Taxi vs. 911 - page 4

Tonight, in our ER, a man came in with a gunshot wound to the arm via taxi and a three year old came in via ambulance (his parents called 911) because he put a dime in his nose. Silly, I know. ... Read More

  1. by   Medic2RN
    Just make sure you do a 12 lead ECG with a V4R to eliminate right ventricular involvement before you squirt that Nitro!
  2. by   redwinggirlie
    LOL Jbudd
  3. by   NurseJacqui
    Quote from suzanne4
    Best treatment for bug in the ear: use a syringe-full of alcohol. The bug will die and float to the surface and can be easily removed. Works much quicker than irrigation and doesn't cause any type of trauma.......

    The cockroach may die but it will burn the hell out of the pt's ear! We had a pt come in c/o earache. Later she added, " I don't know if this is related but I had a cockroach in my ear last night and I poured alchohol in there to get it out," The poor woman had severely burned the inside of her ear...I thought her silly for using alchohol, but now I know..a nurse probaby told her to do it!!! :uhoh21:
    Last edit by NurseJacqui on Aug 26, '04
  4. by   NurseJacqui
    I love our medics. I don't understand the pissing contest between ER nurses and paramedics. Ours work very well together. I am always very appreciative when the medics start the IV in the field..why is that a problem?
    Last edit by NurseJacqui on Aug 26, '04
  5. by   NurseJacqui
    It does amaze me how a pulmonary edema will actually WALK into triage, yet a girl with a sprained knee will arrive in an ambulance with sirens blaring and lights flashing. Or a pregnant DKA will sit quietly in the waiting room and never open her mouth when a mother whose baby vomited x 1 YESTERDAY will not leave you alone. Its too bad that our sign in sheet doesn't include a chief complaint section because the way our triage is set up, unfortunately you cannot see the pts in the waiting room. I think the sign in sheet used to have chief complaint but they took it away because of HIPPA.
  6. by   ERNurse752
    Last night we had a lady come in for foot pain (by ambulance.) She left AMA b/c we were taking too long and she had company at home. So she came back at 0300, again by ambulance, for the same thing. XR was negative, of course. No swelling, bruising, redness...nothing. Not even a MOI.

    "Can I have a cab voucher?"

    NO!
  7. by   Iam46yearsold
    For some people is there a difference between a taxi and an ambulance.
  8. by   Satori77
    Years ago my father (living alone in NY, I was out in Colorado), fell off a ladder and broke his arm. He was in a lot of pain and knew he couldn't drive. But he worked at a hospital and also knew how much an ambulance was, so he took a taxi. He ended up needing surgery and had pins put in his arm.

    A year ago my husband was having bad stomach pains at work. He wanted to just come home, but they called an ambulance for him. Said he didn't need it, but they put him in anyway. A couple weeks later we got a bill for $800!! Insurance covered maybe $200, and we still haven't paid the rest off. I think that is ridiculous.
  9. by   ThrowEdNurse
    Quote from Satori77
    Years ago my father (living alone in NY, I was out in Colorado), fell off a ladder and broke his arm. He was in a lot of pain and knew he couldn't drive. But he worked at a hospital and also knew how much an ambulance was, so he took a taxi. He ended up needing surgery and had pins put in his arm.

    A year ago my husband was having bad stomach pains at work. He wanted to just come home, but they called an ambulance for him. Said he didn't need it, but they put him in anyway. A couple weeks later we got a bill for $800!! Insurance covered maybe $200, and we still haven't paid the rest off. I think that is ridiculous.
    You're right. It is ridiculous. But unfortunately people like you get to pay for uninsured people who call 911 for chronic conditions and other non urgent problems like febrile children, nausea, headache, etc. These people don't have enough sense to seek appropriate medical care at appropriate times via appropriate transport. They certainly don't have enough sense to pay their medical bills. Therefore, the losses are recouped by you and your husband. Just pay them $5 a month or whatever you can afford. Also, no one can transport you or your husband against your will and without your consent, unless you are so mentally altered at the time that first responders deem you incapable of making decisions for yourself due to illness or ETOH abuse, etc.
  10. by   TraumaNurseRN
    Quote from TerraRN
    It does amaze me how a pulmonary edema will actually WALK into triage, yet a girl with a sprained knee will arrive in an ambulance with sirens blaring and lights flashing. Or a pregnant DKA will sit quietly in the waiting room and never open her mouth when a mother whose baby vomited x 1 YESTERDAY will not leave you alone. Its too bad that our sign in sheet doesn't include a chief complaint section because the way our triage is set up, unfortunately you cannot see the pts in the waiting room. I think the sign in sheet used to have chief complaint but they took it away because of HIPPA.
    The ignorant system abusers always, always, always get sent out to triage, and wait wait wait.......love it!!!!
  11. by   ZippyGBR
    Quote from darius000
    what are pick ups?
    a ute mate !

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