Who runs the emergency room

Who runs the emergency room

The ER is one of busiest places in the hospital. Each year, ERs such as Bellaire ER receive over 100 million people. They act as a safety net for millions of people who are unable to access proper health care.

Knowing how the ER is run could help to relieve some of the anxiety that comes with a visit to the ER. Besides that, it may help to reduce the amount of time you need to spend at the ER since you know who provides what services.

The Wait

The first person who contacts you at the ER is not the medical personnel. You will first speak to an administrative registration clerk. He or she will take your name and other personal details, including your date of birth. Additionally, the clerk will take information about your insurance provider.

After you are booked into the ER, you will then see the triage nurse. The term triage originated during the war. The nurse organizes you according to how much care you need and how soon you require receiving care.

In the ER, you should remember that care is not on a first come first serve basis. For instance, if you get to the ER and you are unconscious, you have symptoms indicative of a heart attack, or in an ambulance, you will receive care first. Someone who has a twisted ankle may have to wait a bit long. Sometimes, the triage nurse may determine that you do not need any care.

The Treatment

Once you move from the triage level, you will be received by an emergency department nurse in the treatment area. This nurse has a degree in nursing and training on how to handle emergency cases.

The emergency nurse handles everything. He or she can clean wounds, suction an airway, aid in a neurological evaluation, arrange for transport to another hospital, among many other functions. In some cases, you may also find a charge nurse.

He or she is in charge of all the nurses in the ER. The charge nurse oversees the dynamics of the ER and manages complex cases. The charge nurse may also assist the primary ER nurse to provide preliminary intervention for anything that you have.

In the treatment area, you will be received by the doctor after the nurse is done with you. Over 85% of all patients to the ER will get to see the doctor. The ER doctor will usually have completed medical school and their residency. Previously, most ER doctors had a background in family medicine, internal medicine, or surgery.

However, the ER is now mostly staffed by doctors who have full-time training in emergency medicine. Additionally, the ER doctor consults with other specialists as he or she treats patients in the ER such as cardiologists, neurologists, and many others.

In the ER, you will only get to see the attending doctor. However, if you go to an ER with a university affiliation, you may encounter medical students and resident doctors. Although the medical students can assist with care, they cannot direct your treatment.

Other People in the ER

In the ER, besides doctors and nurses, you may find physician assistants (PAs). PAs are qualified to practice medicine but under the direction of a doctor. There are also Nurse Practitioners (NPs), who are nurses that have masters or advanced training to handle patients in the ER. Though NPs and PAs provide care in the ER, they do so under the direction of a doctor.

In the modern ER, you may also find technicians who operate the equipment used there. These types of technical staff perform most of the medical testing. However, they are not in a position to respond to issues related to the test results.

If you are injured and required to be transported to the ER, you may encounter Emergency Medical Technicians (EMTs) on your way to the hospital.  These pros monitor your vital signs, provide care such as CPR, administer medication, and perform complex procedures.

Severe Cases

If you have severe trauma, a group of ER personnel will attend to you. The trauma team includes a surgeon, the attending doctor, a resident doctor, a specially trained nurse, and possibly a pharmacist to give you medical care.

In the ER room, you may also find a social worker or a chaplain. These people are intended to provide family members with the support they need. They can also relay questions to the medical officials that the family may have.

In some cases, you may find sexual assault nurse examiners or forensic nurses. These are nurses trained to collect evidence to treat patients that are victims of violence. Additionally, you will find escorts within the ER.

The transport team will assist you to move from the ER to other sections of the hospital. Outside the hospital, you will meet the transport team; they work to provide care to the critically injured. To avoid confusion, the medical staff at a hospital communicates via medical records.

Information keeps getting added to the medical record from the moment you make the first contact with the ER. If you have always wondered how the ER room runs, that is how the entire process works.