aged female who is convinced she "slept wrong" on her left shoulder/left arm. In other words, the presentations that look different to a medical professional who actually eyeballs the patient than they do to a layperson.
    Good point - especially the liability thing. We'll need to keep watching this to learn more.

    -Mark Boswell
    MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P
    "Support CEN certification and your local ENA"
    Esme12 likes this.
  4. 1
    I recently read somewhere the following:

    "Do you know why people will wait soooo long to be seen in the ER?"
    "Because it's still quicker than waiting for a regular office appointment"!

    -Mark Boswell
    MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P
    "Support CEN Certification and Your Local ENA"
    Esme12 likes this.
  5. 0
    You're not alone. https://sach.inquicker.com/
  6. 0
    Only 24.99 for this premium service.....All about money, not the patients or the caregivers. I still am in disbelief........
  7. 0
    I thought I had read something in an article about all the wait time billboards, etc., that there might be future reimbursement issues because this could be seen as ERs soliciting patients to be primary care ... however, I'm not yet caffeinated/functional enough to find that article. Has anyone else run across that information? This whole thing sounds like it might fall into the same category...
  8. 0
    Quote from LunahRN
    I thought I had read something in an article about all the wait time billboards, etc., that there might be future reimbursement issues because this could be seen as ERs soliciting patients to be primary care ... however, I'm not yet caffeinated/functional enough to find that article. Has anyone else run across that information? This whole thing sounds like it might fall into the same category...
    Wow! That's interesting - would like to see how that pans out.

    -Mark Boswell
    MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P
    "Support CEN certification and your local ENA"
  9. 0
    Aha ... here it is, and page 2 discusses Medicaid cutting reimbursement ...

    http://www.washingtonpost.com/nation...7WJ_story.html

    I am now awake and functional, at 0230. LOL
  10. 0
    Quote from LunahRN
    Aha ... here it is, and page 2 discusses Medicaid cutting reimbursement ...

    http://www.washingtonpost.com/nation...7WJ_story.html

    I am now awake and functional, at 0230. LOL
    Lunah,
    Thanks very much for that article! I find this very interesting and it will be more interesting to see how the state Medicaid regulators continue to look at this and consider the efficiency of this type of ER use.
    Thanks again!


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