Manual of Standards and Guidelines on Hospital Emergency Room Management

MELECIO N. DY, MD, MPH, CESE NATIONAL CENTER FOR HEALTH FACILITIES DEVELOPMENT DEPARTMENT OF HEALTH

EMERGENCY DEPARTMENT
The Emergency Department (ED) is a hospital

department that provides initial treatment for patients with a broad spectrum of illnesses and injuries, some of which may be life-threatening and requires immediate attention. Emergency Room (ER) or Emergency Ward (EW) in the United States Accident and Emergency Department (A&E) for most teaching hospitals and district general hospitals in the United Kingdom

 Emergency Room (ER) for Levels I and II

hospitals Emergency Room Complex (ERC) for Levels III and IV hospitals In line with this mandate, there has been a general consensus, among experts from the Philippine Society of Emergency Care Physicians and the Philippine College of Emergency Medicine, setting a maximum of four (4) hours standard waiting time for patients attended at the emergency room within which appropriate disposition shall have been established.

STANDARDS OF CARE IN THE EMERGENCY DEPARTMENT

Show-window of a hospital facility providing 24-

hour service, seven (7) days a week The care provided to each patient is carefully planned, written in the patients record and effectively carried out in a timely and responsive manner Only qualified and competent personnel with training on basic and advanced cardiac life support (BLS and ACLS) systems are assigned at the ER Complex

STANDARDS OF CARE IN THE EMERGENCY DEPARTMENT

Clinical

Practice Guidelines and Clinical Pathways developed by the hospital and/or specialty societies are used to guide patient assessment and management Patients categorized as emergent, urgent, or nonurgent The hospital processes are designed to provide continuous patient care services within the ED through inter-departmental referral or to appropriate levels of care through an established inter-hospital networking and referral system

STANDARDS OF CARE IN THE EMERGENCY DEPARTMENT

Proper disposition for discharge patients Physicians should explain all possible options of

treatment and intervention Patients and their families participate in decisionmaking as to the extent of care they choose

Benefits are maximized Risks are minimized and Potential complications are prevented

THANK YOU