Katnip 16,655 Views
Joined Aug 3, '01.
Posts: 5,322 (9% Liked)
According to EMTALA, you can refuse to treat things that are not considered emergencies. The trick is, though, it has to be determined through a medical exam that it is not an emergency. Triage does not count. so you've got to get the person back there for the exam, and since they're back there, might as well treat them.
I think EMTALA needs some serious tweaking. Or those who wrote it should be willing to pick up the tab.
Edit to add: still, I think I'd suggest a nail salon instead of an emergency room for a hangnail. Much cheaper.
I do know that hospitals can and do garnish wages to pay for things if a person has an income. They can also put liens against property.
Someone who called and tried to make an appointment for the next day. We explained "This is the emergency room."
Person replied "I know. I don't want to wait, I want an appointment for tomorrow." We said, "Call the clinic."
Generalizing women as mostly catty, and men more team oriented only further divides nurses. That's really something the profession doesn't need.
It takes me about 1 hour, 15 minutes to get to work. More if there's been an accident. In that case all bets are off.
There really aren't very good jobs that pay well at all close to home. Now that I'm back to bedside in ER, it's only 3 days a week. I've done commutes like this for years so I'm used to it.
There are so many.
Med-surg is a pretty generic floor with all types of illnesses and injuries. They are usually pretty sick or injured, but don't require cardiac monitoring. Sometimes med-surg units are divided into orthopedics, renal, etc.
Telemetry/IMCU/Transitional/Stepdown requires constant cardiac monitoring, sometimes portable, sometimes they're hooked to a fixed unit. They aren't as sick as in ICU.
ICU are for the very sick and usually one nurse has only two patients, sometimes it's one-on-one. Sometimes you'll see PICU (Pediatric Intensive Care Unit), NICU (Neonatal) ,SICU (Surgical) or MICU (Medical), CCU (Coronary Care Unit)
Pediatric units are like a med-surg for children, usually but not always under 18.
Labor and Delivery/Post-Partum are for women who are having babies, and after delivery. There's a nursery attached also for the babies.
Oncology units are for those with cancer. Sometimes, especially in smaller hospitals, these can be lumped in with med-surg.
Psychiatric units are for people who have acute (sudden, usually short stay) mental health problems.
ED/ER is often divided into adult, pediatric and urgent care, which theoretically gets people with minor illness/injury and gets them out faster.
Perianesthesia includes pre-operative areas, the operating room, and recovery, more commonly called PACU (Post-anesthesia unit)
Those are some of the basics. Larger hospitals and teaching (hospitals where doctors learn) hospitals usually have units divided even further into sub-categories.
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