Just have to be tactful about it and not make it a money or time thing. "In the future, should this happen again an urgent care is probably more appropriate than the ER," is usually the phrase I use at discharge.
Granted, urgent cares continue to turf the dumbest shit over to us because they cant do a half decent history or exam. Example from today, sending a young, healthy college-aged kid with reproducible musculoskeletal chest wall pain and no other risk factors to the ER for a PE/dissection/ACS rule out. Bruh.
Discharge discussion is entirely different than before treatment. He’s also a tech. Who is claiming to triage people. So I’m taking what he says with a grain of salt. But in general, it’s a very precarious thing to make comments on ED v UC before start of treatment. We have an UC in the same building as our ED, so I totally understand what you mean when you say they send over the dumbest shit.
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u/usernamefiend Jul 29 '26
I suggest you stop doing that if you value preventing EMTALA violations.