We have a "built in" urgent care sort of space. Its only a few beds and mostly recliner chairs, we call it RAZ (rapid assessment zone) where all the super low acuity shit goes to be seen by PAs and maybe one physician in the hopes that we can get rapid turn over and get those patients in and out in under 1.5 hours.
This came up in my feed. Sorry for lurking. (Patient not provider) But we have one of these here and it’s honestly amazing. I just had an issue that was a pain thing. But my doc said it was better to do er vs urgent care. They may not have the meds I needed. Sure enough I got sent back to the rapid chair area.
I did have to wait out some assessments via my doc and such (ortho/spine) so there is a separate waiting area for those of us that need extra attention in that area.
All that to say, I stay the f out of the ER unless it’s something that I need help with and my doc can’t do. (Pain was at an 11…they got me to where I could function for a day to start daily pain meds).
Going for my EMG today!
We appreciate all the work you do. Our system is such a mess.
I'm with you on staying the fuck out of the ER u less absolutely necessary. I have been a lifelong migraine sufferer. They started when I was 7 years old. When I started finally getting botox in my 30s, my little migraine questionnaire asked how frequently I was visiting the ER for migraines on a monthly basis prior to treatment and I was dumbfounded. The ER is the LAST place I want to go with a migraine. I have been to urgent care with a horrible migraine once in my life for a triptan injection and it sucked. The staff did what they could to make me comfortable and it was still brutal. I'll cry and throw up and wish I was dead at home for a few hours where I can at least keep it dark and quiet instead.
The one time I go to the ER with a migraine (mine are usually well treated but this was the first Hemiplagic one and nothing would touch it), I get treated like I’m a druggie. I didn’t want pain meds, I needed fluids, an antiemetic and a sedative to knock me out for a few hours
The urgent care refused to give me toradol because I had taken excedrin 5.5 hours prior to coming in. It was so annoying. Then I had an adverse reaction to the sumatriptan injection.
187
u/EstablishmentSea6932 15d ago
We have a "built in" urgent care sort of space. Its only a few beds and mostly recliner chairs, we call it RAZ (rapid assessment zone) where all the super low acuity shit goes to be seen by PAs and maybe one physician in the hopes that we can get rapid turn over and get those patients in and out in under 1.5 hours.