Anna Flaxis, ASN 20,842 Views
Joined Oct 15, '10.
Posts: 2,822 (67% Liked)
Just think if all of the "non-emergent" cases were to stop, staffing would decrease, people could and probably would be laid off or just lose their job all together...hmmm...job stability would be one good reason for me to take a Pt with a headache and smile about it
I saw a woman who had called the ambulance and went to the ED for "vaginal itching/yeast infection".
A headache is not an emergency, except for when it is
Dehydration & rhabdomyolysis --> multi-organ failure.
Well, not so much.
ER docs regularly give medications that fall on the wrong side of the risk/benefit ratio. They give out drugs for reasons they would never allow in their own family.
There are a number of reasons for this- Path of least resistance, as mentioned earlier. And, of course patient satisfaction.
If you have to identical presentations dealt with in 2 different ways, who do you think is more satisfied, and takes up less time:
1- You have ____________. (bonus points if it has a Latin name.) Here is a pill you can take, and this problem should resolve in ____________ days. (Best to put the amount of time it generally takes for self resolution.)
2. You have ____________. This will most likely resolve on it's own. The most recent research shows that the risks of pharmacological treatment outweigh the potential benefits. This is very lucky, as there is no expense for the medicine, and your body is an amazing creation, with the ability to heal itself. And I am sorry you had to wait 3 hours to see me, I was tied up in an emergency. And yes, it does only take me 2 minutes to diagnose this- I see it all the time.
I have gone to the same ER when I had an ovarian cyst, was in so much pain I could barely walk but the cyst didn't rupture & was slightly too small to take out. I was discharged with nothing, not a pain med or anything. Not that I wanted pain meds, I wanted the damn cyst out.
That may be true for the doctors you know, but they haven't done that here. This hospital is known to do as very little as they can.
I don't work in the ED, but as part of my job of conducting the first OB appointment/history of newly pregnant patients, I would always scrub the patients' charts before their appointment. I have seen some pretty ridiculous abuses of the ED. I saw a woman who had called the ambulance and went to the ED for "vaginal itching/yeast infection". And MANY women who think it's appropriate to go to the ED because she had a +home pregnancy test and "wanted to make sure everything was all right/wanted an ultrasound". IMO people need a serious re-education on appropriate use of ED services.
Well I guess since I have had the throat/ear pain for awhile & was prescribed an antibiotic, the doctor felt differently.
I know they don't remove cysts in the ER, but if the OR could take walk ins I would've gone straight in.
Then wait how long until I finally get seen? There aren't multiple doctors at my PCP. There is 1 NP or PA there so the next opening isn't for a little while. So no, I wouldn't be able to see my PCP on Monday.
Sorry not sorry I go to the ER because the walk in clinic doesn't take my insurance, I can't get to see a doctor or practitioner in a timely fashion & I don't want my issues to go unresolved until I can get seen.
It's very irresponsible but as mentioned this person knows the risk and has accepted it.
I was not referring to suing the hospital.
Do NOT use a tourniquet!!!!
I worked a small ICU.. if I felt the need to access any patient's chart in the unit during my shift, it is MY responsibility to do so. I was responsible for ALL the patients in the unit if and when the assigned nurse was off the unit.. or too busy to attend to their assigned patient.
P.S. They are not YOUR charts. They are the patient's charts. I worked a small ICU.. if I felt the need to access any patient's chart in the unit during my shift , it is MY responsibility to do so. I was responsible for ALL the patients in the unit if and when the assigned nurse was off the unit.. or too busy to attend to their assigned patient.
I disagree. In a small department where you are each others' backup, I think it's important to be familiar with all of the patients on the unit. In the ED, while I have my assigned patients, I need to know who else is in the department and why they're there, and what the plan of care is, because we back each other up- I may or may not end up doing any care on someone else's patient, but I should be aware of what's going on in case I am needed to do so, especially since we don't have a charge nurse.
As a House Supervisor, I don't actually provide any care (most of the time), but I do review the charts to know who is in the hospital, why they are in the hospital, what the plan of care is, any issues or concerns, that core measures are being met, and what the discharge plan is. I also review charts of ED patients to be on the lookout for potential admits.
So, there are reasons that are perfectly legitimate and not violations of HIPAA for someone not directly providing care to be in the patient's chart.
Maevish, rather than being passive aggressive and dropping hints, have you directly asked your co-worker why they are reviewing the chart?
Talk, Discuss, and Share your experience at your favorite Nursing School.
Advertise With Us