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ER Set Up

The emergency department collaborates with various hospital units to manage different types of patients, including pediatric, trauma, psychiatric, sexual assault, and infectious patients. It also provides extended observation and manages prisoners, patients affected by disasters like chemical/biological incidents, and telemedicine. The document outlines equipment, documentation, consent, legal, and guideline requirements for the emergency department. It provides a detailed list of airway, examination, surgical, splinting, emergency drugs, and other equipment needed. It describes the job duties and procedures a medical officer in the emergency department should be able to perform.

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Charlie Gids
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58 views3 pages

ER Set Up

The emergency department collaborates with various hospital units to manage different types of patients, including pediatric, trauma, psychiatric, sexual assault, and infectious patients. It also provides extended observation and manages prisoners, patients affected by disasters like chemical/biological incidents, and telemedicine. The document outlines equipment, documentation, consent, legal, and guideline requirements for the emergency department. It provides a detailed list of airway, examination, surgical, splinting, emergency drugs, and other equipment needed. It describes the job duties and procedures a medical officer in the emergency department should be able to perform.

Uploaded by

Charlie Gids
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The emergency department collaborates with the following units in various ways

 The management of paediatric patients


 The management of major trauma patients
 The management of psychiatric patients
 The management of patients following sexual assault
 The management of infectious patients
 The extended observation and management of patients
 The management of prisoners in custody
 The management of patients affected by chemical, biological or radiological incidents
 Telemedicine

Provide a system of emergency for:

 Disasters
 Epidemic outbreak
 Mass casualty
 Routine emergencies

Documentation

Provides clear documents in terms of patient care/ management including the results of the initial
examination/assessment and evaluation, diagnosis, prognosis, plan or care/intervention/treatment,
response to intervention/ treatment, changes in patient status relative to the interventions/
treatment, re-examination, and discharge/discontinuation of intervention and other patient
management activities.

Consent- informed/documentation

 Wherein the patient is explained with reasonable thoroughness about his/her medical
problem, procedures to undergo, advantages and disadvantages and alternative.
 The written informed consent should be obtained for any procedures that entail risk of the
procedure and untoward complications

Legal

 Comply with all the laws and legal requirements of the MOH and hospital standard protocol.

Emergency equipment for hospitals

 Every hospital is required to establish emergency room and make functional for 24 hours x 7
days with basic facilities.
 It is essential to standardize the equipment and instruments for the various health facilities
This health facility is manned by a medical officer, and ACO and health Assistant.
 The health facility has wide range of drugs and hospital beds for admission. The doctor is
assisted by nurses and other health workers.

Airway equipment

 Resuscitation bag and mask with reservoir bag and oxygen tube (adult)
 Resuscitation bag and mask with reservoir bag and oxygen tube (paediatric)
 Resuscitation bag and mask with reservoir bag and oxygen tubing (neonate
 Pocket face mask (mouth to mask resuscitation
 Oro-pharyngeal airways (size 00, 0, 1, 2, 3, 4)

Patient examination equipment/surgical/splinting

 Stethoscope
 Blood pressure machine (portable
 Bag (size 20 X 8 X 9 inches- LXBXH)
 Laryngoscope with blades
 Glucometer
 Chest tubes of various sizes with water seal bags
 Foley’s catheter of various sizes
 Ryles tubes of various sizes
 Cut down set
 Laryngeal mask airway (LMA) various sizes
 Endotracheal tube of few size
 Oro-pharyngeal airway of various sizes
 Oxygen cylinder with regulator and wrench
 Oxygen face mask with tubing
 Roll bandages size 10 cm
 Roll bandages size 7 cm
 Roll bandages size 2.5 cm
 Gauze pads (small)
 Gauze pads (large)
 Adhesive tape
 Scissor Available
 Gloves (appropriate sizes)
 Surgical face mask
 NS for wound irrigation
 Cramer splint for adult (large)
 Cramer splint (small)
 Triangular bandages
 Cervical spine immobilization collars
 Spine board
 Intravenous infusion sets
 Infusion set
 IV cannula (18G, 20G, 22G, 24G)
 Ringer lactate
 DNS Available
 Tourniquet

Emergency drugs and syringe

 Injection atropine (0.6 mg)


 Injection adrenaline (1 mg)
 Injection phenergan (25 mg)
 Injection dexamethasone (4mg)/hydrocortisone 100mg injection
 Injection diazepam (10 mg
 5 ml syringe
 2 ml syringe
 Spirit swab

Other equipment

 ECG machine
 Ultrasonography machine
 Stretcher light weight in case of mass casualty (foldable)
 Suction machine (manual/electric)
 Monitor with ECG, NIBP and SPO2
 Central venous catheter various sizes

Guidelines/ SOP/ Policies

JD of Medical Officers in ER

Procedures by MO

 Maintain airway by head tilt chin lift or jaw thrust method


 Bag-mask ventilation using resuscitation bag and mask with oxygen
 Perform cardiopulmonary resuscitation.
 Insert intravenous cannula and start fluid resuscitation
 Bleeding control using pressure bandages
 Immobilize a fracture
 Put on a cervical collar in patients with suspected cervical injury
 Put a patient on spine board using log roll method
 Provide oxygen therapy
 Insert a ryles tube in a patient that need the tube.
 Insert an indwelling catheter- Foley’ catheter
 Insert and oro-pharyngeal airway properly
 Use of appropriate drugs-cardiac, bronchodilators etc
 Be able to interpret basic ECG and provide appropriate drugs
 Transfer a patient to a spine board using log roll method in spine injury is suspected and to
immobilize the patient to the spine board
 Clean and dress a contaminated wound
 Clean a immobilize an open fracture with dressing
 In hospital where anaesthetist is available, perform endo-tracheal intubation and provide
ventilation using resuscitation bag (Polytrauma)
 Suture minor wound after wound cleaning
 Use of local anaesthetic drug- Lignocaine 2% (Dose, local infiltration techniques)

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