911 Abuse

4:00AM: Respond to Priority 1-Bravo (with red lights and sirens) for an unknown medical problem. After arriving on scene, we find a 68-year-old woman who is virtually standing at the door waiting and wants "a ride to [furthest hospital we transport to] for a urinary catheter insertion." In what way does this qualify as a medical emergency? Staff at the adult home pleaded with her not to call the ambulance, but request a taxi instead, but then she would have to pay for that. They also suggested a family member could take her in a couple of hours, at a more resonable time of day. In cases of such agregious 911 abuse, we need to either be able to say no, we will not give you a taxi ride, or charge them large fees for taking an emergency vehicle out of service, which may have benefited someone having a true medical emergency.

Other calls of the evening:

1) Cancelled call for a motor vehicle accident (MVA) - found to have no injuries
2) MVA on the interstate involving 3 tractor trailers… only 1 driver complaining of minor head pain where his head hit the headrest - refused transport.
3) 3-year old-febrile seizure transport from Urgent Care Clinic to ED

That's all I can remember… off for my 5 hours of sleep before ED shift.


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cheryl Says:

i have been to a specific NH several times for “transport for urinary catheter placement”…not at 4am however….that must be fun!

 
Alana Says:

bet you enjoyed filling out the paperwork and doing the assessment of your taxi pt. sounds like you need a vacation. =/

 
Carsten Says:

Yeah I am thinking it is the same one… At least the people I talked to say they have been there multiple times over the past few weeks for a taxi ride… Feeling very tired, and slightly annoyed, I wrote up a report requesting a letter be sent to advise of the consequences of taking an ambulance out of service for those who might actually need it… and billing her for the abuse of service.

About the PCR… it was actually one of the shortest I have ever filled out… had in done in about 5 minutes of a 30 minute transport to the hospital. :-/ And yeah, I need a vacation, I need to go back to school in the Caribbean :grin:

 
Lothar Says:

I am following your adventures from the distance !
I wonder if you will ever have a “normal” sleep-wake cycle! Love You, Papa in Jeffrey’s Bay ( surfer’s beach)

 
 

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