moestown1016 Posted December 31, 2012 Share Posted December 31, 2012 I'm curious if any of you have been asked in the emergency room to write for the morning after pill. If you have. How did you handle it? Link to comment Share on other sites More sharing options...
Guest Posted December 31, 2012 Share Posted December 31, 2012 I may be a few years too early, but I am confused. What is there to handle? Link to comment Share on other sites More sharing options...
robbro Posted January 1, 2013 Share Posted January 1, 2013 Haha. It wouldn't surprise me. They need to make an appointment at Planned Parenthood or go to a local pharmacy. I doubt that any ER would carry that. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted January 1, 2013 Share Posted January 1, 2013 Haha. It wouldn't surprise me. They need to make an appointment at Planned Parenthood or go to a local pharmacy. I doubt that any ER would carry that. Ha-Ha-Ha some ED DO stock "Plan B"! Link to comment Share on other sites More sharing options...
just_me Posted January 1, 2013 Share Posted January 1, 2013 The ER sure is an expensive way to get it when they can walk into a pharmacy and ask for it. Unfortunately by the time they get to someone in the ER willing to tell them, the billing has already started :sad: Link to comment Share on other sites More sharing options...
flyingsquirrel Posted January 1, 2013 Share Posted January 1, 2013 The ER sure is an expensive way to get it when they can walk into a pharmacy and ask for it. Unfortunately by the time they get to someone in the ER willing to tell them, the billing has already started :sad: There are a couple of reasons this happens... 1. People who truly don't know that emergency contraception can be bought OTC (or really 'behind the counter') at the pharmacy...although I'm guessing this is a little less common now than when I was working in the ED in 06/07. 2. People who are trying to avoid rogue pharmacists who believe that it is their moral/ethical/whatever duty to either not stock emergency contraception or to 'counsel'/lecture patients at length before letting them purchase it. This is more of an issue in rural areas. 3. There is a very real possibility that the emerergency contaception, while needed, is not the only reason for the ED visit. Does the pt need STD testing and/or post-exposure prophylaxis? Was the sex consensual? Do they need medical/psych/legal assistance for a sexual assult? 4. Is the pt 17 or older? If not, they still need a perscription for emergency contraception in all the states I know of. Link to comment Share on other sites More sharing options...
Guest JMPA Posted January 1, 2013 Share Posted January 1, 2013 The ER sure is an expensive way to get it when they can walk into a pharmacy and ask for it. Unfortunately by the time they get to someone in the ER willing to tell them, the billing has already started :sad: I guess that you don't know how the illegals rape our healthcare system. Link to comment Share on other sites More sharing options...
just_me Posted January 1, 2013 Share Posted January 1, 2013 Guessing is like assuming:heheh: I feel I worked enough in the ER/registration/collections to know that its more of an uninsured/underinsured issue in gengeral I guess that you don't know how the illegals rape our healthcare system. Link to comment Share on other sites More sharing options...
just_me Posted January 1, 2013 Share Posted January 1, 2013 There are a couple of reasons this happens... 1. People who truly don't know that emergency contraception can be bought OTC (or really 'behind the counter') at the pharmacy...although I'm guessing this is a little less common now than when I was working in the ED in 06/07. While your other points make sense.....Im moreso commenting on lack of knowledge Link to comment Share on other sites More sharing options...
crystaltide Posted January 1, 2013 Share Posted January 1, 2013 Yeah, considering you can walk into Planned Parenthood in most places and get a prescription for Plan B with a quick visit (even if under 17), the ER seems like a rather ridiculous alternative. Patient education about resources like these is limited though... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 1, 2013 Moderator Share Posted January 1, 2013 all the time. I write it. Link to comment Share on other sites More sharing options...
GingersHuman Posted January 1, 2013 Share Posted January 1, 2013 Yah, why wouldn't you write it? We have people coming into the ED here all the time requesting a pregnancy test. Unfortunately, many of these are young girls who admit that they WANT to be pregnant. We have an interesting demographic out here :/ We always explain that we use the same urine test that the dollar store has...for $1...only here it is billed for $140. But whatever. I fully understand that people should go see their PCP, or Planned Parenthood, or the Health Department, or the closest pharmacy and just buy it. But we can't treat stupid, can we? And why, if you can write it in that exact moment, would it be good to send them elsewhere and just delay their dose? We are already overpopulated enough as it is!! I'm all for Plan B! Link to comment Share on other sites More sharing options...
fuma102 Posted January 1, 2013 Share Posted January 1, 2013 its part of our offering for sexual assault. I'd be surprised if an ED didnt offer it. Then again, many of our clients that "request" Plan B - not as part of a sexual assault - are a bit off the rocker. Link to comment Share on other sites More sharing options...
crystaltide Posted January 1, 2013 Share Posted January 1, 2013 We always explain that we use the same urine test that the dollar store has...for $1...only here it is billed for $140. But whatever. What I've learned from seeing every kind of person coming in for a pregnancy test is that it has less to do with the cost and more of a need to have someone there to give attention when the results come in. Some people are looking for help with what to do if it's positive, but more than anything they're seeking someone to give them a definitive answer and pay attention. Link to comment Share on other sites More sharing options...
just_me Posted January 2, 2013 Share Posted January 2, 2013 Sad part is if they catch the ER on a bad day they are most likely to get "welp sorry about the bad luck, heres the closest clinic and dont forget to stop by the window and check out on your way out....night" What I've learned from seeing every kind of person coming in for a pregnancy test is that it has less to do with the cost and more of a need to have someone there to give attention when the results come in. Some people are looking for help with what to do if it's positive, but more than anything they're seeking someone to give them a definitive answer and pay attention. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted January 2, 2013 Share Posted January 2, 2013 What I've learned from seeing every kind of person coming in for a pregnancy test is that it has less to do with the cost and more of a need to have someone there to give attention when the results come in. Some people are looking for help with what to do if it's positive, but more than anything they're seeking someone to give them a definitive answer and pay attention. There is a time and place for everything........the ED isn't the place for either the test or psychosocial baggage associated with it! Link to comment Share on other sites More sharing options...
Contrarian Posted January 2, 2013 Share Posted January 2, 2013 Quite a few ummm... gurls using "plan B " as "PLAN A"... :sadface: Link to comment Share on other sites More sharing options...
CAdamsPAC Posted January 2, 2013 Share Posted January 2, 2013 Quite a few ummm... gurls using "plan B " as "PLAN A"... :sadface: Yep.......far too many!!If you prescribe it....they will come. Link to comment Share on other sites More sharing options...
jen0508 Posted January 2, 2013 Share Posted January 2, 2013 never had anyone ask for plan B. ive had girls come in asking for pregnancy tests, if they are assymptomatic (no pain, spotting,discharge, etc) then i tell them there is no emergent or medical reason for a pregnancy test and refer them to a PCP or OB. i will only do a pregnancy test if it is relevant to their complaint. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted January 2, 2013 Share Posted January 2, 2013 never had anyone ask for plan B. ive had girls come in asking for pregnancy tests, if they are assymptomatic (no pain, spotting,discharge, etc) then i tell them there is no emergent or medical reason for a pregnancy test and refer them to a PCP or OB. i will only do a pregnancy test if it is relevant to their complaint. Two snaps and a thumbs up, you go girl! ;-) Link to comment Share on other sites More sharing options...
Guest JMPA Posted January 2, 2013 Share Posted January 2, 2013 Guessing is like assuming:heheh: I feel I worked enough in the ER/registration/collections to know that its more of an uninsured/underinsured issue in gengeral Oh student, so you know from your non-practitioner experience(heh) that it is "more of an uninsured/underinsured issue in gengeral". Try illegals make up most of the uninsured/underinsured people that abuse the system for petty gains at legal/rightful citizens expense. Underinsured/underinsured is no reason to abuse a system at the expense of others for petty gain. EPT is not medically necessary for healthy patients to require an ER visit that costs taxpayers and legit patients tremendous resources. When you deal with patients rather then paperwork then you may understand. Have fun working hard caring for people while these leaches suck your hard earned taxes for trivial benefit. You should stay in the student forum and keep out of the professional forum for your making a fool of yourself. Link to comment Share on other sites More sharing options...
surgblumm Posted January 2, 2013 Share Posted January 2, 2013 A very well thought out response flying squiril. Welcome to our ranks as you seem to be one of the thinkers. the other answers were trueand great. bob Link to comment Share on other sites More sharing options...
just_me Posted January 2, 2013 Share Posted January 2, 2013 Yep...youre right....the non-clinical staff that is responsible for registering those that come into healthcare facilities and collect, know nothing about who does and does not pay. I forgot, that only the clinically practicing know that stuff:heheh: PS Maybe in some alternate relativity I care what you think of me but this is not the one. Perhaps you need to step back and realize that petty insults, constant assuming and snide remarks make you look just as foolish as you make me out to be....:;;D: Oh student, so you know from your non-practitioner experience(heh) that it is "more of an uninsured/underinsured issue in gengeral". Try illegals make up most of the uninsured/underinsured people that abuse the system for petty gains at legal/rightful citizens expense. Underinsured/underinsured is no reason to abuse a system at the expense of others for petty gain. EPT is not medically necessary for healthy patients to require an ER visit that costs taxpayers and legit patients tremendous resources. When you deal with patients rather then paperwork then you may understand. Have fun working hard caring for people while these leaches suck your hard earned taxes for trivial benefit. You should stay in the student forum and keep out of the professional forum for your making a fool of yourself. Link to comment Share on other sites More sharing options...
primadonna22274 Posted January 2, 2013 Share Posted January 2, 2013 Yes, a couple times a year. More often as part of a sexual assault workup (and yes, our Hosp pharmacy DOES dispense it). Did it several times a week in primary care, particularly when I worked student health...Monday morning regrets. This was several yr ago before it went behind-the-counter without Rx. Link to comment Share on other sites More sharing options...
Guest JMPA Posted January 2, 2013 Share Posted January 2, 2013 Yep...youre right....the non-clinical staff that is responsible for registering those that come into healthcare facilities and collect, know nothing about who does and does not pay. I forgot, that only the clinically practicing know that stuff:heheh: PS Maybe in some alternate relativity I care what you think of me but this is not the one. Perhaps you need to step back and realize that petty insults, constant assuming and snide remarks make you look just as foolish as you make me out to be....:;;D: There is no justification for abuse of the healthcare system for selfish gain. It's all there black and white, clear as crystal. You get nothing, you lose, good day sir! Link to comment Share on other sites More sharing options...
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