That is actually one of the reasons that I like the ER so much!
Im a fourth year nursing student, graduating in May, and I plan to go straight into the ER.
ER is just for Chief Complaints, and emergent care. if a patient needs a full workup past their Chief Problem, they should go to their doctor, not the ER. Patients misusing the ER for routine illness is one of the main factors that attributes to high healthcare costs. Tests and procedures cost more in the ER than any other department because managment can not always schedule and predict what a patient will need, requiring a wider variety of professionals, and more people on call. If I am assessing a broken foot, I am not focusing on their bowel and bladder habits, just on their chief problem, being the foot. In the ER, you must be very problem oriented. Things are fast paced, and just because things may be slow now, you cant assume that they will be that way 5 minutes from now. ER is supposed to be used for problems that can not wait until tomorrow to be assessed, not for a whole body physical. Its just not time, or cost effective.
It must be more problem oriented. If further evaluation is warranted, then it does happen