Seriously?!?! - page 5
by emtb2rn 45,269 Views | 159 Comments
Time for another vent thread. Today's topic is: "You're here for what? Seriously!?!?!" 32y/o m, hx htn, vs wnl, cc is "chest pain for about 1 second 4 hours ago", no current complaints. Crossed my mind to give him a... Read More
- 0Quote from PsychcnsI'm Canadian so no copay, hospital care is publicly funded, you do have to pay for your ambulance though.
Is a copay charged? There needs to be a way to give people incentives to go to the right level of care. I think my insurance has a $50 copay for emergency services if not admitted.
- 5Quote from SionainnRNI'd have liked to hear the answer to the question I'd have asked, "What treatment did you have in mind when you came to the ED, ma'am?"My favorite was the mom who brought her 7 year old in the middle of the night for vomiting....once....36 hours ago!! Really??? Whatever happened to saltines, ginger ale and time? Works wonders. Then she freaked out when I had to start an IV and give fluids. She asked if he really needed the fluids, I said since he isn't holding anything down yes he did, then she said it was only once awhile ago...I nearly bit through my tongue on that one!
- 3Quote from PsychcnsNo copay for most if not all Medicare and Medicaid programs, that's why it's no sweat off their back to come on visit the ED for every piddling thing they can dream up.Is a copay charged? There needs to be a way to give people incentives to go to the right level of care. I think my insurance has a $50 copay for emergency services if not admitted.
- 7Quote from Sassy5dRight now it's on the sidebar under "liked topics," so you're going to get people that don't even realize where they're posting.Lol brick wall sometimes. Large volume of non-ER posters. What draws people in to this specific forum?
- 3Feb 22, '13 by opossumI work in ICU, but also oriented to the ED a few times...I thought I'd like it but I learned that indeed, I am simply not cut out for ED nursing. I lack the patience and wherewithal to deal with the nonsense described above AND drop everything to attend to true emergencies. I get too confused, frustrated and overwhelmed...maybe it's just our ED (which is overwrought with structural problems as it is), I don't know.
Anyway, I remember one night I was orienting over there and a 20-something perfectly healthy young woman comes in, c/o shoulder pain after washing her kitchen floor all day. I just could not understand what she wanted us to do about it. I think she got an X-ray or something and some pain meds to take home. Diagnosis of "shoulder strain". Just weird.
- 7Quote from redhead_NURSE98!I ask that question all the time when I'm having trouble getting to the bottom of a chief complaint. " what are you hoping we can do for you today." It seems to startle people into honesty ie: "I want pain meds/my MRI today/a sick note for work" etc. It saves some time and allows for educational opportunities/ referral for appropriate level of care.
I'd have liked to hear the answer to the question I'd have asked, "What treatment did you have in mind when you came to the ED, ma'am?"
- 9Feb 22, '13 by nrsecarolynOne of my favorite things to witness in the e.r. is when I discharge someone and ask them where their ride is they say "im calling an ambulance to take me to another hospital" I used to argue and try to reason with these people but I finally gave up and stick them in the waiting room and say "good luck with that." You just can't fix stupid!
- 3Feb 22, '13 by SaoirseRNQuote from That GuyWell-to-do lady in her early 40s, high functioning alcoholic. Wanted to come in for detox but was very obviously intoxicated and was told by the doc she needed to sober up before being admitted. So the woman went home and stabbed herself six times in the lower abdomen and arrived, still very drunk, and now requiring surgery."I was here 2 hours ago and they wouldnt give me pain meds so I stabbed myself. I'm in pain now." Obvious bleeding from abdomen.