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Califbill

Justan Olphart wrote:
On 10/1/2015 3:28 PM, Keyser Söze wrote:
On 10/1/15 4:24 PM, wrote:
On Thu, 1 Oct 2015 12:16:17 -0400, Keyser Söze wrote:

On 10/1/15 12:08 PM, John H. wrote:
On Thu, 01 Oct 2015 11:58:01 -0400, wrote:

You have not been reading much if you have not seen my ideas.
To start with, what was so wrong with the old system where hospitals
amortized the indigent bills into their operating cost? It is cheaper
than letting the government and the insurance companies do it. My main
complaint was that they were using specialized ER people to deal with
minor problems and my solution was a triage, outside he ER to separate
the non-emergency cases from the true emergencies. Then they could
shuttle them off to a cheaper walk in clinic on site. After a while
people would know to just go there first. That could be staffed with
vets who have medical skills we already paid for and the AMA will not
let them use.
FWIW, the hospital my brother was in, until yesterday, does use a
triage approach. A
nurse sits with each arrival, takes vitals, listens to complaint,
and decides where
the patient goes. Worked well when we took him in.
--

There's nothing unusual about that "nurse greeting" approach for
walk-ins. Our local hospital has used that approach for years.

I would go for pre-screening minor ER visits by former military
personnel who are at least registered nurses or, better, physician's
assistants. I first see a physician's assistant at my local medical
practice, and she is thorough.

My problem with the current situation is the medical/educational
establishment does not recognize military training and experience.

Well, there certainly are ways to evaluate the education and training,
and "test" the applicants for ability and knowledge. It seems reasonable
to grant qualified military personnel paid apprenticeships at hospitals
while they pursue educationally whatever can reasonably be determined is
needed to help them get a BSN. There are lots of science courses
involved in that BSN.

BSN's don't generally do bedside nursing.

They do. Most every nurse these days gets a bachelor degree along with the
nursing license. BSN is just an old school RN, without as much nursing
experience from school.