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Started By
Message
re: 18 hours and counting until BRGMC Mid City ER shuts down
Posted on 3/31/15 at 9:28 am to tigerskin
Posted on 3/31/15 at 9:28 am to tigerskin
quote:
OLL has been feeling a lot more like EKL since the Earl closed. Very busy ER already. Patients in the hallways.
The lake ER was a very busy place before EKL shut down. Patients in the hallways at times is not new
0
Posted on 3/31/15 at 9:29 am to Cosmo
I have a question for which there must be an obvious answer.
Why don't they put an Urgent Care/General Clinic next to the ER and put a Charge Nurse station out front? EVERYONE stops at the Charge Nurse and non-emergent cases go to the clinic side. Wait over there would be forever but that's what you get for coming in with a tummy ache. ER side would be a ghost town except for real cases. Of course, they would have to modify EMS rules so they can drop patients and leave but that could be done. Hell, run the clinic side as a charity system if you want. At least the ER could function as designed.
Why don't they put an Urgent Care/General Clinic next to the ER and put a Charge Nurse station out front? EVERYONE stops at the Charge Nurse and non-emergent cases go to the clinic side. Wait over there would be forever but that's what you get for coming in with a tummy ache. ER side would be a ghost town except for real cases. Of course, they would have to modify EMS rules so they can drop patients and leave but that could be done. Hell, run the clinic side as a charity system if you want. At least the ER could function as designed.
Posted on 3/31/15 at 9:31 am to lsunurse
quote:
I keep saying that ERs should charge like a $25 copay of everyone with medicaid and those without insurance. Just a little something to make people rethink coming to the ER at 2 am on a Wednesday night because of an ingrown toenail.
$5 would have been enough. It was prettty sad last night. Most of the nurses are going to Bluebonnet but some are just leaving. Nightshift people are just different. And Midcity was special. I'm really going to miss that place.
And maybe OLOL can start earning their money
Posted on 3/31/15 at 9:32 am to MikeBRLA
quote:
I read it as he is calling the "rich" ie those who pay their bills stingy
I read it the same way I was just hoping he had a brain fart while typing!
Posted on 3/31/15 at 9:33 am to jbgleason
Some ERs sort of have that. They have a "fast track" for people triaged as nonemergent. It helps a little but doesnt fix the problem of people not paying.
Yet the same non paying folks had the money to go buy Popeyes while waiting in the ER
Yet the same non paying folks had the money to go buy Popeyes while waiting in the ER
Posted on 3/31/15 at 9:34 am to GrammarKnotsi
True
I couldn't work in the ER. God bless those of you that do and have to deal with that crap every night. At least on the peds floor....for the most part...those kids actually need to be there. I've already become kinda jaded/cynical as a nurse just over the years from seeing how the system is abused on the inpatient side of things. Couldn't imagine how cynical I would be if I was an ER nurse.
I couldn't work in the ER. God bless those of you that do and have to deal with that crap every night. At least on the peds floor....for the most part...those kids actually need to be there. I've already become kinda jaded/cynical as a nurse just over the years from seeing how the system is abused on the inpatient side of things. Couldn't imagine how cynical I would be if I was an ER nurse.
Posted on 3/31/15 at 9:34 am to lsunurse
quote:
I keep saying that ERs should charge like a $25 copay of everyone with medicaid and those without insurance.
I worked with a registration clerk in California that made it a point to collect the $5 or $10 copay required for whatever the California medicaid plan was. I can't remember what the program was called. Either way she made sure she collected or lectured the parents about bringing their kid to the ER for complaints that could have been taken care of with a trip to the 99 Cent store. She also called them out for the pack of cigarettes that were sitting in the mother's purse.
I don't know how effective it was, but at least she tried.
I am with you on the copay idea though. I think if there are work notes, Tylenols/Motrins, and UPT's at the triage desk; the amount of people checking in to the ER would be greatly reduced.
Posted on 3/31/15 at 9:47 am to Lithium
quote:
$5 would have been enough. It was prettty sad last night. Most of the nurses are going to Bluebonnet but some are just leaving. Nightshift people are just different. And Midcity was special. I'm really going to miss that place.
And maybe OLOL can start earning their money
I think I would have been crying last night if I worked there. Just sounds really sad. Yes...nightshift people are different. You work with your coworkers better as a team on nights(cause you have to cause you don't have all the resources dayshift does) and just have that bond with them. I could see some of the nurses just leaving and maybe wanting to start off fresh with a different type of nursing work. I've thought about that myself if my hospital shuts down(remember...my hospital is facing the same issues in losing $$$ each month).
Posted on 3/31/15 at 10:08 am to GrammarKnotsi
quote:
Would you believe he drives a 5 series merc with rims, makes less than eight dollars an hour, and complains that he cant afford insurance....
Posted on 3/31/15 at 10:49 am to Cosmo
quote:
Some ERs sort of have that. They have a "fast track" for people triaged as nonemergent. It helps a little but doesnt fix the problem of people not paying.
ER's have this now, but it is only operational till a certain part of the day say 9-9 or 1-1. The problem is what if people check in afterwards or check in too close to the end of the shift. They get grouped in with the rest of the patient load.
The other big problem with the "fasttrack" is the providers do not want to see certain patients, or the facilities guidelines do not allow them to see these patients. The ER's "fasttrack" and your neighborhood urgent care are pretty much the same thing. If there is any doubt or the certain key words (chest pain, shortness of breath, right lower quad pain, high blood pressure) are said, they have to be referred to the emergency room.
The amount of malpractice suits out there makes providers scared to take care of patients, if there is any doubt the patient could have some 1% chance of needing higher care.
There's too much liability on healthcare providers, that it is easier and safer (for the doctor) to pass the buck onto someone else. A lot of new doctors come out and try to stop the trend of just giving pain medicine or whatever the patient wants. They treat the patient by the book with least invasive techniques. Eventually they get sued, resulting in every patient they come across gets the million dollar workup.
Posted on 3/31/15 at 10:55 am to akimoto
quote:
is the providers do not want to see certain patients
No shite, I like to get paid for seeing patients. Do you work and not get paid?It costs me $5 in Malpractice for every patient I see. So the bullshite toothache and need Norco and private pay actually cost me money.
Posted on 3/31/15 at 11:29 am to Lithium
quote:
No shite, I like to get paid for seeing patients. Do you work and not get paid?It costs me $5 in Malpractice for every patient I see. So the bullshite toothache and need Norco and private pay actually cost me money.
I wasn't trying to start a pissing match between doctors and nurses. I was just trying to point out the broken system of urgent care and ER fasttracks, and truthfully the whole healthcare system as we know it today.
Look I'm sorry for what happened at Mid-City, it sucks. My fiance and I would have been one of the casualties if we would have accepted positions there last fall.
Posted on 3/31/15 at 11:50 am to akimoto
Posted on 3/31/15 at 11:57 am to goofball
quote:
They have been endangered since LSU partnered with OLOL.
A deal with which they turned down more than once
Posted on 3/31/15 at 12:21 pm to lsunurse
My girl is an er nurse and our conversations are interesting with regards to this
Posted on 3/31/15 at 12:26 pm to Jim Rockford
Posted on 3/31/15 at 12:29 pm to Kramer26
Jindal may have an agenda, but there are things that not everyone is aware.
People have been trying to buy the General Midcity for a long time. Offers were turned down for whatever reason...incentives...price.
My thoughts are that Midcity will be bought now by an independent.
Also, with regards to patients going to Midcity for common cold etc...yes it is bullshite and sucks for someone like me that pays taxes and carries good insurance, however for poor ppl with no insurance or even Obamacare sometimes you have to wait weeks just to get in to see a primary care doctor.
Obamacare does give less fortunate insurance, but Obamacare's providers are less available, so when we can go see a Dr tomorrow for a sinus infection they may have to wait a week or two...thus they just go to er to get treated immediately. The system sucks all the way around.
Also, with regards to clinics they so have operable care clinics around mid city. My bro in law is an NP at one of these. He tells horror stories of people waiting 10 hours just to be seen. The lobby is full when he arrives and when he leaves. He's had a patient come in and wait not knowing what the issue was and collapse from heart failure and actually have an ambulance come and take him to the er from urgent care.
Jindal probably had more options he could have tried, but the system is so bad that even a quick fix is like trying to fix a crack when there is a gaping hole.
People have been trying to buy the General Midcity for a long time. Offers were turned down for whatever reason...incentives...price.
My thoughts are that Midcity will be bought now by an independent.
Also, with regards to patients going to Midcity for common cold etc...yes it is bullshite and sucks for someone like me that pays taxes and carries good insurance, however for poor ppl with no insurance or even Obamacare sometimes you have to wait weeks just to get in to see a primary care doctor.
Obamacare does give less fortunate insurance, but Obamacare's providers are less available, so when we can go see a Dr tomorrow for a sinus infection they may have to wait a week or two...thus they just go to er to get treated immediately. The system sucks all the way around.
Also, with regards to clinics they so have operable care clinics around mid city. My bro in law is an NP at one of these. He tells horror stories of people waiting 10 hours just to be seen. The lobby is full when he arrives and when he leaves. He's had a patient come in and wait not knowing what the issue was and collapse from heart failure and actually have an ambulance come and take him to the er from urgent care.
Jindal probably had more options he could have tried, but the system is so bad that even a quick fix is like trying to fix a crack when there is a gaping hole.
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