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Started By
Message
re: people come to the ER at 2 AM for the stupidest crap
Posted on 4/14/16 at 7:29 am to lsunurse
Posted on 4/14/16 at 7:29 am to lsunurse
quote:All the damn time.
How many times do yall get the whole family that needs to be seen?
"Well my one child is actually sick, but while I'm here my other son says his butt itches non stop and my daughter has a hangnail that she says hurts"
I hate two-fers. Three-fers are the worst.
They normally sit on the board until someone takes one for the team.
The complaint of chapped lips that I had was part of a three-fer. The other 2 were completely fine also.
1
Posted on 4/14/16 at 7:29 am to lsunurse
quote:
You know what I mean though.
I do
quote:
I'm talking about the parents that bring their kid in for a fever, that they have done nothing for, and expect the ER to treat it with Tylenol...cause they don't want to spend money themselves on buying Tylenol. Why should they...when they have a Medicaid card that will pay for all of it for them? Or they want a prescription written for Tylenol so Medicaid can pay for it.
True.
quote:
Hell I would have parents on the peds floor complaining of a headache and asking me for Tylenol. I would explain I can't legally give them anything cause they are not a patient. Some would try to hand me their Medicaid card as if that was all it took. I then told them they can either go downstairs to the ER and wait to be seen....or go down the street to the 7-11 and buy some.
Yes. Medicaid is like gold. We LIVE for Medicaid. It's the best shite ever. These dumbasses really believe that. It's the worst paying insurance their is. There's a reason I take zero adult Medicaid and limited Arkids. Not to mention the pt population it brings. Not exactly the image of my practice I want in the waiting room.
Posted on 4/14/16 at 7:31 am to Scruffy
quote:
The complaint of chapped lips that I had was part of a three-fer. The other 2 were completely fine also.
In your office, that's easy money. In the ER, it'll light your arse on fire.
Posted on 4/14/16 at 7:33 am to SmackoverHawg
Wastes at least an hour, not to mention the charting.
Posted on 4/14/16 at 7:34 am to Scruffy
quote:
I refer people out to our clinics all the time for continuity of care, but they never go. They keep returning to the ER for what should be a clinic visit.
Baby girl had to get stitches couple of months ago. The NP in the ER told me to bring her back in to have them removed in 5 days. I asked couldn't I just bring her to my pediatrician. She said yes, but she would rather me bring her to ER. I respectfully told her that wont be happening.
Posted on 4/14/16 at 7:34 am to Scruffy
quote:
Wastes at least an hour, not to mention the charting.
I would retire or make the move into construction/landscaping I've been threatening if I ever had to go back to working ER.
Posted on 4/14/16 at 7:37 am to Scruffy
On the peds floor we always will check out the peds ER census board in the computer throughout our shift to see how busy they are and see if there are any potential admits for us. So we see the list of complaints down there(not actually opening up individual charts to clarify...that's like HIPAA no-no there). Some nights we just cannot help but laugh at some of the complaints ex: "itchy butt worms"
This post was edited on 4/14/16 at 7:39 am
Posted on 4/14/16 at 7:37 am to white perch
Democrats....
Posted on 4/14/16 at 7:38 am to white perch
What gets me are the maroons who think the ER is "first come, first served." I feel for the admissions clerk who has to explain to some do do bird that chest pains/respiratory distress/gunshot wounds take precedence over a sprained ankle or ingrown toenail. 
Posted on 4/14/16 at 7:40 am to SmackoverHawg
I wondered why the Surgeons came by at 4 am after my knee replacement.They damn sure did though.
He did 5 knee replacements the day he did mine.We all had to be there at 5 am.I was the 5th.Mine was done about 2:30 pm.
He did 5 knee replacements the day he did mine.We all had to be there at 5 am.I was the 5th.Mine was done about 2:30 pm.
Posted on 4/14/16 at 7:44 am to white perch
I've had to take my wife, via ambulance, to the ER a few times for her back. She had 2 back operations and 1 hip replacement as a result of the trips there. I had one ER trip when I cut a 4 inch gash on the left side of my left shin. The meat peeled back and I shoved it back in. There was lots of blood. I sat in the ER for 2 hours after the initial check in and a glance by the ER nurse. At the 2 hour mark with the towel wrapped on my leg leaking blood, I just went home and wrapped it tightly and put ice on it. After 2 days it looked like it would seal okay. And, it did.
Posted on 4/14/16 at 7:45 am to shawnlsu
Hahaha I'm not saying I don't fricking hate obamacare. Was just saying learn what you have and take some responsibility.
Posted on 4/14/16 at 7:47 am to Scruffy
Yeah I imagine it gets pretty retarded in there.
Posted on 4/14/16 at 7:47 am to lsunurse
quote:The comments they put are awesome. We had a "attacked by cows" pop up on our board the other day. I signed up for that kid before he even left triage.
On the peds floor we always will check out the peds ER census board in the computer throughout our shift to see how busy they are and see if there are any potential admits for us. So we see the list of complaints down there(not actually opening up individual charts to clarify...that's like HIPAA no-no there). Some nights we just cannot help but laugh at some of the complaints ex: "itchy butt worms"
I chuckled every time I typed "attacked by cows" into the "why are you ordering this scan" slot.
This post was edited on 4/14/16 at 7:49 am
Posted on 4/14/16 at 7:47 am to SmackoverHawg
quote:
This. Even with free care and free meds, they still will go to ER. Had one last year. Infant with pertussis. Made diagnosis tentatively...only after agreeing to see child who came in with another for scheduled visit. And of course we weren't PCP on Arkids, which means we wouldn't get paid our shitass $35, started antibiotics appropriately and sent swab for confirmation. It was positive. Called in meds for symptomatic household contacts...all 15. Baby not brought back in for recheck, but instead ends up at Children's ER with pneumonia/pertussis. Check with pharmacy, none of the meds were ever filled. So...what could've been fixed with a simple office visit and a tiny bit of compliance ended up with an ICU stay for infant for about 2 weeks, hospitalization for grandmother for pertussis (didn't get or take her meds cause of $3 copay) and multiple other family members with more visits and treatments. Not to mention a little epidemic at the school.
This right there is just scary. Pertussis has been no joke around here. Cared for a tiny baby a few months ago that ended up dying from it. Many of the nurses on our floor had to go on antibiotics and be followed up with occupational health from another older kid we had admitted for asthma that ended up testing positive for it...after exposing half the staff to it.
Posted on 4/14/16 at 7:50 am to Scruffy
quote:
We had a "attacked by cows" pop up on outboard the other day. I signed up for that kid before he even left triage. I chuckled every time I typed "attacked by cows" into the "why are you ordering this scan" slot.
(not laughing at the kid...hopefully he/she wasn't seriously hurt...I mean....cows are freaking huge)
Posted on 4/14/16 at 7:51 am to lsunurse
Attacked by cow is in ICD 10
Posted on 4/14/16 at 7:52 am to Cosmo
Can you imagine having that job....giving those codes to various injuries?
Posted on 4/14/16 at 7:53 am to lsunurse
Funny story. Got attacked by one cow for messing with the calf.
Then 3 other cows apparently thought, "that looks like fun," and jumped right in.
Then the first cow sat on him.
Then 3 other cows apparently thought, "that looks like fun," and jumped right in.
Then the first cow sat on him.
This post was edited on 4/14/16 at 7:54 am
Posted on 4/14/16 at 7:55 am to Scruffy
Can you imagine the kid retelling the story.
"Some cows attacked me, one even sat on me."
"What, some fat people attacked you?"
"No...actual cows"
"Some cows attacked me, one even sat on me."
"What, some fat people attacked you?"
"No...actual cows"
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