Thursday, November 17, 2011

What do you want from NURSES of the FUTURE?

Do you want sheep? Followers who never question? Never Wonder?

Why Oh Why are hospitals going crazy about No Wait ER's? It is an EMERGENCY ROOM. NOT a doctor's office, NOT a clinic. ARRRGGGHHHHH.....IN Emergency Rooms, emergencies happen...Oh My!
And that now emergent hangnail may actually have to wait, and why would it be encouraged to STRAIGHT Back complaints that are in No Way an emergency?????

NO Wait ER's validate using the ER as a clinic or doctor's office. Validate stupidity and a waste of resources.
Many of these people should be #1 managing their symptoms at home, #2 using community resources including their local pharmacy for meds to treat nausea, vomiting  and diarrhea, fever, cough and flu symptoms, all of the basics covered in the local pharmacy aisles (OOPs, you may have to pay for that, OH and pregnancy tests can be done at the dollar store), and #3 go to your family doctor or clinic, (yes you may have to wait but that does not make the ER the appropriate place for your problem). And yes you are expected to pay for your ER visit too, though tooooooo many come in with NO intention of paying.

This is an area that all of these wonderful administrators and politicians need to focus their healthcare reform:

1) Personal responsibility for healthcare choices: you must live life to the fullest, but stop expecting people to cleanup after you, if you smoke accept the consequences, if your choose to drink to excess, do not expect a liver transplant, be compliant with your healthcare or have your palliative care plans in place.

2) Public education regarding use of the ER, hospitals, doctors offices, clinics, etc.: i.e. you can throw up more than once without running to the ER, unless its a bucket of blood. That may be impressive. And wait more than a half-hour after throwing up ONCE to call Rescue to take you to the ER. And when you call rescue, have a way to get home, your transportation is YOUR responsibility.

3) Community resources need to be expanded to 24/7 clinics with a pharmacy when overcrowded doctors offices are not available or cannot keep up, they should also be taking extra patients instead of sending everyone to the ER. Pain management centers should also be available 24/7 also with contracts that must be honored.

4) Public education of the proper use of Fire/Rescue. Do Not call them for non-emergent situations while your family that could have brought you in beats you to the ER.

5) Here is a BIG ONE Politicians: Prisoners, especially death-row inmates, have lost their rights to vote, yet they seem to have access to the best education and the best of healthcare. This is wrong when, today, people in the community who contribute and work hard can hardly afford to provide healthcare for themselves. People on death-row should have DNR on their healthcare records and never, NEVER get a transplant...LUDICROUS. Treat the active community first you could probably set up accounts from all the free stuff for prisoners...Dialysis for child molesters and rapists...Really??? Why not let nature take its course in all of these instances. Instead, because payment is fast and certain, doctors jump at treating these UN-Fine people over people who actually contribute to society.