EMERGENCY ROOM

DESIGN AND
MANAGEMENT
 WHAT IS EMERGENCY ?

 Emergency is defined as a life and death

situation involving an injury or acute illness
threatening life, limb or sight and a
situation which warrants immediate
treatment.
 EMERGENCY SERVICES
RENDERED
They range from
 Elementary first aid
 Surgical emergency
 Medical emergency
 Full scale trauma care
IMPORTANCE OF E.R ROOM
 Hospital planner should design the department
with flexibility to handle wide range of cases
economically and efficiently in terms of space
equipment personnel and supplies.
A well designed ER which is efficiently
managed is an important source of
REVENUE
 LOCATION
 ER should be located at the ground floor.
 Easy accessibility for patients and ambulance.
 Separate entrance facility.
 Night visibility at the entrance.
 The ER dept should be in proximity to Radio
diagnosis dept and laboratory as it saves every
precious minute in GOLDEN HOUR.
 The elevators should be located near ER so that the
transfer of patient to OT makes easier.
 DESIGN
 Entrance should be sheltered.
 Enough space provision should be made to
allow one or more ambulance and cars.
 Ramp design should consist of wheel chair and
pedestrian access.
 Traffic control should be emphasize any
congestion and delays.
 Design should take care of quick access to
supplies, pharmacy and staff.
 Adequate bed space of 2.5mts should be
maintained.
LAYOUT AND PLAN
 EQUIPMENT
AND
INFRASTRUCTURE
 CPR equipment and Defibrilator.
 Central gas supply.
 Minor OT table and examination tables
 Cabinets and shelves
 Portable X ray unit.
 X ray film illuminator
 Refrigerator
 Ventilators
 Pulseoxymeter.
 ABG analyser.
 Telecommunication and IT facilities.
 Rest room for doctors male and female .
 Additional adjustable space in event of
disasters.
 Public toilets.
 ORGANISATION

ER
DEPARTMENT

MEDICAL AND PARACLINICAL ADMINISTRATIVE

NURSING STAFF STAFF STAFF
MEDICAL AND NURSING STAFF
 Emergency medical expert.
 Anaesthetist.
 Orthopaedic surgeon.
 General surgeon.
 ER nurses.
 PARACLINICAL STAFF
 OT technician.
 CVT technician.
 Anaesthesia technician.
 ADMINISTRATIVE STAFF
 Manager.
 Nursing manager.
 Nurse educator.
 Medico social worker.
 Information support officer.
 Security officer.
 Clerical supervisor
 FACILITIES

ADMINISTRATIVE CLINICAL
 ADMINISTRATIVE FACILITIES

 Reception and Registration

 Public waiting area
 STD and ISD
 Security staff room
 Police personnel room
 Office of night administrator
 Coffee lounge
 CLINICAL FACILITIES

 Examination area
 Trauma care area
 Pop room and splintage area
 Observation room
 Recovery room
 DISASTER PLANNING IN ER DEPT

Evergreen's emergency department will have alternative

power and water sources independent of the main
hospital. Outdoor parking canopies equipped with
water taps, data points, electrical outlets and lighting
will allow the area to be used for outdoor treatment in
the event of a disaster. There will also be a special
entrance and isolated rooms for patents with
infectious diseases or suffering from a chemical
attack.
 LEGAL CONSIDERATIONS
 Physicians and nurses must be
conversant with CPA, and liability suits
raising out of malpractice and negligence.
ER manager should be backed by medical
laws and ethics to deal with medico legal
cases.
 Police procedures and reporting .
 Autopsy and morgue procedures.
 CODE BLUE PROCEDURE

Code blue is a term used in hospitals to

announce an emergency of serious nature
such as cardiac arrest.
 FUNCTIONAL RELATIONSHIP

EMERGENCY DEPARTMENT
Direct Access Ready Access Access

Medical Imaging CCU IP

ICU Pharmacy
OT OP
Mortuary
MRD
Blood Bank
THANK YOU