Katnip 13,393 Views
Joined Aug 3, '01.
Posts: 5,327 (8% 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."
I personally think you did the right thing. You can never tell with a head injury. You pediatrician would probably sent you in so your son could get a head scan anyway.
Same here in Maryland. Once they're called, they can't refuse to transport. And they do get the most stupid calls.
On the other hand, we had a woman with 2nd and 3d degree burns on her arms and breast wait 3 days for treatment because she had to make an appointment for a public transportation bus because she wasn't on their regular route. She didn't want "to bother those nice Ambulance people."
I grabbed a passing "ambulance person" and we both told her in situations like hers, they are happy to help. That poor woman was suffering so much when she got to us.
Unfortunately EMS and triage folk aren't allowed to make a medical decision, even when the problem is obviously not medical, like bubblegum in the hair, broken nails, etc. There SHOULD be a way to tell people to see a hairdresser or manicurist, or to go home and take some Tylenol and leave us alone.
I have had many, many extremely obese patients and never hurt myself. The key is to get the right number of people to help. I have had some patients who are resistant to helping themselves, same as I've had teeny patients resist doing for themselves. If they are capable, I let them know I will assist, but it's in their best interest to do as much for themselves as they can. Most give it their best shot.
Yes, very, very large patients do require more time and more manpower. But I don't see a difference in the amount of complaining and whining.
I think sometimes we have hidden prejudices, even hidden from ourselves, that we automatically assign certain negative traits to people. I know I've caught myself doing it more than once. It's hard to be objective sometimes.
Sorry missed the last couple of threads. I'm in my last semester of a BSN. And I think that most schools require some kind of teaching presentation whether to a group on your unit or out in public.
I've had to do 5 presentations to my classes so far, as well. At first I hated it so much. Now, I'm used to it and it's just another stupid thing to get off my list of things to do.
48. Dang, I hate being average.
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