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	<title>Comments on: Healthcare Update &#8212; 02-28-2011</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: DensityDuck</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-47117</link>
		<dc:creator>DensityDuck</dc:creator>
		<pubDate>Wed, 09 Mar 2011 22:35:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-47117</guid>
		<description><![CDATA[&quot;As a college student, I use hand sanitizer probably around 10 times a day. I haven’t had any illnesses in the last 2 years.&quot;

I carry a magic rock that repels tigers.  I haven&#039;t been eaten by tigers at any point in my life.]]></description>
		<content:encoded><![CDATA[<p>&#8220;As a college student, I use hand sanitizer probably around 10 times a day. I haven’t had any illnesses in the last 2 years.&#8221;</p>
<p>I carry a magic rock that repels tigers.  I haven&#8217;t been eaten by tigers at any point in my life.</p>
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		<title>By: Hueydoc</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46412</link>
		<dc:creator>Hueydoc</dc:creator>
		<pubDate>Thu, 03 Mar 2011 21:18:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46412</guid>
		<description><![CDATA[So what&#039;s the charge for assaulting a judge ?
Bet it&#039;s a lot stiffer than 2 days.]]></description>
		<content:encoded><![CDATA[<p>So what&#8217;s the charge for assaulting a judge ?<br />
Bet it&#8217;s a lot stiffer than 2 days.</p>
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		<title>By: VA Hopeful</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46402</link>
		<dc:creator>VA Hopeful</dc:creator>
		<pubDate>Thu, 03 Mar 2011 19:48:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46402</guid>
		<description><![CDATA[It seems like that was just something put into place to make sure people who abuse ED staff actually get some kind of punishment.  Often times nothing is done in cases like this, even if the police get called.]]></description>
		<content:encoded><![CDATA[<p>It seems like that was just something put into place to make sure people who abuse ED staff actually get some kind of punishment.  Often times nothing is done in cases like this, even if the police get called.</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46378</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Thu, 03 Mar 2011 16:24:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46378</guid>
		<description><![CDATA[Not in my job, no.  There are legal jobs where you must sit in a room with the worst of the worst, but I didn&#039;t choose that one.

You&#039;re a nurse, and it sounds like you chose an area of nursing you don&#039;t like.  But there is great news for you - there are a ton of nursing jobs where you&#039;re not subjected to whatever federal law you&#039;re referring to.

And it would likely be felony battery in almost all states if a bone was broken.  You don&#039;t need this extra law specifically naming you for that.  The only thing this did was put a mandatory weekend in jail on a misdemeanor.  It seems to be just more useless legislation, unless there are a bunch of people getting fines and no jail times after attacking ED personnel.  I&#039;m not aware of many judges who think so lightly about that, but perhaps in that state there are.

I don&#039;t know about you, but I think we&#039;ve got enough laws.]]></description>
		<content:encoded><![CDATA[<p>Not in my job, no.  There are legal jobs where you must sit in a room with the worst of the worst, but I didn&#8217;t choose that one.</p>
<p>You&#8217;re a nurse, and it sounds like you chose an area of nursing you don&#8217;t like.  But there is great news for you &#8211; there are a ton of nursing jobs where you&#8217;re not subjected to whatever federal law you&#8217;re referring to.</p>
<p>And it would likely be felony battery in almost all states if a bone was broken.  You don&#8217;t need this extra law specifically naming you for that.  The only thing this did was put a mandatory weekend in jail on a misdemeanor.  It seems to be just more useless legislation, unless there are a bunch of people getting fines and no jail times after attacking ED personnel.  I&#8217;m not aware of many judges who think so lightly about that, but perhaps in that state there are.</p>
<p>I don&#8217;t know about you, but I think we&#8217;ve got enough laws.</p>
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		<title>By: Nurse K</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46310</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Wed, 02 Mar 2011 22:55:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46310</guid>
		<description><![CDATA[Hey there Matt, in your job, are you mandated by Federal law to lay hands on violent, labile drunks and crack addicts and &quot;help&quot; them whether or not there is adequate security around to help you?  (At my hospital, I think it&#039;s pretty adequate, but sometimes people just flip out unexpectedly or whatever).  

Trust me, I&#039;m not really excited about leaning over a crackhead with Hepatitis C and starting an IV with a sharp needle when they&#039;re cursing at me.  Outside of the ER, these people would just be arrested and removed.  It would be as if everyone who is screaming, cursing, and throwing things in a grocery store was mandated to have a personal shopper walk with them around the store and then not make it a crime when that person gets smacked.  

If the government is forcing me to be in harm&#039;s way or else, they should lock up anyone who smacks me around.  I think it should be a felony as it is in some states, especially if bones are broken, but whatever.]]></description>
		<content:encoded><![CDATA[<p>Hey there Matt, in your job, are you mandated by Federal law to lay hands on violent, labile drunks and crack addicts and &#8220;help&#8221; them whether or not there is adequate security around to help you?  (At my hospital, I think it&#8217;s pretty adequate, but sometimes people just flip out unexpectedly or whatever).  </p>
<p>Trust me, I&#8217;m not really excited about leaning over a crackhead with Hepatitis C and starting an IV with a sharp needle when they&#8217;re cursing at me.  Outside of the ER, these people would just be arrested and removed.  It would be as if everyone who is screaming, cursing, and throwing things in a grocery store was mandated to have a personal shopper walk with them around the store and then not make it a crime when that person gets smacked.  </p>
<p>If the government is forcing me to be in harm&#8217;s way or else, they should lock up anyone who smacks me around.  I think it should be a felony as it is in some states, especially if bones are broken, but whatever.</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46197</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 01 Mar 2011 19:40:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46197</guid>
		<description><![CDATA[&quot;Step in the right direction. Virginia passes law making it a misdemeanor and requiring jail time for anyone convicted of assaulting emergency medical providers&quot;

Not really a step in the right direction.  There are enough laws on the books, and assault has always been a crime.  The only thing that changed is that the jail time is mandatory (although it doesn&#039;t say if it can be suspended).  Either way, if you&#039;re going to knock around an emergency physician, you&#039;re probably not all that concerned about a misdemeanor or a weekend in county.  

There was no need for this law, other than some special interest lobbyist wanted to say they were doing something.]]></description>
		<content:encoded><![CDATA[<p>&#8220;Step in the right direction. Virginia passes law making it a misdemeanor and requiring jail time for anyone convicted of assaulting emergency medical providers&#8221;</p>
<p>Not really a step in the right direction.  There are enough laws on the books, and assault has always been a crime.  The only thing that changed is that the jail time is mandatory (although it doesn&#8217;t say if it can be suspended).  Either way, if you&#8217;re going to knock around an emergency physician, you&#8217;re probably not all that concerned about a misdemeanor or a weekend in county.  </p>
<p>There was no need for this law, other than some special interest lobbyist wanted to say they were doing something.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46169</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Tue, 01 Mar 2011 14:06:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46169</guid>
		<description><![CDATA[According to the linked article, the study was presented at &lt;a href=&quot;https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=446569&amp;PCAT=1827&amp;CAT=1827&quot; rel=&quot;nofollow&quot;&gt;the ACPM&#039;s annual meeting&lt;/a&gt;. Not sure if it has been/will be published. May want to contact the study&#039;s author, Dr. David Blaney from the CDC to ask for a reprint.]]></description>
		<content:encoded><![CDATA[<p>According to the linked article, the study was presented at <a href="https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=446569&#038;PCAT=1827&#038;CAT=1827" rel="nofollow">the ACPM&#8217;s annual meeting</a>. Not sure if it has been/will be published. May want to contact the study&#8217;s author, Dr. David Blaney from the CDC to ask for a reprint.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46167</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Tue, 01 Mar 2011 13:58:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46167</guid>
		<description><![CDATA[To D and Girlvet - 

I would presume that if there was more to the &quot;unsafe&quot; conditions than the nurses&#039; subjective feelings, OSHA would have mentioned it in the citation.
There is a big difference between a subjectively &lt;em&gt;feeling &lt;/em&gt;unsafe and objectively &lt;em&gt;being &lt;/em&gt;unsafe.
 
Imagine that you run a hospital. What affirmative steps should a hospital be required to take to ensure that every employee &quot;feels&quot; safe at all times when they are on the job?
In this article, the nurses felt unsafe tending to a patient in at the front of the hospital which is the same entrance that hundreds of patients go through every day. Does the hospital now need to establish a military presence at all points of entrance so that everyone &quot;feels&quot; safe?

Kind of like giving patients disability because they &quot;feel&quot; like they have had strokes. No focal deficits. Workups are negative. But in the patient&#039;s minds they feel as if they have had strokes and they deserve disability.]]></description>
		<content:encoded><![CDATA[<p>To D and Girlvet &#8211; </p>
<p>I would presume that if there was more to the &#8220;unsafe&#8221; conditions than the nurses&#8217; subjective feelings, OSHA would have mentioned it in the citation.<br />
There is a big difference between a subjectively <em>feeling </em>unsafe and objectively <em>being </em>unsafe.</p>
<p>Imagine that you run a hospital. What affirmative steps should a hospital be required to take to ensure that every employee &#8220;feels&#8221; safe at all times when they are on the job?<br />
In this article, the nurses felt unsafe tending to a patient in at the front of the hospital which is the same entrance that hundreds of patients go through every day. Does the hospital now need to establish a military presence at all points of entrance so that everyone &#8220;feels&#8221; safe?</p>
<p>Kind of like giving patients disability because they &#8220;feel&#8221; like they have had strokes. No focal deficits. Workups are negative. But in the patient&#8217;s minds they feel as if they have had strokes and they deserve disability.</p>
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		<title>By: girlvet</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46122</link>
		<dc:creator>girlvet</dc:creator>
		<pubDate>Tue, 01 Mar 2011 05:04:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46122</guid>
		<description><![CDATA[Don&#039;t be so quick to dismiss the nurse not feeling safe. I&#039;m not sure where you work but shootings are often gang related and the staff has every right to feel unsafe. You don&#039;t know if the homies are gonna come en masse to the ER. 
Lots of hospitals don&#039;t have very good security.]]></description>
		<content:encoded><![CDATA[<p>Don&#8217;t be so quick to dismiss the nurse not feeling safe. I&#8217;m not sure where you work but shootings are often gang related and the staff has every right to feel unsafe. You don&#8217;t know if the homies are gonna come en masse to the ER.<br />
Lots of hospitals don&#8217;t have very good security.</p>
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		<title>By: Anonymous</title>
		<link>http://www.epmonthly.com/whitecoat/2011/02/healthcare-update-02-28-2011/#comment-46118</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 01 Mar 2011 04:01:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=6179#comment-46118</guid>
		<description><![CDATA[&quot;The proposed program would cover only about 100,000 patients and leave the remainder to fend for themselves&quot;

Finally. Couple this with a law bringing EDs back to being for E&#039;s and not the kind of cases that could in a blue moon unicorn fairy be an E if you do a billion dollars worth of diagnostics just to make sure.

&quot;shows that you’re more than three times as likely to get a norovirus infection when you use alcohol-based hand sanitizers. &quot;

As a college student, I use hand sanitizer probably around 10 times a day.  I haven&#039;t had any illnesses in the last 2 years.

RE: The leaky heart valve, what you fail to mention is that it was known he had a heart valve problem before he had chest pains.  Thus I agree with the jury, doc f-ed up.]]></description>
		<content:encoded><![CDATA[<p>&#8220;The proposed program would cover only about 100,000 patients and leave the remainder to fend for themselves&#8221;</p>
<p>Finally. Couple this with a law bringing EDs back to being for E&#8217;s and not the kind of cases that could in a blue moon unicorn fairy be an E if you do a billion dollars worth of diagnostics just to make sure.</p>
<p>&#8220;shows that you’re more than three times as likely to get a norovirus infection when you use alcohol-based hand sanitizers. &#8221;</p>
<p>As a college student, I use hand sanitizer probably around 10 times a day.  I haven&#8217;t had any illnesses in the last 2 years.</p>
<p>RE: The leaky heart valve, what you fail to mention is that it was known he had a heart valve problem before he had chest pains.  Thus I agree with the jury, doc f-ed up.</p>
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