Prince County Hospital

Transcription

1 Prince County Hospital Summerside, Prince Edward Island 65 Roy Boates Avenue, P.O. Box 3000, Summerside, PE, C1N 2A9 Updated June 13, 2008

2 C O N F E D E R A T I O N B R I D G E T O P R I N C E E D W A R D I S L A N D

3 S U M M E R S I D E, P R I N C E E D W A R D I S L A N D Confederation Bridge

4 P R I N C E C O U N T Y H O S P I T A L, L E V E L O N E Gift Shop / Foundation Diagnostic Imaging Ambulatory Care Emergency Morgue S.P.D. Materiel Management Pharmacy Staff Entrance Chapel Laboratory I.C.U. / I.M.C.U. Addiction Services Medical Inpatients Palliative Mental Health Inpatients

5 P R I N C E C O U N T Y H O S P I T A L, L E V E L T W O Cafeteria Boardroom Mechanical Room Rehabilitation Nutrition Services Administration Wing Surgery Day Surgery Surgical / Restorative Care Inpatients Paediatrics Maternal

6 Emergency Entrance Helipad Beside Ambulance Bay

7 Triage Entering from the outside to the Triage Desk View of the Triage area, located next to Switchboard/Admitting Desk

8 Waiting Room Bathrooms Plasma TV Video Games Confection Machines Purell handwash station at entrance

9 Security Security adjacent to waiting room and staffed 24 hrs/day Equipped with lockers to check patients kitbags at door Video feeds from security cameras throughout the hospital

10 Triage all triage nurses are trained in CTAS First point of contact for patient (prior to registration)

11 Vicki MacLean, ER Nurse Manager Dr. Scott Cameron, Chief of Emergency Medicine

12 Main Nursing Station

13 Electronic Health Record Phasing in currently and over the next several years Results viewing and order entry will be via tablet PC s above, pictured in and out of docking station

14 Less urgent patients are seen in one of the basic exam rooms

15 Basic Exam Room Spacious and well stocked

16 Eye / ENT Room Slit lamp Operating scope with teaching lens Flexible nasopharyngoscope ENT cart Ophthalmic bur Tonopen tonometer Panoptic ophthalmoscope Headlamp

17 OB/GYN Room Ceiling lights, headlamp or flexible light Gyne stretcher Negative pressure with HEPA filtration so doubles as isolation room Attached bathroom

18 Seclusion Room Lockable door Unbreakable glass viewing window Security camera monitored

19 Family / Quiet Room Phone DVD player / VCR / TV (wall mount and portable) ER has several portable laptop DVD players with selection of children s movies

20 Trauma Room Large two bed trauma room straight in from ambulance bay Central monitoring with 19 touch screen monitors capable of arterial line monitoring, ETCO 2 monitoring, 12 lead EKG

21 Trauma Room Full Adult and Pediatric Crash Carts Fully stocked Airway cart at head of bed at all times, including: Intubating stylet Light wand LMA s Combitube Bougie

22 Trauma Room PACS in trauma room Trauma cart with intervention supplies Portable ventilator Level one rapid infuser Bair Hugger

23 Trauma Room Portable U/S Machine Abdominal, endocavitary, and vascular probes Two BiPAP Machines in the ED

24 Critical Care Suite (CCS) Nursing Station 4 monitored beds Central monitoring with 19 touch screen monitors capable of arterial line monitoring, ETCO 2 monitoring, 12 lead EKG

25 CCS Beds Four beds in total, all with digital scales Ceiling lift capable of holding 800 lbs over Beds 1 and 2

26 STACU (Short Term Acute Care Unit) Six stretchers and one negative pressure HEPA filtration isolation room with attached bathroom Nursing station within full view of all patients

27 Procedure Room Casting Suturing Minor procedures Splinting

28 Resident/Student Call Room Phone / desk Cable TV Greens / towels Shower / bathroom Internet / Intranet

29 Physician Call Room Phone / desk Cable TV Greens / Linens Internet / Intranet Shower / Bathroom

30 Physician Office

31 Ambulance Bay Large two vehicle bay Disaster triage supplies

32 Disaster Cupboard Code Orange Located in the ambulance bay Contains batches of clipboards, each with disaster tags and numbered stickers to label patients forms

33 Disaster Triage Area Code Orange Located in the Ambulance Bay entrance to the ED ED Physician, Triage nurse, and registration staff triage disaster patients to one of 4 areas in the hospital based on the START disaster triage system (color-coded Green, Yellow, Red, Black) We have successfully managed two disasters in the last 12 months

34 View from Ambulance Bay Straight into Trauma Room

35 D I A G N O S T I C I M A G I N G 16 Slice CT Scanner

36 Physician Lounge P H Y S I C I A N S E R V I C E S Dictation

37 Emergency Department Information The 20 bed Emergency Department provides services to approximately 33,000 people per year. CTAS 1 (Resuscitation) 0.5% CTAS 2 (Emergent) 5% CTAS 3 (Urgent) 32.5% CTAS 4 (Semi-Urgent) 50.5% CTAS 5 (Non-urgent) 11.5% Age Demographics: 0-5 years 10.5% 6-16 years 13% years 6.5% years 26% years 25.5% years 14% 80+ years 4.5% We have a 7% admission rate from the Emergency Department

38 Emergency Department Rooms We have a large two bed trauma room, both with central monitoring Critical Care Suite has four beds all with central monitoring STACU (Short Term Acute Care Unit) has seven beds, including one negative pressure HEPA filtration infectious disease isolation room three general exam rooms one procedure room one Eye / ENT room one Gynecology examination room, with negative air pressure and HEPA filtration and so can double as a second infectious disease isolation room. One secure seclusion room for aggitated psychiatric patients Two family rooms with comfortable seating, phone, and TV Physician office Two call rooms -- one for physicians, one for learners Social worker s office Kitchen / staff room

39 ED Information (Cont d) REMUNERATION: Modified fee-for-service mixture of hourly stipend plus percentage of fee-for-service billings Separate fee for service for third party services (WCB, RCMP, etc) PHYSICIAN WORKLOAD: Funding for 38 hours physician coverage per day, currently split into 4 shifts of 8, 9, 9, and 12 hours long FTE is 15 shifts per month with the possibility of working up to 17 at the physicians discretion (33-38 hours/week) WE ALSO HAVE: Emergency Department Echosonography (EDE) 2 Social Workers on Emergency Staff who provide 24/7 social work and crisis response services. 27 Registered nursing staff who all have CTAS, TNCC, PALS, ACLS

40 ER Information (cont d) Equipment available in the ED (beyond the basics) Flexible nasopharyngoscope Panoptic ophthalmoscope Tonopen tonometer Intubating stylet, lightwand, combitube, LMA, etc, etc Portable ventilator Two BiPAP machines Level 1 rapid infuser GE Logiqbook portable ultrasound machine with abdominal, endocavitary and vascular probes All defibs are biphasic All radiology on PEI is PACS Computerized order entry and electronic health record going live starting approximately Fall 2007 Dedicated bariatric wheelchair and stretcher IO drill for interosseous lines

41 Specialist Back-up ON SITE: 4 internists 3 general surgeons 2 ENT surgeons (one more in Charlottetown) 3 OBGYN 3 pediatricians 3 psychiatrists 4 anaesthesiologists Radiologist on site Mon Fri OFF SITE: Ortho, plastics, ophthalmology, urology, after hours radiology covered from Charlottetown (45 min by land) Neurosurgery, nephrology, neurology, cardiac surgery covered from Moncton, Saint John, or Halifax (transfer by land or air)

42 ED Information (con td) ADMISSIONS: Admission decision by ER doc, admitted to family doctor no need to try and sell admissions to specialty services 102 bed hospital with psychiatry/addictions, medical, surgical, and peds/maternal child care wards, as well as a 10 bed ICU/IMCU DEPARTMENT FLOW: There are no hallway stretchers in our ED There are occasionally admitted patients held in ED due to lack of beds, but rarely more than 2-3. If it starts to seriously affect patient care there is a mechanism in place ( Code 777 ) which calls in the medical director to attempt to find a solution.

43 Thank you for your interest! Kelly Waite Physician Services Business: (902) Fax: (902) For more information contact: Wassim Salamoun MD, FACS Medical Director, PCH Business: (902) Cell: (902) Scott Cameron MD Chief of Emergency Medicine Home: (902) Cell: (902) Steven MacNeill MD, CCFP(EM) ER Physician Home: (902) Cell: (902)