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Started By
Message
re: OT Physicians. Why does ER take so damned long?
Posted on 5/25/23 at 8:17 am to Privateer 2007
Posted on 5/25/23 at 8:17 am to Privateer 2007
quote:
Poor people, and illegals using it as primary care.
This is the answer.
0
Posted on 5/25/23 at 8:22 am to Tempratt
Tell them you're having chest pains.
ETA: I just grammar-nazied myself. You're/your/yore
ETA: I just grammar-nazied myself. You're/your/yore
This post was edited on 5/25/23 at 8:35 am
Posted on 5/25/23 at 9:11 am to Walt OReilly
quote:
Is it free for them? They aren’t billed at all?
I think the concept is they have to treat and billing is not a concern for illegals and those without an ability to pay. How do they collect? You write it off and charge more to those you can get the money out of.
Posted on 5/25/23 at 9:14 am to Tempratt
Flank pain is the key
Posted on 5/25/23 at 9:18 am to Tempratt
The poors telling the desk nurse they’re having a heart attack so they can go back first, then it’s just an ingrown toenail when they get to the back. I will burn this place to the ground.
Posted on 5/25/23 at 9:21 am to Tempratt
Most ERs are good at triage. When my dad had a heart attack they were pretty quick given his symptoms and age. When he had pneumonia and kidney failure they were pretty quick with putting him in one level below intensive care--I think it's called step up? When he had appendicitis they were pretty quick based on the symptoms.
If you have cough, or sore back or even a broken bone or need stitches you will have to wait more. It's all triage.
If you have cough, or sore back or even a broken bone or need stitches you will have to wait more. It's all triage.
Posted on 5/25/23 at 9:24 am to dgnx6
quote:
Well lets see, the federal government is the single largest health insurance provider in the country.
And of course, every healthcare provider out there is just lined up to accept this generous fee schedule payment. Ever been on government healthcare? I sure hope not.
Posted on 5/25/23 at 9:25 am to weadjust
quote:
you arrive by ambulance with a sore throat and runny nose your wait time is usually zero
frick that.
Good vitals? Hep-Lock (clamp sort of) the IV. Come out to the lobby with the rest. Half will be at the desk within 10 minutes asking for the IV to get pulled so they can leave as a ride home appeared by magic.
Posted on 5/25/23 at 9:28 am to Tempratt
Agree it is a long process. However, I threw my back out years ago. Was in extreme pain. Went to the emergency room during a meningitis outbreak. Room was packed with sick people. They asked at the desk what was my issue. I replied I think I am dying which was the honest truth. They brought me straight back while my wife did the paperwork.
I asked a nurse if all the people in the waiting room had meningitis. She laughed and said probably none of them do.
I asked a nurse if all the people in the waiting room had meningitis. She laughed and said probably none of them do.
Posted on 5/25/23 at 9:28 am to mdomingue
Such a multi-faceted problem.
Tons of people use it an an urgent care because they don’t have insurance and don’t have to pay cash up front to be seen like an urgent care. Some ERs have done a trial run of charging a very small cash up front fee once it was deemed you weren’t dying and it cut their numbers and wait times tremendously.
Any legit complaint gets legit work-ups that require multiple departments (ER, lab, radiology, transporters, etc) that all take time and all have the potential to malfunction and thus delay.
There are not enough inpatient beds. Between mass influxes of the population and our massive baby boomer population, people get sick and hospital beds don’t get built at the same rate. Also, think of all of the surgery centers, etc being built. While they provide sources of healthcare and to help people, they also provide ways people get sick (post-op infections, etc). Hospitals are not adding on the same rate they are built. Most ERs rooms are being used to house inpatients and not actually ER patients.
Laziness/fear of litigation- you live in a place with lots of nursing homes and your ER is going to be full of the demented elderly residents that the nursing home found with a scratch to their forehead and are an automatic call the ambulance and send to the ER to be evaluated. You call any doctor’s office after 2 and the secretary will immediately tell you to go to the ER. You call your doctor’s office with a complaint that the non-medically trained secretary thinks is a buzz word, they tell you to go to the ER.
The list goes on and on….
Tons of people use it an an urgent care because they don’t have insurance and don’t have to pay cash up front to be seen like an urgent care. Some ERs have done a trial run of charging a very small cash up front fee once it was deemed you weren’t dying and it cut their numbers and wait times tremendously.
Any legit complaint gets legit work-ups that require multiple departments (ER, lab, radiology, transporters, etc) that all take time and all have the potential to malfunction and thus delay.
There are not enough inpatient beds. Between mass influxes of the population and our massive baby boomer population, people get sick and hospital beds don’t get built at the same rate. Also, think of all of the surgery centers, etc being built. While they provide sources of healthcare and to help people, they also provide ways people get sick (post-op infections, etc). Hospitals are not adding on the same rate they are built. Most ERs rooms are being used to house inpatients and not actually ER patients.
Laziness/fear of litigation- you live in a place with lots of nursing homes and your ER is going to be full of the demented elderly residents that the nursing home found with a scratch to their forehead and are an automatic call the ambulance and send to the ER to be evaluated. You call any doctor’s office after 2 and the secretary will immediately tell you to go to the ER. You call your doctor’s office with a complaint that the non-medically trained secretary thinks is a buzz word, they tell you to go to the ER.
The list goes on and on….
Posted on 5/25/23 at 9:31 am to Eli Goldfinger
quote:oohh i totally know that. FRom what i hear, if it you arent getting taken there in a amberlamps, dont go to OLOL, Go to the General ER. If it is serious enough they will fly you to OLOL.
But see #1
Posted on 5/25/23 at 9:34 am to Tempratt
Everything mentioned is true. What’s new to me over the last few years is psychiatric patients.
They were always a PITA. But they occupied an entire shift or an entire 24 hours before. If it was a holiday weekend like this one coming up, they were there for 2 days to Tuesday. Now it is much worse. 2 days in a bed is a “good” turnaround. Last ER job I had had a ticket of hours after triage. Running count of hours in the ER. 100+ hours was common. Holiday weekend or the Holidays at the end of the year, add another 100. Easily.
Add to that there were probably 2-4 beds occupied by 2-4 patients. 340+ hours was the max that i saw. You can’t do anything with them. They have to stay in the ER. You can’t have a place to hold them because you are opening up your own lock down small scale psych facility. So you are taking 2 rooms to 4 rooms out of play. All the time.
They were always a PITA. But they occupied an entire shift or an entire 24 hours before. If it was a holiday weekend like this one coming up, they were there for 2 days to Tuesday. Now it is much worse. 2 days in a bed is a “good” turnaround. Last ER job I had had a ticket of hours after triage. Running count of hours in the ER. 100+ hours was common. Holiday weekend or the Holidays at the end of the year, add another 100. Easily.
Add to that there were probably 2-4 beds occupied by 2-4 patients. 340+ hours was the max that i saw. You can’t do anything with them. They have to stay in the ER. You can’t have a place to hold them because you are opening up your own lock down small scale psych facility. So you are taking 2 rooms to 4 rooms out of play. All the time.
Posted on 5/25/23 at 9:34 am to Walt OReilly
quote:
Is it free for them?
Basically
quote:
They aren’t billed at all?
Hospital might "bill" them for accounting purposes. But they aren't paying those bills. If you have health insurance, pay your medical bills, and/or pay taxes YOU are paying those bills. You every wonder why a fricking aspirin cost $40 bucks at the hospital? Because you are paying for your aspirin and the aspirin of 39 other people who aren't paying for shite.
Posted on 5/25/23 at 9:35 am to CarRamrod
Doc ain’t got time for your heart attack while he’s banging nurses in the break room bro.
Posted on 5/25/23 at 9:36 am to Tempratt
Lawsuits. A doctor could walk thru the waiting room and get rid of half of em in 15 minutes. But he cant, he must run unnecessary tests in the off chance someone has something wrong with them.......cause if they dont cover their asses they are SOL.
Posted on 5/25/23 at 9:39 am to Dawgfanman
quote:
It’s not an emergency at that point
I did not even want to go. My primary Dr saw me in her office and told to go. Probably out of an abundance of caution since I had not been long out of coma and she didn't like my blood work that had been drawn the same day she sent me.
Posted on 5/25/23 at 9:44 am to tigerfoot
quote:
Lawsuits. A doctor could walk thru the waiting room and get rid of half of em in 15 minutes. But he cant, he must run unnecessary tests in the off chance someone has something wrong with them.......cause if they dont cover their asses they are SOL.
the last time I had to go to an ER was on a skiing trip in CO, I broke my back and there was a clinic at the resort, imagine that, the doc doped me up immediately and wanted to have me airlifted to Denver but I told him we were leaving the next morning, could it wait, he agreed, provided that I go immediately from the airport to the ER, the airline bent over backwards to try and make me comfortable, the doc called ahead to the hospital that we were headed to and they were waiting, took me straight in and the doc immediately gave me dilaudid for the pain, looked at what the doc in CO sent. took more pics/scans, and said I'd be just as well off at home as in the hospital, follow up with an orthopedic/neuro of course, except for the broken back part it was sort of pleasant
Posted on 5/25/23 at 9:52 am to Tempratt
I avoid the ER like the plague and only go if I have to. Last time I went to BR general because my ovary decided to twist upon itself and start dying. Was worse pain that childbirth. They got me in the back pretty fast and had me hooked up to iv and some drugs within 30 min. And the time before that was to bring my son who was only 6 weeks old and a preemie to OLOL childrens ER for RSV. His pediatrician called them when we were on the way and they took us right back. And both times I remember thinking that the ER wasn’t that busy.
Posted on 5/25/23 at 10:11 am to weadjust
quote:I can only speak for the one ER I worked at for 8 years, but if it was busy and had patients in the waiting room and you came in via ambulance for those types of reasons, the EMS folks would take you right to triage then leave, and you'd check in and sit in the waiting room like everyone else.
If you arrive by ambulance with a sore throat and runny nose your wait time is usually zero
Posted on 5/25/23 at 10:16 am to Gideon Swashbuckler
Hero nurses moving as slowly as humanly possible is standard operating procedure.
Why do you think they freaked out during Covid? They actually had to work the whole shift I stale as of playing grab arse at the the nurses station.
Why do you think they freaked out during Covid? They actually had to work the whole shift I stale as of playing grab arse at the the nurses station.
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