GOVPH

EMERGENCY SERVICES

Our Mission is to:

• Provide efficient, effective, and timely emergency management to all individuals who seek care.
• Provide medical care with compassion and respect for each patient.
• Continue professional development of all staff at all levels and continue medical education.
• Institutionalize the standard system and procedure for emergency care.

Our Vision

• For JR Borja General Hospital Emergency Department to be the center of excellence in providing emergency care to patients not just from the city but also from the neighboring municipalities.
• To be known as the world-class Emergency Department with modern equipment and top-performing staff.

Our Values

These are the core values that serve as guiding principles of the Emergency Department to work towards our goal:

• Accountability. Placing the patient’s best interests first and always being able to justify one’s actions.
• Balance. To be able to work hard and deliver quality care and service because the importance of good work/life balance is emphasized.
• Compassion. The recognition, understanding, and emotional resonance with the patient’s concerns, distress, pain, and suffering, coupled with relational action make them better.
• Competence. The willingness to improve oneself in terms of his/her knowledge and skills in order to provide quality care and service.
• Innovation. To nurture creativity to transform work processes suited to each case despite constraints.
• Integrity. The act of conducting oneself in an honest and ethical way with everyone. Encompass honesty, keeping one’s word, and consistently adhering to the principles of professionalism.
• Quality. Maintain rigorous standards for all the work and care deeply in providing excellent patient care and service.
• Teamwork. To work together and support each other combined with the experiences and expertise to strengthen the department and result in the best work.

Services

Emergency and Acute Care

The Emergency Department is to receive, triage, assess, stabilize and provide acute health care to patients requiring resuscitation, to emergent, urgent, and less urgent conditions.

Medico-Legal Services

Medico-legal case, any case of injury or ailment where the physician, after history taking and clinical examination, considers that investigation by lawful authorities is warranted to ascertain justice and fix responsibility regarding the said injury or ailment according to the law.

Ambulatory Care Services

For non-critically ill patients who present themselves as non-urgent cases in the ED, and can be given appropriate care and discharge instructions for home care and follow-up.

Mass Casualty Incident Services

In circumstances or events resulting in a number of victims large enough to disrupt the normal course of emergency and healthcare services, resources are overextended but not overwhelmed.

Emerging and Re-Emerging Infectious Diseases (EREID)

Outbreaks of emerging infectious diseases, and continues to be susceptible to the threat of re-emerging infections such as Leptospirosis, Dengue, Tuberculosis, Meningococcemia, COVID-19, and others.

Ambulance Transport or Interfacility Transfer

Patients assessed as needing a higher level of care are referred to facilities capable of such. These patients are transported by ambulance after proper coordination with the receiving facility.

Infrastructure and Staffing

Triage Area

Serves as the first contact of all patients in the ED where registration and initial clinical assessment of patients occur.

Located in conjunction with the ambulance and walk-in entrance, waiting area, acute treatment and assessment areas and resuscitation bays.

Staff:

One (1) physician – on 12- or 24-hours duty

Two (2) staff nurses – on 8 – or 12-hours shift

One (1) nursing attendant – on 8- or 12-hours shift

One (1) institutional worker – on 8- or 12-hour shift

Waiting Area

This holds patients while waiting for their turn to be seen and examined by the triage physician, or while waiting to be transferred to their respective treatment areas. It also serves as a holding area for other relatives and/or caregivers that accompany the patient.

Located in conjunction with the triage area, ambulance and walk-in entrances, and clinical areas of the ED.

Decontamination Area

This is intended for patients for toxicological management before transfer to Acute Care Area.

Ambulatory Treatment Area

This is the consultation area for the assessment, treatment, management of patients without major illness, non-complex, injuries or conditions and expected to be sent home after.

Located in conjunction with the triage area and waiting area.

Acute Care Area

This area serves to assess, manage and initiate treatment on patients entering the ED.

Staff: Each department: One (1) physician (on 12- or 24-hour duty) and one (1) staff nurse (on 8- or 12-hour shift)

The area has 1 nursing attendant and 1 institutional worker for every 8- or 12-hour shift.

Resuscitation Area

A special area within the acute care area that provides reception, assessment, and initiation of treatment to patients with life-threatening or time-critical illness or trauma.

The resuscitation team:

Physician of the department

Staff nurse of the department

Nurse team leader

Nursing attendant

Institutional worker

Isolation Room

A room intended to cater to patients suspected to have a highly communicable disease.

Nurses’ Station

An area in the ED where nurses and other staff work behind includes chart processing and management, patient monitoring, and medication preparation.

Staff Call Room

An area for the staff to time out, eat, rest in between and to add morale and staff functions.

Equipment and Supply Storage Room

An area restricted to authorized staff for storage of devices and other consumables and place buffer stocks.

Minor Operating Theater

Dedicated to minor and urgent surgical procedures.

Organizational Structure of the Emergency Department

ER Department Cart Meds

ER Department Equipment and Supplies

Twelve Rights of Administering Medications