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what do you think they do to someone who arrives via ambulance?
The person who arrives by ambulance gets the same triage as a person who does not. The triage is performed by the EMTs.
Having a heart attack? Trauma? Go to the head of the line.
Hangnail? Go have a seat, we'll get to you as soon as we can.
Then you get the bill for the ambulance ride, which your insurance will not pay for if the insurance company decides the ride was not a medically necessary one.
what do you think they do to someone who arrives via ambulance?
They get a Medical Screening Exam by a qualified medical professional.
And if they don't have an urgent or emergent condition, they might be treated...but they most likely will not get admitted.
People call ambulances all the time for a free ride to the ED. Doesn't mean their sick.
It gets you in the ER, as opposed to being told to "go sit down".
My s/o is a licensed paramedic and he used to manage an ambulance service, so I've heard all of the tricks people used (sometimes needlessly).
Walking in will get you in the ER.
But after the MSE...is you ain't sick...you ain't getting admitted.
We know the tricks too...and deal with them every day.
The fact that most health care workers are there for the money these days combined with the fact most people abuse healthcare like they all plan to live to 100 couldn't have a happy ending.
Whether it's a generation of unprofessional behavior , staff being overwhelmed due to 12 hour shifts, too much unnecessary documentation (created by the Joint Commission think tank), and lack of supervision, ,lack of self control, loss of focus regarding voice modualtion, inability to make the transformation (demanded in patient care/caregiving) from the kind of conversation,language, and saying what you THINK outside the realm of the hospital (home ,mall,bar, car,cell,twitter talk). Hospitals are being deluged with negative feedback from in-patient questionaires complaining of noise (relentless noice from staff,carts (hard castered wheels),alarms,slaming doors,overhead messages) . Management has intitated mandatory sessions whereby video's displaying inappropriate behavior and all the various aggravating and rude behavior,but some wonder if it can change a culture of habit, personality, and questionable discipline. As a former director had it not been for staffing shortages I would have tossed half the staff out the door and sed them to piece work factory line,,where they can laugh,tell jokes,say whats on their mind etc.
I worked in the NHS in the UK as a nurse for 25 years.
Since being in the USA I haven't had that much to do with hospitals-thanfully,BUT from the expereinces I've had I notice a particular difference in the way medicine works , and also in the attitiudes of nurses.
Many seem to be there for the wrong reasons (ie money-something that you could never say about nursing in the UK as salaries are awful- $14 per hour for a newby RN after 3 years training and $18 after 3 years or maybe $20 if you've managed to get a position as an assistant nurse manager or clinical nurse specialist-which is highly unlikely due to lack of positions available). I haven't detected any passion for the job or empathy for patients and considering there are far more of them than in the UK the care seems unstructured and often lacking any sense of urgency. Communication and hygiene weren't at the top of the agenda either. Nurses with hair hanging around shoulders,chewing gum and coming into a room (where patient is nil orally) clearly eating a mouthful of something.
I guess what I'm saying is that they treat patients like a worker in a grocery store would treat a customer and nursing and caring for patients should be about so much more than that.
I was in the urologist waiting room and the medical assistant called a patients name and said did you empty your bladder, in front of a full waiting room to every patient,she mite have said did you pick your nose today.The assistant said strip down,I said I'll wait for the doctor.She promptly went to the other assistant and said he won't strip down .The assistant came to the room and said strip down NOW,very bossy too the point of raising her voice.She's just a kid but should have more respect for the men behind those doors.theirs a lot of emotional stress.I should have reported her to the NJ.state medical board,but I like the doctor.
I was in the urologist waiting room and the medical assistant called a patients name and said did you empty your bladder, in front of a full waiting room to every patient,she mite have said did you pick your nose today.The assistant said strip down,I said I'll wait for the doctor.She promptly went to the other assistant and said he won't strip down .The assistant came to the room and said strip down NOW,very bossy too the point of raising her voice.She's just a kid but should have more respect for the men behind those doors.theirs a lot of emotional stress.I should have reported her to the NJ.state medical board,but I like the doctor.
Toby, while there is no excuse for the staff to be rude, in today's assembly line medical system the doctor expects you to be ready for their exam before he/she enters the room. The medical assts were doing what they were expected to do, just in an unprofessional manner. To them you were just the next man in a long line of men seeing the doctor that day, and as a man the medical world does not generally consider you to be entitled to privacy or to be modest in the manner female patients are. Male staff that spoke to female patients that way would be promptly fired. There is a double standard.
I was in the urologist waiting room and the medical assistant called a patients name and said did you empty your bladder, in front of a full waiting room to every patient,she mite have said did you pick your nose today.The assistant said strip down,I said I'll wait for the doctor.She promptly went to the other assistant and said he won't strip down .The assistant came to the room and said strip down NOW,very bossy too the point of raising her voice.She's just a kid but should have more respect for the men behind those doors.theirs a lot of emotional stress.I should have reported her to the NJ.state medical board,but I like the doctor.
In a urologist Office I wouldn’t find the did you empty you bladder question odd, but maybe pull the person off to the side.
I have to ask if you really think the doctor wants to watch you strip? Why would you wait for him/her? They have you do that in advance because people are generally more comfortable changing into the robe in privacy.
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No respect
