Published
Wooooooooow!
Full storyWhat the caller, and only the caller, knows is that his chest is not throbbing in pain. Actually, his chest is fine. What he has done is just reserve his personal medical limousine for transport to the head of the line at the area emergency room-an emergency room that may unknowingly feed his current prescription drug addiction. The caller also knows that Lawrence County taxpayers are going to pick up the dime for the entire trip. Not a single cent is coming out of his pocket. He does not have insurance and has no intention of paying for the trip.The only thing the caller is sure of is the chances of him "scoring" depends on acting skills, choosing the right hospital and if the doctor he is assigned to is willing to buy his story.
EMS cannot come soon enough for this prescription drug addict.
Calls like this are not fiction or random acts. Actually, abuse of the area ambulance companies, including Lawrence County-funded Southeast Ohio Emergency Medical Services, are becoming an ever-growing nuisance.
So much so, statistics indicate that nearly 50 percent of calls that come into SEOEMS' Ironton station are not true emergencies.
Many are emergency calls for ailments such as ingrown toenails, colds and assistance getting out of bed in the morning.
But another chunk of the non-emergency calls SEOEMS responds to comes from an underground society of prescription drug addicts who know how to beat the system and Lawrence County taxpayers out of hundreds of thousands of dollars annually.
Here is their story.
cheers,
Roy
Where I work, EMS can usually "triage" the patients. If a paramedic tells the ER charge RN that the patient can go to the waiting room...then that's pretty much where they go. As a paramedic, I would say at least 50% of the calls I ran did not need an ambulance: 911 calls for herpes, lice, pregnancy tests, get a doctor to look at a scar they've had for 16 years, etc.... I'm not making any of those examples up.
People can also go to jail for "habitual abuse of 911". It's a good thing and we always thought at least while the people were locked up we'd get a break from going to their house.
But the example about drug seekers is a different story because pain is so subjective. No one can really prove whether or not the guy is telling the truth. But if a patient says they're in excruciating pain, 15/10, allergic to Toradol and naming the med and dosage of what they want but then can joke, cut up, ask to go smoke a cigarette, etc....then I'm not ashamed of saying I'm a little skeptical of their complaint.
if an ambulance service is supported by tax $, then any taxpayer has an expectation of receiving their services when called. I think the way to stop the abuse is to have some kind of national effort to exclude non-emergent trips from the ER. For example, if anyone showed up to the ER that was clinically stable then they would be informed about their options to go to an urgent care, community health department or make an appointment with a doctor...then they would have to leave.
We used to call it "professional deterrence" if someone called 911 with some ridiculous complaint, we'd tell them that they could walk to the ambulance, be put in a wheelchair and they'd sit in the waiting room with everyone else. Lots of times they'd sign a refusal at that point.
One thing that drives me INSANE is the people who abuse 911, get to the ED, and then demand, "How am I supposed to get home??" ARRRGHHH. So then they abuse the ED on the back end by getting a taxi voucher.
But yeah, the drug seekers as mentioned in the article are a whole 'nother ball of wax.
I am a nurse new to the ED and cannot believe what ppl are calling emergencies. These are some recent "emergencies" I have had... An ingrown toenail, a scratch from a barbwire fence, fever - in the middle of the day while the ajoining peds clinic was open, a small abcess on the buttock, another so called unseen abcess that the pt felt was "tunnelled" and who returned 2 days later when the abx didn't help, suspected flea bites from 2 days prior that left little flat pink areas and NO other symptoms... These are just a few, and there are plenty more. I am just shocked I guess. Most ppl I know would only use the ed for actual emergencies, which imo are things that can't be handled in a dr office or during the hours the office is closed. On a positive note, I was awaken by the news this morning that there is a law in process that an EMS pt can no longer choose their hospital and have to go where EMS thinks they should take them. This will cut out a lot of drug seeking activity by way of EMS.
Where I work, EMS can usually "triage" the patients. If a paramedic tells the ER charge RN that the patient can go to the waiting room...then that's pretty much where they go. As a paramedic, I would say at least 50% of the calls I ran did not need an ambulance: 911 calls for herpes, lice, pregnancy tests, get a doctor to look at a scar they've had for 16 years, etc.... I'm not making any of those examples up.
Okay, so let me ask the question, "why do you continue to transport the above-mentioned people in your ambulance?".....
"Why do you allow precious 911 resources to be tied up transporting them in the system?"...
What's that you say? Your boss says you have to?
Oh, okay, well what are you doing to lobby for change?
Why can you do at your job, community, elected leaders levels to effect change?
-MB
I am a nurse new to the ED and cannot believe what ppl are calling emergencies.
WE call it an EMERGENCY department, but the community doesn't.
I think anyone who gets into Emergency medicine/nursing these days , has to know that they will NOT be dealing with EMERGENCIES for the most part - and thus, should not be getting all upset that non-emergencies come to the ED.
The entire culture has allowed the "Emergency Department" to become more of a 24/7 walk-in, pay later, clinic....it's our own fault folks, we really can only blame ourselves.
-MB
Okay, so let me ask the question, "why do you continue to transport the above-mentioned people in your ambulance?"....."Why do you allow precious 911 resources to be tied up transporting them in the system?"...
What's that you say? Your boss says you have to?
Oh, okay, well what are you doing to lobby for change?
Why can you do at your job, community, elected leaders levels to effect change?
-MB
I hope you're not suggesting that I'm part of the blame here. To answer your questions, I have refused people for lice and herpes and pregnancy tests, but that doesn't stop them from calling 911 and tying up the resources. And as a paramedic, you have to be extremely careful if you refuse to transport someone. I'm sure you can understand the ramifications.
When I worked fulltime as a paramedic my boss would say, if someone calls 911 you better put 'em in a truck and take 'em wherever they want to go. He was an elected official and more interested in potential voters than the welfare of the community and certainly not the respect of EMS workers.
It's easy for you or anyone to ask those questions, but what would you suggest? If a paramedic tried to go public they would lose their job in a heartbeat. where is an effective EMS lobby? the answer is: it doesn't exist. One of the reasons I became an RN, it's much more organized and effective. My job as a firefighter/medic is now part time and my fire chief trusts my clinical judgement as to whether or not someone needs an ambulance ride. But it's easier and safer (for the medic) to just put them in the truck and ride 'em to the ER. I've seen plenty of medics get fired for not taking a stubbed toe seriously.
I agree. As much as us medics would like to refuse calls for so called "emergencies" that can actually be taking us away from "good calls", sometimes we are better off just taking them. Granted it's another report to write and yes of course they all seem to come at 3 in the morning, but I can't tell a patient what he/she is/isn't feeling and I can't risk losing my job for that.
Several of our docs are now documenting in their assessments and notes that they have educated the pt about use/abuse of the EMS system. I'm hoping that one day this will help fine or prosecute the ones that have demonstrated abuse of the system, showing that these people were informed of the correct use of EMS.
One doc in particular recently got extremely irritated at a woman who came in via EMS with her 6m old r/t a diaper rash (if it could be called a rash. The area was slightly red, child interactive and smiling) x4 hours. The woman has a big hx of EMS abuse. I wish more of the docs would speak up, because coming from me ("You're JUST a nurse, not the DOCTOR!") doesn't seem to have much effect.
thats rediculous but you see abuse everywhere... i dont think its a socioeconomic thing its just an ignorance thing. I work in ems and it seems that whether person has money or not does matter... Some people want an ambulance because they are over dramatic and other just want the free ride so they dont have to call a taxi and dont own a car.
mwboswell
561 Posts
Nice.......