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MELECIO N. DY, MD, MPH, CESE

NATIONAL CENTER FOR HEALTH FACILITIES

DEVELOPMENT

DEPARTMENT OF HEALTH

Manual of Standards andGuidelines on Hosp i tal

Emergency Room Management

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EMERGENCY DEPARTMENT

The Emergency Department(ED) is a hospitaldepartment that provides initial treatment for

patients with a broad spectrum ofillnesses and

injuries, some of which may be life-threatening

and requires immediate attention.

Emergency Room (ER)orEmergency Ward

(EW)in the United States

Acc ident and Emergency Department (A&E)

for most teaching hospitals and district general

hospitals in the United Kingdom

http://en.wikipedia.org/wiki/Hospitalhttp://en.wikipedia.org/wiki/Patienthttp://en.wikipedia.org/wiki/Illnesshttp://en.wikipedia.org/wiki/Injuryhttp://en.wikipedia.org/wiki/Medical_emergencyhttp://en.wikipedia.org/wiki/Medical_emergencyhttp://en.wikipedia.org/wiki/Medical_emergencyhttp://en.wikipedia.org/wiki/Medical_emergencyhttp://en.wikipedia.org/wiki/Injuryhttp://en.wikipedia.org/wiki/Illnesshttp://en.wikipedia.org/wiki/Patienthttp://en.wikipedia.org/wiki/Hospital

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Emergency Room(ER)for Levels I and IIhospitals

Emergency Room Complex (ERC)forLevels III and IV hospitals

In line with this mandate, there has been ageneral consensus, among experts from thePhilippine Society of Emergency Care Physiciansand the Philippine College of Emergency

Medicine, setting a maximum of four (4) hoursstandard waiting time for patients attended at theemergency room within which appropriatedisposition shall have been established.

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STANDARDSOF CAREINTHE

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 andeffectively carried out in a timely and responsive

manner

Only qualified and competent personnel with

training on basic and advanced cardiac lifesupport (BLS and ACLS) systems are assigned at

the ER Complex

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STANDARDSOF CAREINTHE

EMERGENCY DEPARTMENT

Clinical Practice Guidelines and ClinicalPathways developed by the hospital and/or

specialty societies are used to guide patient

assessment and management

Patients categorized as emergent, urgent, or non-

urgent

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

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STANDARDSOF CAREINTHE

EMERGENCY DEPARTMENT

Proper disposition for discharge patients

Physicians should explain all possible options of

treatment and intervention

Patients and their families participate in decision-

making as to the extent of care they choose

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Benefits are maximized

Risks are minimized and

Potential complications are

prevented

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THANK YOU