@impactednurse @MDaware it is true that many patients do not need to be in ER. But each individual pt needs open minded assessment. No bias.
@movinmeat @impactednurse 1) yes there are some but 2) they're not the cause of probs in the ED and 3) they are a symptom of system probs
@MDaware @movinmeat @impactednurse The root cause is there's no longer Primary care, they're now health maintenance offices. "Go to the ER"- @MDaware @movinmeat @impactednurse Every pt takes time. If you have 50 a day, that's a lot of time. Right place for problem would be nice.
- @gruntdoc @movinmeat @impactednurse agreed but they're a drop in the bucket when it comes to crowding.
- @MDaware @movinmeat @impactednurse We agree boarding is bad. But pts who don't need an ER have nowhere to go as there's a fail in GPcare
- @movinmeat @gruntdoc @impactednurse agreed -- the silly URI who "doesn't need to be there" takes minimal effort to see
- @MDaware @movinmeat @impactednurse Disagree. Last 3 hours of my shift moving about 18 of them yesterday. Each took a bed, resources, time.
- @MDaware @movinmeat @impactednurse triage nurse/tech/bed/linens/nurse assessment/physician assessment/documentation/instructions/disposition
- @gruntdoc @movinmeat @impactednurse 20 minutes door to sidewalk. compare to a single inpatient boarder taking up however many hours
- @MDaware @movinmeat @impactednurse No, more like an hour. Per pt. If you want to argue against boarding this is a dumb way to do it.
- @movinmeat @gruntdoc @impactednurse compare to routine 30 boarders waiting >6h each. even if a URI takes an hour that's 180 URI-equivs
- @Talesfromtheer @movinmeat @impactednurse exactly. check triage note/vitals. HPI. listen to chest, ask if they smoke. DC
- @Talesfromtheer @gruntdoc @movinmeat @impactednurse it's frustrating and silly but it's not a major contributor to crowding by a long shot
movinmeat
movinmeat
Father, Emergency Physician, karate-ka, pilot, Apple fanboy, and fiddle player
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