Emergency Room Services

Emergency get ons in the USA ar at a lower place increasing pressure to provide want cargon to all, even if they are non life threatening. This trend in go up ER for of all timey singly business is costing the health care governing body a large amount of costs, with the result that the itemise of ER serve and hospitals are decreasing with increased pressure on the remaining healthcare facilities.Other contri provideding factors are not helping either. In addition to this the issuing of increased alcoholic drink consumption and ER admissions is also beginning to negatively affect the quality of healthcare. Nurses are under more pressure than ever to handle ER efficiently, which is showing no signs of decreasing the number of inessential ER admissions.Alcohol and Drug Abuse Are Main Abusers of Emergency board ServicesMany reports now confirm that Emergency room run are among the near misused healthcare serve employed by the patients. Of the galore(postnominal) problem s with which the patients come out into the ER with, the more or less common are delinquent to alcohol and do medicines abuse.According to McGeary (2000) chronic illicit drug use is a positive as well as a signifi usher outt determinant of the probability of utilizing the ER. (McGeary et al, 2000) fondness abusers were 30 percent more likely to utilize the ER services than any other emergencies. (McGeary et al, 2000)The above statements and study results point out to legion(predicate) a(prenominal) issues and findings. Firstly, that drug users or abusers are the most prominent patient push of the ERs. This leads to the next conclusion that in order to improve ER services, we must(prenominal) be able to identify and care for the main target patients, who are drug users, alcoholics and such relate aggregate abusers.ER is also a most likely devote where screening for psychiatric symptoms and drug abuse can be identified, and further treatments carried out. In this way, an E R can be looked at as a diagnostic, screening and treatment facility for those who are substance or drug abusers, with or without psychological symptoms.This also means that in order to improve services in the ER, the prime patient state in focus should be such people, and effective measures and policies must be introduced to provide care for this group. The costs utilized in the education and barroom of alcohol abuse is far less than the costs that it steers to treat alcohol cases.The trend in opting for emergency visit initially may perk up been limited to emergency cases, but in the recent years has braggart(a) to include insignificant calls that may not need emergency initiatives. The problem lies in lack of awareness among people about what constitutes an emergency and what not.To many this increase in the recent years in the emergency room entries and calls are out-of-pocket to the increasing size of the populations, the reduction of services and number of hospitals, the decrease in the number of nurses, and the problems of not having insurance and coverage in the the Statesn population. The current concept of ER has changed to become a place that provides round the clock services for all healthcare related problems preferably of a service that is essentially made to save lives in deprecative danger.The complications are leading to more admissions, with the danger that many patients who may be in actual need of the critical treatment may cause delays in their treatment, leading to significant morbidity and mortality. (Severson, 2000) The current statistics reveal that genius in five of the visits to the ER are for non-urgent conditions. (Osheraoff, 2004)Of the most common abusers of the ER system, men, poor families and African Americans are seen to abuse them the most. These numbers are mellow in all of the American states. In California, this includes a quarter jillion of the Californian adults and 60,000 children.The increase these admissi ons and care treatments cost are six multiplication more than the normal clinical expenditures. Of the abusers, the non citizens were more likely to utilize the ER services when compared to the citizens. All these increases in the numbers are thought to take place repayable to the reasons mentioned above. The ER services nation wide are in deep trouble. (Sacremento State News, 2004)In the last ten years from 1993 to 2003, America as experienced an increase of 12 percent in its population, but the ER reports and admissions have increased by 27 percent. This was coupled by the closing of 425 emergency departments, 700 hospitals and 200,000 beds. This means that as the number of ER services is decreasing, the remaining services are experiencing a sharp rise in the admissions and therefore more work with lesser amount of quality provision. (Brown, 2006)What many of the Americans refuse to acknowledge is that the ER visit is also costly for them, unconnected from the increased cost tha t the healthcare sector pays. This trend to have each thing taken care of in the ER is usually due to two reasons on the patients behalf. One is to save oneself from waiting for an appointment with the elementary healthcare provider, and second is the lack of awareness among the Americans as to what constitutes an emergency. (Osheroff, 2006)The drug related admissions in hospital ERs is increasing precariously. In 2004, there were near 2 million admissions in the ER for drug related mishaps, of which 1.3 million were due to drug misuse or abuse. (SAMSHA, 2006)Of the 1.3 million, 30 percent comprised of illicit drug abuse cases, 25 percent were related to over the counter and order medications, 8 percent were alcohol abuse cases in people under age 21, and the rest included combinations of illicit drugs, pharmaceuticals and alcohols in various combinations and percentages.The drugs that were primarily involved comprised of cocaine, marijuana, heroine, stimulants, amphetamines and methamphetamines, PCP, Ecstasy and GHB in the largest amounts. The problem will underwrite to increase in number as many predict due to the increased number of teenagers and young adults taking up these substances. (Samsha, 2006)