An emergency room visit is never a pleasant affair. However, being prepared and knowing what to expect can help alleviate some of the stress you may experience. Read on to find out what you should bring with you and what to anticipate during the wait and in the treatment room.
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What to Bring With You to the Emergency Room
If you have not arrived by ambulance, the first person you will talk to is the registrar. To keep your personal information private, the registrar will have you fill out a form with your:
- Legal name
- Date of birth
- Last four numbers of your Social Security number
- Reason for your visit
- Name of your primary care provider (PCP)
This information will allow the registrar to enter your data into the hospital’s computer system.
Other information needed, like emergency contacts and insurance information, will be collected after you have been seen by a health care team member.
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While You Wait in the Emergency Room
While the goal is to see every patient as soon as possible, patients who require more care, or are seriously ill or injured, are always treated first, even though they may have arrived at the Emergency Department (ED) after you.
There may be other reasons for delays. Your ED health care team may:
- Need time to learn your medical history
- Be trying to get in touch with your PCP
- Be waiting for the results of blood tests, x-rays, or specialized procedures
If you start to feel worse while you are waiting, alert a nurse immediately.
Some additional things to consider:
- Eating or Drinking – Please do not eat or drink until you ask our staff if it is OK. It is important not to eat or drink anything in case you need a procedure or test that requires an empty stomach.
- Restroom Assistance – If you need any help, don’t hesitate to ask a staff member to escort you. Before using the restroom, please ask a health care team member if a urine or stool sample is needed to assist in your diagnosis.
- Home Medicines/Allergies – Please give a list of home medicines, herbal supplements, and allergies to your health care team members so that we can ensure your safety and prevent interactions with any medicines you may be given during your stay.
- Special Needs – If you or a loved one has any special needs, please let our staff know so that we can get the right health care team member involved.
In the Treatment Room
After your basic registration is complete, you will be taken to a treatment space, unless the department is full. If the ED is full, you will be seen by a triage nurse. The triage nurse will ask you about the reason for your visit and ask about any allergies. The nurse will also take your vital signs, such as your:
- Blood pressure
- Pulse oximetry (oxygen) level
Triage nurses are specially trained to identify patients who may come into the ED with life-threatening conditions. At times, it may be necessary for a patient who arrives after you to be taken care of before you. After the triage process is complete, you may be asked to wait in the waiting room if the department is full and your condition is deemed non-life-threatening. If you are placed in the waiting room after triage, a staff member will come for you as soon as a room is available. Please remain seated in the waiting room until you are called.
Examination and Testing
Once you are in a treatment space, you will most likely be asked to change into a hospital gown. You will be assigned a nurse who will get your medical history, along with other information.
You will be seen by the first available health care team member (ED doctor, resident, non-physician advanced practice provider under the direction of a physician) who will examine you and order testing if necessary. These tests may include:
- Electrocardiogram (EKG) and/or continuous cardiac monitoring
- Blood work
- Urine testing
- Radiological studies — x-rays, CT scans
- IVs and/or medicines
Some tests may happen at your bedside. At other times, you may need to be moved to a different department for testing. Most test results take about an hour. For some tests, such as enhanced CT scans, you may need to drink something known as oral contrast to prepare for the scan (many patients say it tastes like a very sweet carbonated beverage). The oral contrast allows for better visualization and more accurate test results.
Once the ED doctor has all your test results, a decision will be made about whether you need to stay in the hospital or if you can safety leave the hospital.
A $21 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates more than 90,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 3.8 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.4 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $500 million in federal, state, and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside on its annual Honor Roll of America’s Best Hospitals and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.