Emergency Room Hospital Admittance Form

When I wrecked my motorcycle in Savannah, Georgia, I had to send off the ambulance driver that the police had called, because I knew there was no way I could afford $2,000 for an ambulance ride. Fortunately one of the security guards was willing to give me a lift to the hospital, where I took my place in the emergency room. i waited for three hours before I started to pass out from the pain (I had a broken collarbone). As I was slumping down in my chair, some of the other people in the emergency room were getting alarmed and trying to get the attention of a nurse.To keep me from being an embarrassment in their emergency room, they moved me back to an exam room, but it was still another hour and a half before they got me back for X-rays. I finally got seen by a doctor after six hours. He breezed in and breezed out, occupying my vicinity for thirty seconds, tops. They gave me a figure-8 strap to support my shoulder (which I later found out from an orthopedic is useless on anybody who weighs more than 40 pounds). I got nothing for the pain, probably because those of us without insurance aren’t entitled to be treated as human beings. I ended up with a bill for more than $700.While I don’t have direct experience with living in a country with universal health care, every person I DO know who lives in those countries was horrified by the story of my experience, which we in the USA accept as being perfectly average. So I would assume, for them, it is not.In fairness, when I needed transport to the hospital four years ago, this time I had insurance, and thanks to the provisions of the ACA, I knew that my insurance would pay for the ambulance ride (before the ACA, that was rare). I was really out of it because my heart was in the process of dying, but I didn’t have any wait in the emergency room, once the ambulance got me there, which was good, given that I died and had to be resuscitated on the way to have emergency bypass surgery performed. So sometimes they get you in fast for emergencies, IF you have health insurance, and IF you have something more pressing than broken bones (even at that, it was comical the number of forms I had to “sign” (scribble erratically) while I was in cardiac arrest and had almost no control of my arms).

In my ER, we look at the patient and assign an acuity number between 1 and 5. Acuity isn’t just about how dramatic symptoms are, though, which is often misunderstood by the public.Assigning the number 1 to a case means IMMEDIATE emergency: cardiac or respiratory arrest, for example. This signals the doctor and other staff, “We need you here right now!”Assigning the number 2 means “We need you as quickly as possible, before this situation deteriorates.” Time sensitive emergencies like chest pain or serious difficulty breathing or seizures are generally assigned a 2. Sometimes you’ll see a patient who doesn’t look sick at all in the waiting room, who’s assigned a 2 and taken right back. Examples of this might be a child who’s swallowed something that threatens to block his airway, or someone who expresses suicidal ideation or has just taken a medication overdose.Patients receive a number of 3 if they’re going to need 2 or more diagnostic interventions: for example, abdominal pain (lab work and CT scan). Sometimes these patients don’t look too bad to the casual observer; other times they’re quite dramatic; vomiting and groaning.4 is assigned to patients who will need one intervention, for example suspected fractures and sprains, uncomplicated croup, or an uncomplicated laceration. Some of these patients can look rather scary in the waiting room (especially head lacerations, which tend to bleed pretty profusely), but, depending on the patient’s history and/or the circumstances of the injury, they aren’t necessarily as time sensitive as some other presenting complaints.Patients who don’t require lab work or Xrays or other interventions are assigned a 5. These would include people who need a refill on a prescription, or want to have a rash looked at that started 6 weeks ago.I’d like to add that sometimes patients with minor complaints are taken back more quickly than patients with more extensive concerns. This is because some hospitals have fast track areas, that are designed to get people with minor complaints in and out quickly, so the rest of the ER can treat patients with bigger concerns—-those designated 3, 2, and 1—-more efficiently.

Usually there is a one or maybe a two-page form. I don't think they are that difficult to fill out. They copy my insurance card and that's it. Generally they include a brief list of history questions and current symptom questions. If it is a current doctor, only the current symptom questions. As I am not the one with the medical degree, I hope they use those answers to put two and two together in case my sore throat, indigestion, headache or fever is part of a bigger picture of something more seriously wrong. The HIPAA form is long to read, but you only need to do that once (although you'll be expected to sign the release each time you see a new doctor or visit a new clinic or hospital).

I don’t like to be that judgmental about it, although it’s true that we get a lot of patients coming in on Sunday nights and very early Monday mornings.Sometimes the patient is elderly, and explains, “I didn’t want to mess up my son’s weekend by calling him earlier, so I waited until Sunday evening to tell him I was having abdominal pain.”Sometimes the patient is a child, who ignored mild symptoms until bedtime.Sometimes the symptoms the patient is experiencing actually do get worse at night, when the person is lying down: toothaches, earaches, difficulty breathing.Some day care centers won’t allow children with certain symptoms, unless they’ve got documentation that they’ve been on antibiotics (or other appropriate treatment) for 24 hours. In these cases, parents who can’t afford to take any more time off work than absolutely necessary don’t wait until morning to take the kid to the doctor.Some people truly can’t afford to seek medical attention (especially in an ER, which is by far the most expensive form of treatment), and wait to see if they’ll get better over the weekend, so they won’t run up a big bill. When Sunday evening arrives and they still feel lousy, they come in for treatment. By that time, they usually have no other choice, since few urgent care clinics or doctors’ offices are open on Sunday evenings.And, finally, some schools and employers actually require a note from a doctor if the person calls in sick at work, or misses a day of school. So these patients come in as soon as they know they’re coming down with something.

Impatientence. One man’s emergency is another man’s inconvenience. I work in an Emergency Room. I have to answer this question every day at work. If you are truly sick, you will never complain about wait times. I put the problem of ER wait times squarely on the patients who confuse ER with convenience. If you accept that having a medical emergency is a huge inconvenience you will never complain about ER wait times again.Emergency Departments have gradually become the de facto primary care for the uninsured since 1985 when the Emergency Medical Treatment & Labor Act (EMTALA) was enacted. It stated that no Emergency Department could turn away patients without first giving them a medical screening exam. This also meant that patients could come to the ER with the silliest complaint and still be treated rather than instructed to go to their primary care doctor.Most people wait in the ER because they can wait.[1] I know there are incidents (very rare) where patients have died while waiting. Usually, illness symptoms are self evident and rarely missed by the trained professional nurses triaging patients. Outliers occur as with any field, but the vast majority (near 100%) of patients are appropriately triaged and placed in the proper care zone, most often the waiting room. It is hard for the patient to understand that the urgency of your emergency is determined by the medical professionals- not you.Having to get home to the baby sitter means absolutely nothing to the staff in the ER. I cannot reiterate enough how much the staff could care less about irrelevant personal crisis that requires you to be treated quickly so that you can attend to it. When someone tells me how they have to leave because ‘such and such needs the car’, ‘I am leaving for Boston tomorrow’, or “I haven't eaten all day” I cannot tell you how hard it is to resist saying, “This is an Emergency Room not a convenience room!”There are a lot of variables that determine wait. First and foremost, if you are truly having a medical emergency- stroke, septic, cardiac - you will not wait no matter what. Secondly, if there is a long wait, the staff are working to get you taken care of and have not forgotten you are waiting. Third, everyone thinks they are having an emergency or they would not have come to the Emergency Room- most are wrong.Most patients don’t know when to use the emergency room. These are the culprits that increase wait times because they must be treated just as the true emergencies are being treated. Do you think that earache holds the same relevance as the heart attack? Of course not, but it will occupy the same number of rooms in the back while being treated.Unfortunately, some patients use the ER visit as a measurement for how bad their ailment is. “My throat was so sore I had to go to the ER,” they will say. Well, unless you were diagnosed with Epiglottitis, you really didn't HAVE to go to the ER. Even strep throat can be diagnosed and treated at a WalMart Minute Clinic.So, never confuse impatience with urgency. Consider all the variables that have led to your wait. Try to seek alternatives to the Emergency Room and help lessen the burden society has placed on our Emergency Departments. Most ailments could wait until seeing a primary care provider. Others could be treated at Minute Clinics and Urgent Care facilities (for a lot less money as well). If you do go to the ER, accept that you will have a long wait and plan accordingly.Footnotes[1] https://www.google.com/amp/healt...

NOOOOOOO. You are talking to a military romance scammer. I received an email from the US Army that directly answers your question that is pasted below please keep reading.I believe you are the victim of a military Romance Scam whereas the person you are talking to is a foreign national posing as an American Soldier claiming to be stationed overseas on a peacekeeping mission. That's the key to the scam they always claim to be on a peacekeeping mission.Part of their scam is saying that they have no access to their money that their mission is highly dangerous.If your boyfriend girlfriend/future husband/wife is asking you to do the following or has exhibited this behavior, it is a most likely a scam:Moves to private messaging site immediately after meeting you on Facebook or SnapChat or Instagram or some dating or social media site. Often times they delete the site you met them on right after they asked you to move to a more private messaging siteProfesses love to you very quickly & seems to quote poems and song lyrics along with using their own sort of broken language, as they profess their love and devotion quickly. They also showed concern for your health and love for your family.Promises marriage as soon as he/she gets to state for leave that they asked you to pay for.They Requests money (wire transfers) and Amazon, iTune ,Verizon, etc gift cards, for medicine, religious practices, and leaves to come home, internet access, complete job assignments, help sick friend, get him out of trouble, or anything that sounds fishy.The military does provide all the soldier needs including food medical Care and transportation for leave. Trust me, I lived it, you are probably being scammed. I am just trying to show you examples that you are most likely being connned.Below is an email response I received after I sent an inquiry to the US government when I discovered I was scammed. I received this wonderful response back with lots of useful links on how to find and report your scammer. And how to learn more about Romance Scams.Right now you can also copy the picture he gave you and do a google image search and you will hopefully see the pictures of the real person he is impersonating. this doesn't always work and take some digging. if you find the real person you can direct message them and alert them that their image is being used for scamming.Good Luck to you and I'm sorry this may be happening to you. please continue reading the government response I received below it's very informative.   You have contacted an email that is monitored by the U.S. Army Criminal Investigation Command. Unfortunately, this is a common concern. We assure you there is never any reason to send money to anyone claiming to be a Soldier online. If you have only spoken with this person online, it is likely they are not a U.S. Soldier at all. If this is a suspected imposter social media profile, we urge you to report it to that platform as soon as possible. Please continue reading for more resources and answers to other frequently asked questions:  How to report an imposter Facebook profile: Caution-https://www.facebook.com/help/16... < Caution-https://www.facebook.com/help/16... >   Answers to frequently asked questions:  - Soldiers and their loved ones are not charged money so that the Soldier can go on leave.  - Soldiers are not charged money for secure communications or leave.  - Soldiers do not need permission to get married.  - Soldiers emails are in this format: john.doe.mil@mail.mil < Caution-mailto: john.doe.mil@mail.mil > anything ending in .us or .com is not an official email account.  - Soldiers have medical insurance, which pays for their medical costs when treated at civilian health care facilities worldwide – family and friends do not need to pay their medical expenses.  - Military aircraft are not used to transport Privately Owned Vehicles.  - Army financial offices are not used to help Soldiers buy or sell items of any kind.  - Soldiers deployed to Combat Zones do not need to solicit money from the public to feed or house themselves or their troops.  - Deployed Soldiers do not find large unclaimed sums of money and need your help to get that money out of the country.  Anyone who tells you one of the above-listed conditions/circumstances is true is likely posing as a Soldier and trying to steal money from you.  We would urge you to immediately cease all contact with this individual.  For more information on avoiding online scams and to report this crime, please see the following sites and articles:   This article may help clarify some of the tricks social media scammers try to use to take advantage of people: Caution-https://www.army.mil/article/61432/< Caution-https://www.army.mil/article/61432/>   CID advises vigilance against 'romance scams,' scammers impersonating Soldiers  Caution-https://www.army.mil/article/180749 < Caution-https://www.army.mil/article/180749 >   FBI Internet Crime Complaint Center: Caution-http://www.ic3.gov/default.aspx< Caution-http://www.ic3.gov/default.aspx>   U.S. Army investigators warn public against romance scams: Caution-https://www.army.mil/article/130...< Caution-https://www.army.mil/article/130...>   DOD warns troops, families to be cybercrime smart -Caution-http://www.army.mil/article/1450...< Caution-http://www.army.mil/article/1450...>   Use caution with social networking  Caution-https://www.army.mil/article/146...< Caution-https://www.army.mil/article/146...>    Please see our frequently asked questions section under scams and legal issues. Caution-http://www.army.mil/faq/ < Caution-http://www.army.mil/faq/ > or visit Caution-http://www.cid.army.mil/ < Caution-http://www.cid.army.mil/ >.  The challenge with most scams is determining if an individual is a legitimate member of the US Army. Based on the Privacy Act of 1974, we cannot provide this information. If concerned about a scam you may contact the Better Business Bureau (if it involves a solicitation for money), or local law enforcement. If you're involved in a Facebook or dating site scam, you are free to contact us direct; (571) 305-4056.   If you have a social security number, you can find information about Soldiers online at Caution-https://www.dmdc.osd.mil/appj/sc... < Caution-https://www.dmdc.osd.mil/appj/sc... > . While this is a free search, it does not help you locate a retiree, but it can tell you if the Soldier is active duty or not.  If more information is needed such as current duty station or location, you can contact the Commander Soldier's Records Data Center (SRDC) by phone or mail and they will help you locate individuals on active duty only, not retirees. There is a fee of $3.50 for businesses to use this service. The check or money order must be made out to the U.S. Treasury. It is not refundable. The address is:  Commander Soldier's Records Data Center (SRDC) 8899 East 56th Street Indianapolis, IN 46249-5301 Phone: 1-866-771-6357  In addition, it is not possible to remove social networking site profiles without legitimate proof of identity theft or a scam. If you suspect fraud on this site, take a screenshot of any advances for money or impersonations and report the account on the social networking platform immediately.  Please submit all information you have on this incident to Caution-www.ic3.gov < Caution-http://www.ic3.gov > (FBI website, Internet Criminal Complaint Center), immediately stop contact with the scammer (you are potentially providing them more information which can be used to scam you), and learn how to protect yourself against these scams at Caution-http://www.ftc.gov < Caution-http://www.ftc.gov > (Federal Trade Commission's website)

Very dramatic. You have to know injuries and illnesses. People are wheeling children in wheelchairs, on stretchers or wagons. All children's hospital emergency departments are open 24-7. Boston and other large cities have a Level 1 Pediatric Trauma Center accreditation. These hospitals take the most critical children who arrive by ambulance or helicopter. They provide round-the-clock trauma services and can transport someone to the ICU when ready.The children can be crying and they want their parents by their side. The work is hard and they have to be certified in pediatric emergency medicine.

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