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Rizal Provincial Hospital Ok Na

Rizal Provincial Hospital Ok Na

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ER Protocol, Nursing Service Guidelines
ER Protocol, Nursing Service Guidelines

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Published by: NURSETOPNOTCHER on Jul 21, 2010
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Rizal Provincial Hospital
Scope of Serviceof theEmergency Department
Emergency nursing is a specialty area of the nursing profession like no other.Emergency nurses must possess both general and specific knowledge about health care to provide quality patient care for people of all ages. Emergency nurses must be ready totreat a wide variety of illnesses or injury situations, ranging from a sore throat to a heartattack.The ER nurse as member of the emergency response team has been responsiblefor triaging and caring for patients at the Emergency Department (ED) for care. . Thisincludes assessment, diagnosing, planning, therapeutic interventions, care delivery andevaluation. Emergency nurses specialize in rapid assessment and treatment when everysecond counts, particularly during the initial phase of acute illness and trauma.Emergency nurses must tackle diverse tasks with professionalism, efficiency, and aboveall-caring.This scope of service for the Emergency Department aims to offer guide to ER nurses so as to provide quality care to patients in the Rizal Provincial HospitalEmergency Department.
Rizal Provincial Hospital (RPH) is under the Rizal Provincial Health Officegoverned by the provincial government of Rizal. It is located at Thomas Claudio St. SanJuan Morong Rizal.
Created 2006 Revised May 2010 Page
Rizal Provincial Hospital
Scope of Serviceof theEmergency Department
RPH is a 100 bed secondary hospital and is expected to provide the followingservices: Medical-Surgical, Gyne-Obstetrics, Pediatrics, Operating Room and Emergencycare. The RPH-ED utilizes numerous nursing diagnostic and therapeutic modalities tofacilitate patient care including the following:
Emergency Nursing Processo Primary Survey and Secondary Surveyo Initiation of life-saving measureso Ongoing assessment of nursing careo Review of nursing efficacyo Patient advocacy
IV cannulation and hydration.
Management of intravenous therapy including blood transfusion
Assisting with placement of chest tubes.
Placement of nasogastric tubes
Placement of urinary catheters.
Emergency Department Bed Capacity: 12
Core Room
Internal Exam Room
Hydration Partition
Surgery Partition
1Table 1.1Hours of Operation:
24 hours a day, 7days a week.
Age range
accommodated: All ages
Contact number
: (02)6531054 local number 117
Goal of the Emergency Department
To provide quality emergency care, in the most effective and efficient manner, to all patients presenting to the RPH-ER 
To provide an efficient transition into the hospital for patients requiring admission.
To provide accurate triage assessment of all direct admission patients who passthrough the department.
Created 2006 Revised May 2010 Page
Rizal Provincial Hospital
Scope of Serviceof theEmergency Department
To strive to improve the quality of emergency care provided by reviewing practiceand adopting performance improvement projects as a vehicle for change.
To reflect contemporary practice in emergency care.
The Objectives of Emergency Department
Primary objective of Emergency Department (ED) is to render immediate qualitycare to emergency patient.
Contributory objectives are:1.)To have an understanding of survival procedures and emergency life savingmeasures.2.)To provide the best clinical experience for nurses, student nurses and other alliedmember of the health care team.
Priorities of Emergency Management
The major goals of emergency medical treatment are:
To preserve life.
To prevent deterioration before definitive treatment can be given.
To restore the patient for useful living.
Guidelines in Emergency Department
Emergency cases should only be treated at ER and consultation at OPD.
Interview the patient and complete the
 ER Pink Form
(Appendix A) then provide ER charge slip (Appendix B) and instruct payments at theinformation section. If the patient established an OPD record previously,
Created 2006 Revised May 2010 Page

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