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Scope of Service For Units - Emergency

The department of emergency provides timely treatment for medical and surgical patients of all ages. It efficiently manages patients in the HDU and MICU which requires collaborative decision making. Services are customized based on clinical assessments. The level of care meets customer needs, though response times and wait times could be improved. Support services are appropriate and timely. The department operates 24/7 with staff including doctors and MOs. Quality initiatives include training programs to improve services.

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2K views

Scope of Service For Units - Emergency

The department of emergency provides timely treatment for medical and surgical patients of all ages. It efficiently manages patients in the HDU and MICU which requires collaborative decision making. Services are customized based on clinical assessments. The level of care meets customer needs, though response times and wait times could be improved. Support services are appropriate and timely. The department operates 24/7 with staff including doctors and MOs. Quality initiatives include training programs to improve services.

Uploaded by

ramannishu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Dr Parvinder Chawla

Scope Of Service For


The Department Of Emergency

The goal of the department is..................... • To provide timely and appropriate treatment to
every new patient coming to the triage
• To efficiently manage the patients admitted in
HDU/ MICU
• To provide world class ambulance services
The scope and complexity of services provided • ER deals with both medical & surgical patients
by this department is............... of all age groups with diverse diseases relating to
various specialties
• Patients in HDU + MICU need collective and
interactive environment for decision making
with the Concerned Consultants/ SMO/ MO etc.
• Ambulance calls are unpredictable for which
doctors have to be diverted from their other
duties in ER
The methods used to assess patient needs in • Services are customized on the basis of clinical
order to customize services provided are.... assessment of the patients
• Those requiring ventilator / Ionotropic support +
intensive monitoring are managed in MICU

The types and ages of patients served are...... • Usually adults of ll ages
• Occasionally pediatric cases also
• 70 % of the patients have medical problems &
• 30 % are surgical in triage

The extent to which the level of care/ service • Level of care + service provided meets customer
provided meets customer needs are....... needs almost completely. However there is a
scope for improvement in this area like
• Response time of the consultant
• Duration of triage stay due to non availability of
beds in wards/ HDU/ ICUs
• Quality of ambulance service

Appropriateness, clinical necessity, timeliness Support services provided here are appropriate,
of support service provided... absolutely necessary and timely in most of the cases.
Nevertheless scopes for improvement lies in
• Cutting down on the admission, discharge time
• Cutting down on the time taken to indent
medicines from the pharmacy
• Better stocking up of the pharmacy
• Increasing the number of GDAs
Regulatory agencies relevant to this service. • Not so far

Days and hours of operation of the • 24 hrs a day, 7 days a week, all round the year.
Dept....................
Staffing plan is........................... • Triage 1 SMO + 1 MO per shift
• HDU – 2 MO per shift in each HDU
• MICU – 2 SMO during day 1 SMO + 1 MO
during night
• Ambulance – “ Triage MD” – 1st Ambulance on
call, “ HDU MO” – 2nd Ambulance on call
• Junior consultant supervises work in HDU,
Triage & MICU
• Director ER

Equipment purchase and replacement plan. • Capex raised and they procured by materials
department

CME organized/ attended by the unit • Organized – Non so far


members… • Attended BLS, ACLS, BTLS, course, Common
pediatric Emergencies, Infectious Diseases

Quality initiatives for the department. Planning


• BLS training for every employee
• ACLS training for every doctor
• BTLS training for all ambulance staff in the
coming year

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