Republic of the Philippines

Province of Zamboanga Sibugay

Zamboanga Sibugay Provincial Hospital

Sanito, Ipil, Zamboanga Sibugay Fax/Tel. No. (062) 333-2323

SECTION: NURSING SECTION

SUBJECT: Policy and Procedures for Emergency Room/Admitting Room

References:
Date of Approval
Effective Date
Review Date
Cross-reference to
Title:

Revision History:
Revision 0 :

Emergency Room/ Admitting Room Policies

Policies:
1.
2.
3.
4.

All patients must be attended immediately for Emergency measures

The actual time the patient arrives and leaves the emergency room must be noted at the logbook or chart.
All patients must be properly assessed and referred to the physician after taking th Vital signs.
Patients should be referred at once to the Physician on duty if the patients vital signs are absent and must

5.
6.
7.
8.

be given immediate resuscitative measures.

All patients for admission must be properly recorded and endorsed to the ward assigned.
All medico-legal cases must be recorded in the Medico-legal logbook.
All vehicular incidents/accidents must be recorded as Medico-legal case.
Informed consent must be obtained from all admitted patients before any treatment or management is

9.
10.
11.
12.
13.

started.
For incompetent patient/minors consent must be signed by the parents/legal representatives or next of kin.
Treatment must be instituted as a means to save lives.
All STAT ORDERS for admitted patients must be carried out properly endorsed to the receiving nurse.
Referral documents must be properly filled up to all patients to be referred to other/higher health facilities.
A patient who refuses admission must be required to sign a REFUSAL/WAIVER ADMISSION FORM after

proper information/explanation have been made.

14. Patients not for admission after evaluation must be instructed to comply with the discharge requirements,
home medications and follow up visits.
Procedures:
1. Attend to all patients for Emergency measures.
2. Assesses, takes vital signs obtain records/data of patients.

SECTION: NURSING SECTION

SUBJECT: Policy and Procedures for Emergency Room/Admitting Room
3. Refers patient to the physician on duty.

Republic of the Philippines

Province of Zamboanga Sibugay

Zamboanga Sibugay Provincial Hospital

Sanito, Ipil, Zamboanga Sibugay Fax/Tel. No. (062) 333-2323

4. If vital signs are absent, gives/institute immediate resuscitative measures and informs physician at
once.
5. Secures consent/waiver if refuses admission
6. If patient is for surgical intervention, prepares patient and assist surgeon during intervention.
7. If patient is for Major Surgery, carries orders for immediate work up/or for special procedures and
endorses to ward nurse assigned.
8. If patient is for referral to other health facility, prepares referral slip documents.
9. If patient is for discharge, instruct patient/relatives to comply with discharge requirements, home
medications and follow up instructions.
10. If patients is for admission, informs patient/relatives for admission orders and the ward nurse where
patient is assigned.
11. Secure admission consent.
12. Carries STAT doctors orders. Informs and endorses patient,
13. Records patient at the admission logbook to include time, manner patient was ushered out to the
assigned ward.

Prepared By:

Approved By:

MRS. BELEN N. MARIANO,RN

Chief Nurse

ARTHUR W. LUSPO,MD
Acting Chief of Hospital