Reducing misuse of Emergency Departments! - page 6
After reading much of the posts about ED Nursing, my first suggestion would be for people to stop inserting objects where they do not belong!.On a more serious note, i just read an article in the... Read More
May 16, '04Occupation: RN, ED Joined: Oct '03; Posts: 735; Likes: 75Quote from teeituptomI wouldn't have been able to resist asking him how he did manage such an accomplishment, but then again, I have a rather twisted sense of humor.I liked the one the other night where a 6 foot 4 inch male came by ambulance after dropping the toilet seat on his external genitalia . I never asked him how he accomplished that.
May 16, '04Occupation: RN, ED Joined: Oct '03; Posts: 735; Likes: 75Quote from snowycontinuing in sarcastic tone: they already have eye docs, why not ff docs? just pass out the vicodin along with your contact lens refills, and you're good to go! then you can get a soft-serve ice cream cone as a um, 'reward' for your um, ordeal!i think i may have the solution for this one *says in a sarcastic voice*
every town has frequent fliers and er abusers...and every town has a walmart, or wm wishing to build in their area. wm stores sell so much already such as automotive stuff, do oil & tire changes on cars, have gas stations, groceries, and then some. how about every time wm wants to build a new store, they're required to build and staff a walmart er dept.
just think.. people could have near syncopal episodes, be taken to the side of the building to the "walmart emergency department," and they wouldn't need to worry about packing a suitcase of clothing, toiletries and other personal items, there's a food place like a mcdonalds usually, there's a pharmacy and/or otc stuff like tylenol, motrin, etc for the untreated fevers, bandaids for those papercuts, creams for rashes, and even an automated blood pressure machine. the public could become educated and have resources for items
this could be a million dollar idea for yet another doc-in-the-box!
May 17, '04Occupation: med. transcription Joined: May '04; Posts: 31; Likes: 9Quote from StitchieYes and no..... the issue with "doc-in-the-box"es is they usually require payment up front.. where people can go to the ER and get services for "free":angryfireThis could be a million dollar idea for yet another doc-in-the-box!
May 17, '04Occupation: CCT RN/Paramedic/ER RN Specialty: Emergency/Critical Care Transport ; Joined: Jul '03; Posts: 134; Likes: 24Another nurse and I were talking the other day and decided that this might curb ED abuse.
1. Remove all creature comforts from the waiting area. No snack/soda machines. Replace with chairs with a long metal bench bolted to the floor. You know the kind you see in central booking at a police station. No TV. No AC/Heat in the waiting area. The clerks would be comfortable behind their bullet proof glass enclosures.
2 On the bare concrete walls post the following rules that would be adhered to 100%
A. This is an Emergency Medical Facility. It is not a resturant or hotel.
B. You will see a nurse or physician when we deem it is necessary for you to see one.
C. Sickest people will be taken first. We decide who is sickest. There is no appeal process.
D. You may not eat, or drink until the physician has authorized this. You will not be given food or drink unless it is medically necessary.
E. You may not make or recieve personal phone calls.
F. You may not have visitors.
G. The nursing staff will not inform every single member of your family including distant cousins of your status every five minutes.
H. What the doctor has prescribed you for pain is what you will be given, there is no negotation on this point.
I. We do not issue work/school excuses.
Thank you for choosing Suburban Hospital for all your health care needs.
May 17, '04Occupation: Class of 2008 !!! Joined: Sep '03; Posts: 2,978; Likes: 78I just wanted to say I think it's wierd that hospitals in the States serve the pts food while in the ER. Even with a doctors approval. Here they get sent to the cafeteria. Pump and all. Unles...they're being admitted and its going on day number two.
May 17, '04Joined: Jan '04; Posts: 9,601; Likes: 3,187[SIZE=7] :angryfire ONE REASON WHY THE ER VISITS ARE SO PREVALENT IS THE WAY THE PRIMARY PHYSICAN RUN THE PLACE. THE MD I GO TO IS IN PARTNERSHIP WITH UMPTEEN OTHER MDS THE BOTTOM OF THE TOTEM POLE HAS TO SEE PTS IN ER ---THE PRIMARY WILL NOT PRESCRIBE ANYTHING NOR WILL THEY WORK IN A PATIENT NOT ON APPT BOOK BUT THEIR NURSE TELLS YOU TO GO TO ER BACTRIM FOR A UTI WOULD NOT BE OUT OF LINE W/A FU APPT WHEN THEY COULD MANAGE IT
IT WOULD NOT DO ANY GOOOD TO CHG MDS BECAUSE THEY PROBABLY ALL DO THE SAME THING AND THE HMO WILL ONLY ALLOW A CHG ONCE A YEAR UNLESS YOU CAN PROBE INCOMPTENCE BY THE WAY THEY TOOK A SPEC FOR C/S AND THEN WROTE OUT SCRIPT THEY MUST HAVE A SECRET LAB THAT WILL GIVE THEM RESULTS IN THE 4 HOURS I SPENT IN A COLD COLD COLD ER IN ONE OF THEM FANCY GOWNS GIVE YOU A LITTLE EMPATHY LOVE U ALL
Dec 22, '08Occupation: CEN RN STAFF NURSE Specialty: 25 year(s) of experience in ER,ICU,L+D,OR ; From: US ; Joined: Aug '08; Posts: 918; Likes: 539we all look forward to Universal Health Care to help this problem
Dec 24, '08Specialty: ER ; From: US ; Joined: Dec '08; Posts: 36; Likes: 12Quote from ernurse2244too funny!!!!!During the flu outbreak in December, our Infection Control Nurse put a sign on the ER door for folks who thought they had the flu not to enter! Nice gesture, but I told her to move it to the visitors entrance.
Dec 26, '08Occupation: RN Emergency Room Specialty: OR, ER, TRAVEL, SURGICARE, WOMENS HOSP ; From: US ; Joined: Dec '08; Posts: 37; Likes: 17Boy! Isn't this posting the 64,000 dollar question in the ER. Who knows what this new healthcare leader Mr. Daschle will have in store for us. I too am very tired of the abuse of use of the ER. When gas prices where high it was a good excuse not to drive to a urgent care facility for they had no money for gas. I just wonder how we can break the chain of people who think they are entitled to receive free heathcare! When will people accept responsibility for their own?? I think reasons to go to the ER should be posted on a large billboard for all to see. Why do people not have pride anylonger. I have had pt's say to me " I have not money, no insurance, no doctor and no gas. Can I get my prescriptions filled until I can make it to the free clinic? I just want to say get a job, get insurance and get a family MD!!
Dec 26, '08Occupation: RN Emergency Room Specialty: OR, ER, TRAVEL, SURGICARE, WOMENS HOSP ; From: US ; Joined: Dec '08; Posts: 37; Likes: 17OK! What to do about these issues? We need to all band together and present the issues to our representatives so he/she can pass on the the new head of Healthcare chosen by president elect Obama, Mr. Thom Daschle. He needs to visit the Emergency Room for about a week to see how it realy is with healthcare. No one pays... No one has insurance and no one has a family MD for they probably owe them money and he will not see them again. It seems there is a continuance of welfare from one generation to the next. I will say it again... how do we break the chain and instill pride in the people and not expect free medical care for them and their children?
Dec 26, '08Occupation: CEN RN STAFF NURSE Specialty: 25 year(s) of experience in ER,ICU,L+D,OR ; From: US ; Joined: Aug '08; Posts: 918; Likes: 539There are a lot of issues in this subject.
I feel Obama has made some good choices to deal with the situation.
Daschle while not my favorite, very capable and wise. This is a very rich country. Health care should be an affordable priviledge to everyone. Easy to set up and easy to fund, actually.
I think the works program is an excellent step. Myself.
I think ending the war would be a right step also. A war we helped start what was it 30 years ago now.
But if private MDs made a living seeing indigents who are now on nothing. Then they would see them in office. and cut down ER visits.
Dec 27, '08Specialty: 16 year(s) of experience in EMERGENCY ; From: GB ; Joined: Dec '07; Posts: 37; Likes: 4Why don't we build huge minor injury unit and huge primary care clinic infront of every emergency depatments. The role of the triage nurse will be to divert patients into appropriate place. Only real emergencies will be allowed to enter ED. Simple solution isnt it?
Dec 27, '08Occupation: CEN RN STAFF NURSE Specialty: 25 year(s) of experience in ER,ICU,L+D,OR ; From: US ; Joined: Aug '08; Posts: 918; Likes: 539Quote from uniquenurseWhy don't we build huge minor injury unit and huge primary care clinic infront of every emergency depatments. The role of the triage nurse will be to divert patients into appropriate place. Only real emergencies will be allowed to enter ED. Simple solution isnt it?
Has nothing to do with the situation. It all boils down to strictly money. Just the war strictly boils down to nothing but oil. Get these people health coverage so the can be seen by MDs in private practice. Then they will not come as often th the ER