[carpej]

Originally Posted by ThirdOfFive

What are the chances that the recent kick to the wallet that Villages Health has taken as a result of their $360 million "billing discrepancy" is or will be impacting the quality of their ER service? If they had to borrow to make payroll, it stands to reason that they will be squeezing every penny, and that personnel/services may indeed be on the chopping block.

That possibility alone would be enough motivation, should it ever be needed, for my wife and I to avoid the Villages Hospital ER unless there were absolutely no other choice.

The Villages Hospital is not associated with the Villages Health, where the "billing discrepancy" happened. That is a common misconception. Avoiding the ER there may be prudent for other reasons but that one is not one of them.

[scubawva]

It’s situational. Not OSFA.
It will depend on the nature of the call, staffing & availability.
The ambulance crew radios the facility they deem best, a supervising physician can divert them to another facility.

Bottom line is to trust your ambulance crew agency to know what to do in each case. They are highly trained.

If you want more info talk to the VPSD & Sumter County EMS, mnot the facilities.

[rnicholis]

Both myself and my wife have gone to UF Brownwood for various acute problems and received excellent service and care and transport when needed. Both of us are medical professionals.

Originally Posted by goneil2024

For the medical professionals on this thread, is there some reason that you wouldn’t include the UF Emergency facility on 44 in Brownwood? Is is simply proximity or a question for staff?

[jmpate]

With respect to "qualifications" of ER personnel, I offer the following info.
ERs require MDs and Registered Nurses (RNs) to be certified (not trained) in Advanced Cardiac Life Support, Pediatric & Neonatal Life Support (if children & babies are seen), + a whole host of other certifications. RNs are often certified in Trauma Life Support which is different from ACLS & needed in units where a lot of trauma injuries are seen.

Cardiac arrests, strokes, respiratory emergencies often require management of blood clots in the body and all EDs are required to have these therapies/medications on board AND the medical and nursing staff are required to know indications, how it's given, side effects etc.

The most important decision in my humble opinion in a truly life saving emergency is to get the person to the nearest ER that can manage that condition, NOT bypassing EDs so one (the patient) can get to their preferred hospital. This is why paramedics are so invaluable in their roles as the 1st line of assessment and evaluation outside the hospital.

Most people are totally unaware of the level of knowledge, skill, and expertise of paramedics and we are so fortunate to have paramedics on most ambulances in this part of the country. That said, an EMT staffed ambulance does not have the same level of expertise & thusly not the same level of decision making abilities.

Once in an ED, the MD makes the determination whether the patient can be managed there or must be air lifted/transported to a Level 1 Trauma center (UF/Shands), a Certified Stroke Center, or a Cardiac Care Center for more advanced treatment/intervention. Local hospitals have varying strengths; one with greater cardiac technology and the other more skillful cardiologists.

The best advise I can offer family members is to keep a vigilant eye on your family member whether in the ED or hospital setting by asking questions of the medical/nursing staff, keeping a family member at the BEDSIDE, 24/7 to ensure they continue to be safe and their treatment is consistent. This vigilance will pay off in big dividends in the best outcome for your loved one.

[asianthree]

Originally Posted by goneil2024

For the medical professionals on this thread, is there some reason that you wouldn’t include the UF Emergency facility on 44 in Brownwood? Is is simply proximity or a question for staff?

Most medical professionals won’t publicly comment on what doctors or facilities NOT to go to. More commonly will suggest a different facility or physician. Even with family, suggest a different avenue, yet will not openly give reasons, why one should choose differently

[Worldseries27]

Originally Posted by nybob

we're looking into an independent living facility we saw on wingnuts youtube channel located on 466a and buena vista blvd in the trailwinds area. We noticed there is a freestanding er (hca florida trailwinds village emergency) literately right next to it. The question is in the case of an emergency such as stroke, cardiac arrest, ect would the paramedic unit bring them to this facility or do they bypass these freestanding ers for a hospital ? And what is the quality of treatment in these ers in a life-threatening scenario ? Uf health leesburg hospital and uf health spanish plaines hospital are 12 miles and 9 miles respectively from this location. Thank you...

i'll never forget when a family member needed a neurologist at
now uf health spanish plaines they were told none were on staff at the time. This was about 10 years ago. They had to send the various tests results out to uf leesburg hospital.

[PilotAlan]

I agree with everything you said, with one caveat:
Get to the nearest ER that can STABILIZE that condition. Many many strokes, cardiac events, and other medical emergencies are not initially recognized as such.
An urgent care will call 911 and say "we're not equipped to handle this."
Meanwhile, a Freestanding ER **IS** equipped to handle anything that walks in the doors.
My wife's Freestanding ER has handled gunshots, stabbings, cardiac arrests, major traumas, and numerous other things. They stabilize and then transport. Those patients would not have survived if they had decided to go to a further away hospital.
If you suspect a real, serious medical emergency, call 911. If you are driving to the ER, go to the closest one regardless of whether it's a freestanding or a hospital-based ER.
All the staff are real ER-qualified nurses and doctors. My wife's staff rotate between her freestanding ER and the main ER at the hospital.
For minor injuries and illnesses, then yes, make you choice based on preferred system/network.
Personally, I think freestanding ERs provide exceptional care, especially for minor issues that will have you waiting for hours at the main ER.

Originally Posted by jmpate

The most important decision in my humble opinion in a truly life saving emergency is to get the person to the nearest ER that can manage that condition, NOT bypassing EDs so one (the patient) can get to their preferred hospital.

[Remembergoldenrule]

EMT are triage that is why they go to different places based on your condition and how busy different ER’s are at the time.

[Remembergoldenrule]

I suggest everyone check your insurance plans and find out what urgent care, ER, and hospital are in your network before you need them and put them in your phone.

[Remembergoldenrule]

If you get call your spouse is on way to hospital, BRING LONGEST CHARGING CORD AND WALL CUBE along with change of clothes with underwear and toiletries as you may be there a while and they will probably keep overnight if heart related.

[Avista]

Originally Posted by NYBob

We're looking into an Independent Living Facility we saw on Wingnuts YouTube channel located on 466a and Buena Vista Blvd in the Trailwinds area. We noticed there is a Freestanding ER (HCA Florida Trailwinds Village Emergency) literately right next to it. The question is in the case of an emergency such as stroke, cardiac arrest, ect would the Paramedic Unit bring them to this facility or do they bypass these Freestanding ERs for a Hospital ? And what is the quality of treatment in these ERs in a life-threatening scenario ? UF Health Leesburg Hospital and UF Health Spanish Plaines Hospital are 12 miles and 9 miles respectively from this location. Thank you...

You say you are looking into Independent Living. We will be Charter Residents at Trailwinds (behind freestanding ER on 466A). There is a group of us getting together once a month. Let us know if interested in joining us.

[Nana2Teddy]

Originally Posted by PilotAlan

I agree with everything you said, with one caveat:
Get to the nearest ER that can STABILIZE that condition. Many many strokes, cardiac events, and other medical emergencies are not initially recognized as such.
An urgent care will call 911 and say "we're not equipped to handle this."
Meanwhile, a Freestanding ER **IS** equipped to handle anything that walks in the doors.
My wife's Freestanding ER has handled gunshots, stabbings, cardiac arrests, major traumas, and numerous other things. They stabilize and then transport. Those patients would not have survived if they had decided to go to a further away hospital.
If you suspect a real, serious medical emergency, call 911. If you are driving to the ER, go to the closest one regardless of whether it's a freestanding or a hospital-based ER.
All the staff are real ER-qualified nurses and doctors. My wife's staff rotate between her freestanding ER and the main ER at the hospital.
For minor injuries and illnesses, then yes, make you choice based on preferred system/network.
Personally, I think freestanding ERs provide exceptional care, especially for minor issues that will have you waiting for hours at the main ER.

Absolutely agree! The freestanding ER on 44 near Brownwood recently saved my neighbor’s life when his wife took him there and they immediately recognized he was having a massive heart attack. The obvious symptoms happened after he arrived, so he and his wife didn’t suspect it was his heart while they were still at home. The ER stabilized him and then had him transported to Leesburg Hospital. He’s doing very well now. We’re thankful we have that facility close to home.

[scubawva]

Originally Posted by Remembergoldenrule

I suggest everyone check your insurance plans and find out what urgent care, ER, and hospital are in your network before you need them and put them in your phone.

Not necessary. By Law.

Emergencies need immediate care.

Read online or call your provider to understand.