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CDHB

Emergency Department

Main Office

Ground Floor, Parkside, 80270, fax 80286

Staff

• Dr Scott Pearson (Director), Dr Michael Ardagh (Professor of Emergency Medicine).
• Doctors Stuart Barrington-Onslow, Jan Bone, Sarah Carr, Claire Dillon, Dominic Fleischer, Paul Gee, Mark Gilbert, Amanda Holgate, Rob Ojala, David Richards, Claire Taylor, Martin Than.
• Secretary, 89614
• Triage Nurse, 80274 (waiting room) 88254 (resuscitation/ambulance area)

Patient Handling

• Patients requiring resuscitation or stabilization in the Emergency Department will be managed in a 'shared', co-operative manner by staff of both the Emergency Department and the relevant inpatient team.
• Patients for whom admission is warranted, in the opinion of the Emergency Department staff, will be admitted. Alternatively they can be assessed in the Emergency Department by the inpatient team and discharged at their discretion.
• Inpatient teams who are expecting a patient referred by a GP or Outpatient Clinic, should advise the Triage Nurse.
• Inpatient teams from the General Medical and General Surgical services should generally see their patients in the AMAU and SARA respectively, if space there permits. If a patient has been referred by a GP direct to that team, a brief assessment will be done by nursing staff on arrival to the ED, and if the patient meets the Early Warning Score (EWS) criteria, then the patient shall be sent to the AMAU or SARA. If the patient does not meet the EWS criteria, a Senior ED Doctor may review the patient and then send them to the AMAU or SARA if they feel it safe and appropriate to do so.
• The same process should generally apply to patients who have been seen by the ED Doctors and then referred on.
• There will be exceptions to these rules and they should be negotiated between a Senior ED Doctor and the inpatient Registrar or Consultant.
• Fast track admission pathways are in place and will be used when appropriate by the ED.
• Inpatient teams are expected to respond in a timely fashion in accordance with the triage waiting times:
  • Triage 1: immediately
  • Triage 2: 10 minutes
  • Triage 3: 30 minutes
  • Triage 4: 60 minutes
  • Triage 5: 120 minutes
• The Emergency Department's main tasks are to ensure patient safety, patient comfort and appropriate patient placement.

Topic Code: 1265