Reducing misuse of Emergency Departments! - page 4

After reading much of the posts about ED Nursing, my first suggestion would be for people to stop inserting objects where they do not belong!.On a more serious note, i just read an article in the... Read More

  1. by   parkernurse
    Quote from ernurse728
    My absolute biggest pet peeve is the parent that rushes their child into the ER because they have just discovered that the child has a fever...when questioned when the last dose of Tylenol/Motrin was given..the response...."well I didn't give hime anything I rushed him right here so you could see how high it was"!!! Hello....can we say febrile seizure people! Pediatricians really need to educate these people a little bit more. :angryfire
    Or the one who did not medicate the child because she wanted the nurse to believe it was hi at home.. I love to tell these ones it is child abuse not to treat the problem if they know it is there.
  2. by   luvallbabies
    a bout a yr and a half ago my 7 yr old had been complaining that right above his knee was hurting , he would limp around me , but i thought he was just trying to get attention,, my father had just passed away and we just had a new baby, a few days later we were at mcdonolds w/ my mom and he was playing ,, running around everywhere but still limping so my mom made me take him to the ER, i really felt stupid bringing him and even told the nurses i really didn't think anything was wrong with him,,~~ but i still listen to my mom~~ anyway they got him right in ,, did a ton of tests on him , one he even had to go to sleep for,, ~~now i am wanting to sh*t my pants, and they had a bone specialist come down and talk to me, they thought he might have a bone infection in the hip,, i guess the tests came back negative so we got to go home,the next day we were tracked down,, i have never had so many drs and nurses ever go all out in looking for my where abouts, and they wanted me to bring him back to the er immediatly because they needed to admit him , i don't know all the terms they use, but they started him on iv antibiotics and said he was septic but still he was fine running around playing video games in the peds ward, the dr couldn';t believe how active he was, we were there for a few weeks then he had a picc line in at home for quite some time, then oral antibiotics
    and here i didn't want to bring him in and if i had waited any longer he might have had to have surgery,


    Quote from hmccartn
    After reading much of the posts about ED Nursing, my first suggestion would be for people to stop inserting objects where they do not belong!.On a more serious note, i just read an article in the paper about a study completed which showed that 41% of parents undermedicate their children for fevers. the study examined Emergency room visits, and it determined that those visits could have been avoided had the children been dosed appropriately. What are your suggestions to reduce unecessary visits to the ER?
  3. by   teeituptom
    I have no suggestions because whatever is suggested wont happen in my lifetime anyhow
  4. by   scrncurt
    I have come to believe that stupidity is big business or we would somehow be able to educate these fools that use EMS like a taxi service. The Hospital administrators are not going to attempt to turn away business. It is going to have to take the community being fed up with paying higher taxes for unnecessary medical service to force change upon the system. I suggest that there be a system of holding all of the Earned Income these people get to pay for the hospital bills. When they realize they actually have to pay for something they start to use the gray matter a little bit more.
  5. by   Jay Levan
    Quote from hmccartn
    After reading much of the posts about ED Nursing, my first suggestion would be for people to stop inserting objects where they do not belong!.On a more serious note, i just read an article in the paper about a study completed which showed that 41% of parents undermedicate their children for fevers. the study examined Emergency room visits, and it determined that those visits could have been avoided had the children been dosed appropriately. What are your suggestions to reduce unecessary visits to the ER?
    Sorry to disagree, but I'm Afraid you are Overlooking some very glaring circumstances. First let me say that I do agree with your statistical information, and that I have felt the abuse you are explaining for thirty one years. However in that period of time a lot has happened to not only promote this abuse but to also expand it. The #1 influence has been our federal government. In the year 2003 there were approximately 40,000,000 people with no health insurance at all. There are those statisticians that believe that number will double this year to 80,000,000 people, leaving this vast amount of people with nowhere to go but the emergency room to see a doctor :angryfire Yet this same government finds ways to spend our money to cure the Ills of the entire world. I won't get on my soap box here, but some people are illiterate and cannot figure out how to take proper care of their children However that has been an E.R. problem since I've been doing it. My associate, this problem will not fade, in fact I believe it will continue to increase until Gabrial blows his horn, I further believe that time is very close. The best advise I may offer is to stop beating those people down, they are already in dire circumstances, and these type feelings on our parts, only makes things worse for them. I truly hope that your experiences as an E.R. Nurse will help you gain more knowledge of your fellow human beings plights and that your understanding will grow with the years ahead of you. If you feel the need to discuss this interesting discussion, please feel free to PM me any time or answer here, whichever is to your liking. Thanx for reading this.
  6. by   nekhismom
    One sure fire way to end ER abuse???
    .
    .
    .
    .
    .
    .
    .
    .
    ..CLOSE THE UNIT!
    Nothing short of that will work.
  7. by   teeituptom
    Quote from nekhismom
    One sure fire way to end ER abuse???
    .
    .
    .
    .
    .
    .
    .
    .
    ..CLOSE THE UNIT!
    Nothing short of that will work.
    Thats about it also.
    nothing much will do it otherwise
    if you want to stop people going to 7-11
    then close it
  8. by   teeituptom
    Last night at triage was wierd

    Lady signed only her 4 yo son in with pharangitis
    then while triaging him she decided she wanted the others looked, even though they had no complaints
    the she decided she wanted to be seen for her backache and abdominal pain.
    one sign in
    ended up triaging all 6 of them
    her dx=====pregnant again

    welcome to Texas Yall
  9. by   RNin92
    Quote from teeituptom
    Last night at triage was wierd

    Lady signed only her 4 yo son in with pharangitis
    then while triaging him she decided she wanted the others looked, even though they had no complaints
    the she decided she wanted to be seen for her backache and abdominal pain.
    one sign in
    ended up triaging all 6 of them
    her dx=====pregnant again

    welcome to Texas Yall
    That would be...

    Welcome to the good ole U S of A my friend!
  10. by   2muchfun
    Quote from Stitchie

    I swear some people come to the ER because they are bored and we are forever an entertaining bunch, or they are hungry and hospital food is not to be missed. I don't mean the drug seekers, either. We'll never fix that problem. The night of the first "Survivor" finale there was no one in the ER. We were happy to have the local PD bring in a beligerent drunk guy just to have something to do. I think that night is when I discovered how much I love Amazon.com and surfing in general.

    :hatparty:
    Gee, we must work together, same at my ER.

    And yes, we do miss things from time to time. Had a 48 yom w/ c/o "worst H/A of my life." Reported he sometimes had sz's w/ his h/a's. No other history, no other c/o. Arrested right there in the triage whilst I vitaled him. I have to say, even after all these years, it quite took my by surprise. BIG OLD MI!
  11. by   teeituptom
    Had one call 911 last night because we didnt get him right back immediately

    problem.......HA for 4 days
  12. by   RNin92
    Quote from teeituptom
    Had one call 911 last night because we didnt get him right back immediately

    problem.......HA for 4 days
    Had one tonoc that called 911...from her TREATMENT room!!
    Yup...she was already in the back and being treated!

    Know what her emergency was...
    We refused to feed her (c/o abdominal pain)

    I LOVE the law about abusing the EMS system...it is one of my favorites!!!!
  13. by   teeituptom
    I have seen a few get arrested for that over the years

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