Seriously?!?! - page 9

by emtb2rn

44,935 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


  1. 5
    Quote from Psychcns
    So hospitals would have to work together to develop standards. I am not sure why they don't do this. The money must be better if they compete with each other.. And they are competing for the business of people who aren't paying themselves and who don't need emergency visits. Can't someone outsmart "the system". Where are our leaders??
    In Washington with the very lawyers who sue the pants off of the facilities for not treating everyone and all the government employees who run...medicare, Medicaid, SSI, SSDI, and now Obamacare.....while they visit with COBRA, EMTALA, and HIPAA.
    barrymedic, salvadordolly, mc3, and 2 others like this.
  2. 0
    Quote from Esme12
    In Washington with the very lawyers who sue the pants off of the facilities for not treating everyone and all the government employees who run...medicare, Medicaid, SSI, SSDI, and now Obamacare.....while they visit with COBRA, EMTALA, and HIPAA.
    Yup. It's to 'improve' quality of care but honestly, it does the reverse. Do they honestly believe 'consumers' are going to go online and see the rating scores of hospitals and go out of their way to be seen at the hospital with the better scores? THIS is their rationale for this new system.
  3. 2
    Quote from Psychcns
    So hospitals would have to work together to develop standards. I am not sure why they don't do this. The money must be better if they compete with each other.. And they are competing for the business of people who aren't paying themselves and who don't need emergency visits. Can't someone outsmart "the system". Where are our leaders??
    The ED doesn't see everyone who rolls in the door solely out of the goodness of their hearts -- it's required by federal law.

    Emergency Medical Treatment & Labor Act (EMTALA) | Centers for Medicare & Medicaid Services
  4. 2
    Quote from Altra
    The ED doesn't see everyone who rolls in the door solely out of the goodness of their hearts -- it's required by federal law.

    Emergency Medical Treatment & Labor Act (EMTALA) | Centers for Medicare & Medicaid Services
    to clarify- What is required is a medical Screening Exam, in order to determine whether an emergency exists. There is no law requiring a work up for every complaint.

    Very few places screen and dismiss pt's.
    canoehead and Crux1024 like this.
  5. 0
    Quote from hherrn

    to clarify- What is required is a medical Screening Exam, in order to determine whether an emergency exists. There is no law requiring a work up for every complaint.

    Very few places screen and dismiss pt's.
    Why don't they screen and dismiss non emergency patients? Or refer to pcp? There must be a financial or some other incentive to treat..
  6. 0
    Quote from dirtyhippiegirl
    When I worked as a front desk tech at the ER --)

    lady comes in with her nine (literally) kids, plus her sister and her sister's four kids. Wants EVERYONE to be seen.

    Because they had all been to a picnic two weeks ago with her brother, who was dx'd as having MRSA in a wound a week later. Absolutely no s/s of anything in anyone. Even had the NP come out to educate all fifteen of them on the s/s of MRSA infection, etc. No go. AND she wanted everyone to be seen by a doctor, insistent about just "wanting to be checked out."
    Please tell me no one entertained this silliness.
  7. 6
    Quote from hherrn
    to clarify- What is required is a medical Screening Exam, in order to determine whether an emergency exists. There is no law requiring a work up for every complaint.

    Very few places screen and dismiss pt's.
    And that's the problem. They're terrified if they don't do a full workup on every silly complaint that they'll miss a festering infection that goes septic, or the guy that has a completely unrelated complaint has an MI 4 days later and his family sues, etc. The unjustified lawsuits need to stop.
  8. 4
    Quote from Psychcns
    Why don't they screen and dismiss non emergency patients? Or refer to pcp? There must be a financial or some other incentive to treat..
    Yes it's called being sued. If the million dollar work isn't done and they drop dead in the parking lot.....guess who gets sued. The doctors and the nurses.

    But this is a light hearted thread about the ridiculous things patient come to the ED for.....lets leavethe politics for the breakroom!
    bsyrn, ~*Stargazer*~, opossum, and 1 other like this.
  9. 2
    Quote from Ruby Vee
    I don't know about where you are, but the Target crowd here is just as nasty as the Walmart crowd.
    I'm in a college town. You encounter a lot of the sorostitutes with the "OH my Gawd" voices, but since we also have Walmart and Kmart, the People of Walmart types tend to gravitate there and away from Target. And I would rather have to stand in line listening to what's happening during Rush. In Walmart you get to overhear stuff about who the daddy is, how the court case is going, and how to pass a pee test.
    twss2323 and sharpeimom like this.
  10. 1
    Thank you monkeybug for the explanation. I totally get it now, too funny.
    monkeybug likes this.


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