by Dale Hannah
“What If?” Erie hospitals had even a vague idea concerning how to operate a triage department?
I experienced a pretty serious run to the Hamot E.R. Thursday evening. I tripped and fell head-first onto the concrete steps leading to my front door, leaving a 3 inch long laceration on my scull. I could feel the scalp where it sliced away from the bone, and I was instantly awash in copious amounts of blood.
Any bleeding from the scalp is profuse. I am on coumadin, a blood thinner, and any bleeding is exaggerated.
My wife did immediate first aid, and we headed for the ER. I informed the lady at check-in what had happened and told her I was on a blood thinner. Three or four towels on my head were dripping blood and my face, neck and shirt were covered. She looked and pleasantly taped a piece of gauze to my injury and told me to have a seat in the waiting room, which, by the way, was full of people of every ilk, only one who looked like sutures were in order.
After roughly 2 hours of sitting in the ER waiting room, I went back to check in and asked what was taking so long. I was informed that I was in the “Express” group, and would be taken accordingly. OK. Several minutes later the lady came over to me and asked if anyone had seen me. Nope? Shortly, I made it into the triage room, where vitals were taken and 1000 questions were asked, which I tried to answer, through a haze of pain and blood, for the triage nurse.
I was sent to the Radiology Department for a CT scan, very professionally handled, and had several vials of blood drawn for future reference. I was frankly surprised she found any.
After sitting in the hallway for a significant period of time, I was finally taken to a treatment room. From then on, I felt like I was in a real Hospital at last, with exemplary care from the RNs, Doctor-in-Training (Antonio) , and the ER physician who oversaw my treatment. Nine well-placed staples later, the bleeding was pretty much stopped, and I was finally taken to a real room. Note here: I came to the ER at roughly 9 pm. It is 4 am now. Do the math.
Head injury, blood thinner, possible concussion, previous serious injury to cervical spine, profuse and prolonged bleeding.
Unacceptable length of time before treatment? I think so!!!!!! Quality of the care I finally received after 4 hours of vastly inferior triage procedure? Excellent.
Understand, this is a personal opinion, from a hurting and bloody individual. The Hamot Triage procedure sucks!
I’m sure there are a lot of stories out there. Like to share them with the rest of us?
I am a life-long resident of Erie County, twenty years of which were spent living in the City of Erie. I retired from the tool-and-die trade two years ago, and now have time to enjoy the opportunity to observe city and county goings-on in more depth.
I hope to create a venue to suggest new ideas and solutions to exisiting problems with my blog, 'What If?'.
Kitten
July 21st, 2008 at 8:13 am
We had the same experience when my then 7-year old son (he’s 10 now) cracked the back of his head open wrestling around with his brother. We went into the ER around 9pm on a Tuesday night and waited at least two hours to be seen (a young boy wish a gushing head wound wasn’t a priority, I guess). I remember not getting home until about 2:30am.
Ron
July 21st, 2008 at 9:18 am
My wife had placenta previa (placenta blocks cervix), and had some bleeding during her pregnancy one night. We were at the Hamot E.R. from about 8pm until 2am. What if she had miscarried before getting some treatment? I understand that they have to treat the most serious cases first, but something is definitely wrong with the E.R.s in the United States. Either it’s too many people and too few doctors, or a horrible mismanagement of the E.R. across the board.
Jim
July 21st, 2008 at 9:45 am
Too many uninsured using ER’s for primary health care, clogging the system. Pennsylvania’s medical professional industry health is another issue. Horror stories on recruitment attempts to get new physicians to locate here. Especially specialties, and ER is a specialty. Add to that nearly eight years of Rendell’s denial of the situation, and playing politics with the EMS fund dealing with malpractice insurance. I fear it is going to get worse, especially with the onset of socialized health care. Get ready for more rationing. Your wait in the ER waiting room is the beginning form of health care rationing.
jan
July 21st, 2008 at 10:04 am
Jim addresses some of the problems besetting emergency room care throughout the area. But, that was entirely unacceptable that you waited that long with that type of injury coupled with your coumadin history!!! Call Hamot and ask to speak to their ombudsman [patient advocate] if they have one!!! I do hope someone from the hospitals is reading this site! Whew! at a loss for words!!! Hope you are feeling better now.
Douglas
July 21st, 2008 at 10:45 am
I have to say that I’ve never been to the Hamot ER but my family has used Vincent quite a few times and had top notch service each visit. When my dad was still alive he was a frequent visitor and we always joked with him that it wouldn’t be a trip to Erie without a visit to Vincent. Once my brother sprained his ankle playing basketball a couple years ago and he saw a doctor within 30 minutes.
Down here in Pittsburgh though unless your bleeding is making a mess expect to wait a good 3-4 hours. I was in once around 11pm and was waiting for a doc when someone was brought in from a shooting. Well his homies filled the waiting room all jazzed up. The guy who shot the patient showed up and in turn he got shot (in the rear end so he lived) in the parking lot. Pissed me off because now I had to wait longer.
Rob McGahen
July 21st, 2008 at 8:10 pm
Dale, I wish your story was unique, but I think the only way you get attention quickly in the ER is if you come in on a stretcher or walk in with chest pains. And that is not even a guarantee of quick service. I think we all saw the story of the woman who was lying dead on the floor of the ER waiting room a few weeks back. Fortunately you did get the attention you needed, and I hope you are completely better soon!
Gilligan
July 21st, 2008 at 10:47 pm
it was stated that “Too many uninsured using ER’s for primary health care, clogging the system” was mentioned as a cause, but that is what TRIAGE is for…if you are in ER for simple health care, then you SHOULD wait 5-6 hours…if you have profuise bleeding you SHOULD be taken immediately. I have been to Hamot ER several times with a young child and they always offer EXCUSES at Triage, and when you get back into the rooms, there are plenty of empty ones and plenty of staff chatting. I know they get busy at times, but after seeing it first hand I think they are just incompetently managed. Thank goodness the Urgent Care’s are back! Go to them and make the hospital start paying for an empty ER.