Nurse practitioners may save costs in the ER

From Health Finance News:

Emergency medicine has been plagued in recent years with problems like physician shortages and diversion, or turning away ambulances because of overcrowding. One solution being used in many areas to reduce congestion and cut costs is the employment of nurse practitioners.

Nurse practitioners are master’s trained nurses with additional experience in a specific area of practice. These providers may be one solution for the future of emergency medicine – though some caution they won’t be a replacement for physicians.

Man accused of attacking emergency room worker

From the Daily Iowan:

A Cedar Rapids man has been arrested after allegedly attacking a doctor working in the emergency room at the University of Iowa Hospitals & Clinics.

AED save by off duty RN at furniture store

From KCCI:

A man in an ISU sweatshirt started chest compressions while nurse Stacey Bockes, still in her scrubs, was handed a portable automated external defibrillator or AED by a Homemakers worker.

“I hooked him up and we shocked him and started compressions again and he woke up and was alert. For a while there, it was scary. He was not looking good,” said Bockes. “God puts you in places for a reason and I think we were all there for a reason.”

Homemakers said this was the first time they have used their AED

Iowa state insurance pools “have been a disservice”

From the Des Moines Register (editorial):

Sometimes wrongs don’t get righted. It doesn’t matter that a problem may be egregious and the solution is obvious. The only hope you are left with is that leaders will learn a lesson and ensure that such mistakes aren’t repeated.

That is the case with Iowa’s federally funded, high-risk health insurance pool. The health reform law will get millions of Americans coverage in 2014. Until then, Congress offered Iowa up to $35 million to provide temporary insurance for people whose health prevent them from buying coverage on their own.

Iowa botched the entire concept behind the high-risk pool, and state and federal officials stood by and failed to take corrective action. That is simply inexcusable.

In Psychiatric Emergencies, Emergency Rooms Not Always Safe

From the Huffington Post:

Surely, persons who are suicidal and intent on killing themselves and who wind up at a general hospital emergency department should be safe. According to nurse researcher Dr. Ann Mitchell and colleagues, a suicidal state is in fact an emergency and therefore should be treated as such by emergency department staff.

Yet in today’s general hospital emergency departments, by the time a psychiatric nurse, psychiatric social worker, or someone else with qualifying expertise meets with the person who is suicidal, the person is often more upset, lonely, cold, hungry, and still suicidal and/or depressed. The person experiencing unusual phenomena, such as one who hears voices, may be worsened by this environment, too.