ED 'Emergency Department'
The ED Philosophy
Our aim within the Emergency Department is to provide a high standard of holistic care within a welcoming and responsive, professional environment. In order to achieve excellence, we believe that a good rapport between staff, patients and their families is necessary, placing a high importance on a person-centred approach to care. As an environment rich with learning opportunities, we strive to create an atmosphere where students can achieve their full potential, whilst feeling fully supported to do so.
Emergency Care Policies
Long Day 1 (LD1) = 0700-1930
Long Day 2 (LD2) = 0900-2130
Afternoon (A) = 1200-1800
Twilight (TW) = 1800-0000
07:00 - Morning Nurse's Handover
08:00 - Morning Doctor's Handover
09:00 - ED Huddle
09:30 - Patient Flow Bed Meeting
10:00 - 10@10 Teaching Session
19:00 - Evening Handover
03:00-06:00 - Daily Department Checks
Meet the Team
Joy Gould // Learning Environment Manager
Kaye Smedley // Matron
Becky Sears // Clinical Educator
Lana McLaren // Clinical Educator
Steven Collis // Link Lecturer for ED
Josh Draper // CPL Link for ED
Pre-placement Research Topics
For those of you that wish to do some pre-placement reading, the following subjects will help your background knowledge:
The A-B-C-D-E approach to assessment
Triage Models (i.e. Manchester)
The 4-Hour Target
Systems of the Body (i.e. Cardiovascular, Respiratory, Skeletal...)
This list is by no means exhaustive, nor is it mandatory.
There are several areas where you may wish to organise an insight visit. We do not recommend more that a day in each area and visits must be applicable to your learning needs:
Admission Avoidance Team (AAT)
Mental Health Liaison Team (MHLT)
East Midlands Ambulance Service (EMAS)
Please ensure that before you organise an insight visit, that this has been permitted by both the LEM (Joy) and your mentor. For days with EMAS, a request for an insight visit must be submitted in writing.
In the coming months/years, building work will commence to transform the department into the 'Urgent Care Village', incorporating more aspects of the hospital into the frontline of patient care. Watch this space for further changes...
The New Department!
WHAT PEOPLE SAY
- Student Nurse
"I was able to enhance my learning in a very positive manner. I was able to experience all areas of the department and learned
Areas of Practice
The primary assessment / triage area for patients arriving via ambulance. This team consists of staff nurses, APs & HCAs to provide a rapid, yet thorough assessment of every patient. Initial investigations (blood tests, ECGs, x-rays) are commenced here before each patient is transferred to the most appropriate area of the department for their care.
Self-presenting patient are assessed in the minor injuries area. A single staff nurse is responsible for this assessment and will decide if each patient can remain in the minor injuries area for assessment by ENP or if a transfer to Majors is required for further investigation.
The Simple Triage and Rapid Treatment team consists of a staff nurse and HCA. Their responsibility is to work closely with the minors nurse to minimise the wait of the patients who self-present with a major illness/complaint. The START team identify and prioritise those in minors for who majors would be more appropriate.
Resus (& Paediatric Resus)
For those patients who are seriously ill and requiring immediate assessment/treatment with one-to-one nursing care. A 3-bedded area (+1 paed) with specialised equipment. This area is staffed with one/two staff nurses.
The main hub of the department, housing the majority of the patients we treat. This area is divided into 2 parts (Stretchers & Cubicles), where patients will be situated based on their needs and level of independence. At the centre of this area is the staff base.
Staff Nurse (Female-Light Blue; Male-White with light blue epilets)
Responsible for assessing and prioritizing the needs of all patients before providing care and treatment in a timely manner at a consistent quality. Based in all areas of the department.
Sister / Charge Nurse (Navy Blue with White trim)
Responsible for coordinating the department, ensuring effective and appropriate treatment of all patients, whilst maintaining a safe flow through the department to other areas of the hospital. Based at the nurse's station.
Patient Flow Coordinator/Chaser (Black)
Works very closely with the nurse in charge to ensure effective flow of patients through ED. Acts as a liaison between the department and other areas of the hospital, ensuring that all appropriate investigations and treatment of patients is completed safely. Based at the nurse's station.
Matron (Navy Blue with Red trim)
Based in the ED office, responsible for maintaining the ED department and it's staff. Experienced nursing background - has a large input into the progression and development of the department, ensuring that high standards are maintained.
Healthcare Assistant (Light Green with White trim)
Works closely with the staff nurses within teams to provide person-centered, hands-on care for patients. Many HCAs within ED are trained in advanced skills such as venepuncture, cannulation & limb casting. Based mainly in triage and majors corridor.
Assistant Practitioner (Grey with Red trim)
Works closely with the staff nurses, working in a similar capacity. Takes part in leading triage teams, managing caseloads of patients and, with additional training, can administer basic medicines.
Emergency Nurse Practitioner (Navy Blue Scrubs)
Based in minor injuries, responsible for assessing and treating patients that self-present with injuries that do not require admission into hospital.
Doctor (Blue Scrubs or Plain Clothes)
Responsible for assessing patients; implementing & providing treatments and planning for safe & appropriate transfer or discharge of patients.
Clinical Educator (Navy Blue with White trim)
Based in the ED office, responsible for maintaining and developing the knowledge and practice of the staff in the department, ensuring practice is current and evidence-based.
Admission Avoidance Team (White with Green trim)
Consisting of multiple members of the MDT (Physio, OT), this small team is responsible for ensuring patients are safe for discharge once treated for their presenting complaint.
Advanced Care Practitioner (Red Scrubs)
Works alongside the doctors within the medical team to assess, diagnose and prescribe treatment for patients within their remit.
Responsible for providing initial pre-hospital treatment for patients before transporting them to the emergency department and handing over to staff for further care/treatment.
The first point of contact for patients who self-present to the department. Responsible for booking patients into the ED system. Will escalate patients to the nursing staff, if felt to be appropriate.
Volunteer (Light Blue Polo Shirt)
Assist with making patient beds, providing food & drink to patients and generally maintaining a clean and tidy work environment.
Domestic Assistant (Green with White trim)
Responsible for ensuring a consistently clean and tidy department. Speak with if requiring a terminal clean for a particular area of the department.
Housekeeper (Purple/Lilac with White trim)
Responsible for ensuring safe stocking levels of equipment, whilst maintaining a safe and tidy work environment for all staff. If you are unsure where to find a piece of equipment, they are the experts!
The following graphic represents the nursing procedures that will be encountered in this placement area, according to the Annexe B section of the Future Nurse: Standards of proficiency for registered nurses (2018).
Green: Encountered frequently/daily
Amber: Encountered occasionally/rarely
Red: Never encountered