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re: RE: an ER in NBR - It appears the numbers are finally coming to light...

Posted on 6/13/16 at 3:03 pm to
Posted by lsunurse
Member since Dec 2005
129047 posts
Posted on 6/13/16 at 3:03 pm to
Where I work at is a hospital that has a similar patient population....mostly poor people that either don't have insurance at all or only Medicaid/medicare. It's a teaching hospital and while it isn't the newest or prettiest hospital to work in, and the surrounding area is certainly not an area I would walk around by myself at night....it's a great place to learn as a healthcare worker. You will see a much wider variety of stuff there and have more opportunities to gain experience there than some of the "nicer" hospitals where I live at.


I've worked at some of the much nicer hospitals in my area....I much rather prefer where I work at now over them. Usually places like that(the "not as nice" hospitals).....the employees are normally good at working as a team. The facilities may suck...but you'll stay there cause you have such amazing coworkers.
This post was edited on 6/13/16 at 3:21 pm
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27036 posts
Posted on 6/13/16 at 3:21 pm to
How many free standings have made it to LA? And how many urgent cares? Unless polar opposites of Texas you do realize that urgent cares and free standings only take insurance?

It is essentially concierge medicine but in ER to Urgent setting. People pay not to wait. You show insurance before you are seen. Even in ER it is explained to the patient that Medicare is not accepted. Emergencies will be stabilized only and shipped. You will get a bill. Patients trying to work the system and bypass a waiting room are going to get an EKG and an aspirin and they're gonna wait. And the bill you receive will be astronomical. This information turns most people away. Which it should. You SHOULD have gone to a full service hospital ER.

Now if the ER is an extension of a larger hospital. Like OLOL opens an ER on the other side of town, they take M&M. If you are part of the program and open another ER it must take M&M.

Legislation keeps coming and is one step behind the privately owned places, but only one step. And the ER are running out of steps to make. Soon they will all be shut down or changes will make them no longer worth the trouble.

A free standing should NEVER be used for traumas or for that matter for patients who truly feel they may die. You think you're having the big one call 911. You are wasting a step by going to a free standing. In addition realize most free standings have 2 nurses, one doc, and a rad tech. TOPS! Some have less. You want to watch monkeys frick a football? Walk into one with a GSW.

By the posts I am reading on here these are brand new to Louisiana in general. Correct me if I am wrong?
Posted by Halftrack
The Wild Blue Yonder
Member since Apr 2015
2763 posts
Posted on 6/13/16 at 4:11 pm to
"Only Medicaid/medicare."

Those are two completely different things, but I am not sure you understand that.
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