Shiloh County Hospital (SCH) - Emergency Department
The emergency department contains 93 total beds making it the largest in the county. The hospital serves most of the area's poor and uninsured residents, however even the affluent seek treatment within its walls. The hospital as a whole is by far the busiest, most advanced, and well regarded facility in the region.
The emergency department is certified in the following areas of emergency care:
- Level 1 Trauma Center (Adults) - ALL patients meeting trauma criteria are transported to SCH where they are treated by a team of specialized doctors and nurses, typically lead by a Trauma Surgeon or Emergency Medicine physician.
- Level 2 Pediatric Trauma Center - Patients 14 years of age and younger meeting trauma criteria are treated at SCH. Major pediatric trauma patients are treated in the same trauma bays as adults. Although the facility is capable of definitively handling most pediatric traumas, those children requiring extensive and specialized pediatric care are typically stabilized and transferred to Children's Hospital.
- STEMI/Chest Pain Center - SCH is staffed with a cardiac catheterization lab and is fully capable of definitively dealing with patients who have a confirmed ST-Elevation Myocardial Infarction (Heart Attack).
- Stroke Center - A full stroke team is on call and in house 24 hours a day to intervene and manage all confirmed or suspected stroke patients.
- Pediatric Medical Center - This hospital is equipped with a fully staffed Pediatric emergency department and is capable of dealing with most acutely ill children. Any child in severe/life threatening condition may be seen here.
- Perinatal/NICU Center - This hospital is capable of treating and caring for most acutely ill children less than 30 days old.
The Emergency Department is split into 6 chief areas:
- Trauma - The trauma area contains 6 trauma bays, which are reserved for patients in extremis, such as those in active cardiac arrest or on the verge of complete circulatory collapse, and 4 smaller trauma rooms, which are typically reserved for lower acuity trauma patients, or used for general ER patients should no other beds be available in other ER areas.
- ER South - Patients experiencing more urgent emergencies are typically kept in "South". Often times, when there are not enough beds available in other areas, regular ER patients are also placed here.
- ER North - "North" is the mainstream ER area. Patients not necessarily requiring intensive monitoring and care are placed here.
- ER West - "West" is for the quick treat and release patients. Those with minor complaints that can easily and quickly treated are placed here. This area is staffed typically by mid-level providers (PAs, NPs).
- Pediatric ER - "Peds ER" is reserved solely for pediatric patients who are not in extremis. Pediatric patients in extremely grave condition are treated in the "Trauma" area.
- Psychiatric ER - Patients suffering a psychiatric crisis are kept in this locked area. Prior to admission to the psychiatric ER, all presumed psychiatric patients MUST be medically cleared by the main ER.
Some additional areas of interest:
- EMS Lounge - A small area reserved for EMS personnel. Included in this area are a few small work desks, a coffee machine with accessories such as cups and additives (provided by the hospital), a cabinet full of small generic bargain-bin variety snacks, and a refrigerator with small juices and mini-sized generic brand canned colas. An attached bathroom is also provided.
- Ambulance Reception Nurse's Station - Immediately upon arrival at the ER, EMS crews are to check in at the reception desk. Here, the patient will be triaged by a Nurse, and the patient will be registered. Once the patient has been registered and triaged, the EMS crew will be given a room number (ie. "North 12", "South 3", etc) on where to drop their patient off at. Should no beds be available, ambulance crew will wait in this area until a bed is assigned. If a patient is in critical condition, and the EMS crew called ahead, the triage and registration process will not take place, and a crew will be told where to take their patient immediately upon arrival.
Edited by Dr. Grant, 24 October 2018 - 08:53 PM.