EMERGENCY AND TRAUMA
The Emergency Department and State Designated Trauma Center at St. Joseph's Regional Medical Center provides quality and compassionate care, 24 hours a day, 7 days a week, regardless of a patient's ability to pay for services or insurance status. With over 120,000 visits per year, the nurses in the Emergency Department provide care to all age groups of patients and manage both medical or injury related diagnoses. Nurses focus on optimizing efficiency of patient care, while following ENA guidelines.
Patients are assessed by a nurse in triage who determines the order in which patients are seen. The triage nurse may initiate treatment, orders and diagnostics as defined by protocols. During peak hours (11 a.m. – 11 p.m.), a physician works with the nurse in triage to initiate and expedite patient management. Patients received via ambulance or Advanced Life Support are triaged and management is initiated within 5 minutes.
Nursing staffing levels are maintained through the use of full-time, part-time and per-diem personnel. Fluctuations in volume are managed by the use of flexible shifts and alternate start times.
Relationship Based Care, including the Jean Watson Theory of Care, is implemented throughout the different sections within the Emergency Department/Trauma Center at St. Joseph's Regional Medical Center including:
Pediatric Emergency Department at St. Joseph's Regional Medical Center
- Servicing patients from birth to age 20,
- 14 treatment beds,
- A dedicated physician on staff 24 hours a day who is a boarded pediatrician, as well as an Emergency Medicine physician.
Main Adult Emergency Department at St. Joseph's Regional Medical Center
- 53 treatment beds,
- Two dedicated, Board-certified Emergency Medicine physicians. During peak hours, 11 a.m. – 11 p.m., the Emergency Department has one additional physician in the main area and one additional physician is in the triage area, assisting the nurse on duty,
- 5 treatment beds that are used for patients with minor illness to help speed treatment and processing.
State-Designated Trauma Center at St. Joseph's Regional Medical Center
- Servicing patients of all ages,
- 3 treatment areas,
- A dedicated trauma surgeon, anesthesiologist, and operating room team who are available 24 hours a day, 7 days a week for any traumatic emergency.
Psychiatric Emergency Services at St. Joseph's Regional Medical Center
- Dedicated psychiatric social workers
The five most common diagnoses treated in the Emergency Department include:
- Chest Pain,
- Difficulty Breathing,
- Abdominal Pain,
- Trauma and Crisis Intervention (in Paterson).
Emergency Department nurses at St. Joseph's provide education to staff nurses in the Emergency Department, as well as other nursing units. Emergency Department sponsored house-wide courses include TNCC and ENPC.
Emergency Department specific classes include TNCC, ENPC, ED skills lab review and other in-services that may be required by the department. A schedule of required courses is published each year and instructors coordinated by the Emergency Department educator. Continuing Education Units are offered for the courses as well. Our nurses also take responsibility for coordinating course materials for each educational offering. The clinical ladder program is often used as a vehicle to encourage participation of the nursing staff in the provision of educational programs, as well as outreach programs.
Outreach programs are coordinated through the trauma division. Once a presentation is requested, the trauma coordinator identifies the emergency department nursing staff available to provide the program. Course materials are provided to the instructor and instructors are reimbursed for their time and expenses. There are many programs geared for school-age children, high school students and teenagers, parents, car seat safety, and seasonal type activities. Our nurses enjoy providing the programs to the community and are frequently cited in local newspapers for their efforts.
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