The emergency room is staffed 24 hours a day by emergency physicians and nurses to provide urgent medical care outside regular clinic hours. The pre-admission screening process includes a full history, physical exam, nursing assessment, and diagnostic testing. Patients in the emergency room have rights to treatment, informed consent, privacy, confidentiality, involvement in care decisions, and access to protective services.

2. Area where people requiring urgent and
regular treatment beyond regular duty
hours receive medical treatment care;
Is staf fed by emergency room
physicians and nurses 24 hours day all
year long

4. The pre-admission screening process includes:
 A full history and full physical examination;
 Nursing assessment;
 Diagnostic testing (as per patient’s condition).

7.  RIGHT FOR TREATMENT
 RIGHT FOR INFORMED CONSENT
 RIGHT FOR GET PRIVACY
 CONFIDENTIALIT Y
 INVOLVEMENT IN CARE DECISIONS
 ACCESS TO PROTECTIVE SERVICES
 RESPONSIBLE ABOUT GIVING CLAER
INFORMATIONS AND FOLLOWING
ORDERS

9.  WHEN SERVICE ISNOT AVAILABLE IN
MOUWASAT HOSPITAL
 OBTAIN PHYSICIAN ORDER
 INFORMING PATIENTS AND FAMILIES
 PREPARE A FULL MEDICAL REPORT
 SEND TO RECEIVING FACILIT Y AND
GET ACCEPTANCE FAX
 ARRANGE THE T YPE OF
TRANSPORTATION THAT MATCH THE
PATIENT NEEDS

11.  DIAGNOSIS
 REASON FOR TRANSFER
 PHYSICAL STATE OF THE PATIENTS
 SUMMARY OF THE CARE GIVEN
 MEDICATIONS RECEIVED

13. DETECTED AND ORDERED
BY ATTENDING
PHYSICIAN

15. THE STAFF MUST BE ACLS
/NALS/PALS CERTIFIED

17.  OBTAIN A WRITTEN ORDER
 INFORM THE NURSING SUPERVISOR ON
DUT Y;
 NOTIFY ER DOCTORS TO ARRANGE
AMBULANCE AND NOTIFY ER AND CHARGE
NURSE TO ARRANGE EMERGENCY
EQUIPMENT, EMERGENCY MEDICAL BAG
AMBULANCE CONTENTS;
 CALL THE RECEIVING HOSPITAL AND INFORM
THE CHARGE NURSE / HEAD NURSE THERE.
 ENSURE ALL RELEVANT DOCUMENTS AND
EQUIPMENT ARE AVAILABLE AND
FUNCTIONING.
 INFORM THE SOCIAL WORKER TO NOTIFY
THE FAMILY SPONSOR REGARDING
TRANSFER IF THEY ARE NOT AWARE;
 AFTER COMPLETE DOCUMENTATION SENT
THE FILE FOR BILLING AND CLEARANCE.

19.  AMBULANCE WITH ALL SET-UP;
 CARDIAC MONITOR WITH DEFIBRILLATOR;
 EXTERNAL PACEMAKER IF PATIENT IS CARDIAC;
 PORTABLE VENTILATOR;
 OXYGEN CYLINDER;
 SUCTION EQUIPMENT;
 EMERGENCY MEDICINES;
 INTUBATIONS EQUIPMENT;
 IF PATIENT IS TRANSFERRING TO ANOTHER COUNTRY
PASSPORT OF PATIENT AND THE ESCORT;
 TRANSFER FORM (PHYSICIAN, NURSE & RT);
 COPIES OF ALL RESULTS, IF NEEDED;
 LIST OF MEDICINE PATIENT IS TAKING;
 ACCEPTANCE LETTER;
 AMBULANCE FORM;
 PLEASE SEE THE ATTACHMENT FORM FOR TRANSFER;
 LIST OF SOME REFERRAL CENTERS.

21.  MEDICALLY- ADVISED DISCHARGE is when
the attending clinician considers that the patient
no longer requires in-patient care and
documents this in the patient’s medical record
 TRANFER TO OTHER FACILIT Y.
 DISCHARGE AGAINST MEDICAL ADVICE
(DAMA DISCHARGE) includes one or both of
the following:
 The patient requests discharge and refuses
further in-patient care
 The patient refuses to follow/accept the
treatment plan recommended by the attending
clinician.

23.  Date/time the patient is to be discharged;
 Convalescent period, if appropriate;
 Work restrictions, if appropriate;
 Follow-up/out-patient treatment required;
 Medications to take home, if appropriate;
 Instructions given to the patient, if any;
 Dietar y restrictions or requirements;
 Date of follow-up in the clinic;
 Discharge diagnosis;
 Reason for admission/treatment
 Pertinent physical, laboratory and x-ray findings;
 Condition on discharge;
 Transpor tation Needs
 Recommendations

25.  To minimize inappropriate use of hospital
resources;
 To identify and use cost-effective care sites
when clinically appropriate;
 To prevent unnecessary admission
 To avoid re-admission caused by incomplete
course of treatment, or resource gaps.

27.  ATTENDING PHYSICIAN
 REGISTERED NURSE
 PHARMACIST
 SOCIAL WORKERS
 REHABILITATION UNITS INDIVIDUALS
 PAIN SPECIALIST NURSE
 RESPIRATORY THERAPIST NURSE
 PATIENT TEACHING CENTRE

29.  WHEN BEING PHYSICALLY OUT OF THE
HOSPITAL

31. SOCIAL SERVICES FOR SOCIAL NEEDS,
FOR MORE SPECIFIC EDUCATIONAL NEEDS THE
PATIENT AND FAMILY MAY BE REFERRED TO
THE PATIENT TEACHING CENTER;
PHARMACISTS FOR MEDICATION
INSTRUCTIONS;
REHABILITATION UNIT (PHYSIOTHERAPIST,
OCCUPATIONAL THERAPIST + ORTHOTIST) FOR
DIFFICULT Y IN MANAGING ACTIVITIES OF DAILY
LIVING;
DIETICIAN FOR DIETARY INSTRUCTION AND
CONSULT;
PAIN SPECIALIST NURSE FOR EVALUATION AND

33.  NEXT OF KIN MUST BE INFORMED
 TREATING PHYSICIAN IS RESPONSIBLE
TO INFORM THE PATIENT ABOUT ANY
KNOWN LONG DELAY IN DIAGNOSTIC
AND/OR TREATMENT SERVICES
 AVAILABLE ALTERNATIVES MUST BE
EXPAINED
 UPON EXPLANATION AND ACCEPTANCE
OF THIS DELAY THE PATIENT WILL SIGN
THE DELAY OF CARE NOTIFICATION
FORM INDICATING HIS NOTIFICATION
AND APPROVAL

35.  Legal Guardian;
 Husband;
 Father;
 Oldest other male relative;
 Mother;
 Oldest other female relative

37.  Is a core clinical activity and is
fundamental to patient care, best
practice and clinical governance which
can be informed or implied. Patients
have a fundamental legal and ethical
right to determine what happen to their
own bodies; therefore valid consent to
treatment is central in all forms of
health care.

38.  19. WHAT IS THE IMPLIED CONSENT?

39.  In emergent condition when the
conditions require alleviation of severe
pain or immediate diagnosis and
treatment of unforeseeable medical
condition, which if not immediately
treated, would lead to serious disability
or death.
 The consent is only for the time frame
of the emergency;

41.  30 DAYS UNLESS OTHERWISE
MENTIONED

44.  The patient’s condition,
 assessment of patient understanding;
 The type of anesthesia proposed;
 A description of the proposed treatment or procedure
 acceptance of the inter vention by the patient;
 The potential benefits
 The potential drawbacks
 Risk arising from the proposed procedure and anesthesia;
 The potential for death or serious harm;
 The risk arising from the patient’s condition;
 The possible results of the patient declining the
recommended treatment
 The likelihood of success
 Reasonable alternatives
 The identity of the physician

45. 23. WHAT ARE Guidelines
for intra hospital
transpor t: -

46.  Stable patient with IV line only – staf f to be
determined by head nurse or charge nurse in
consultation with physician
 Stable Patient with Ar terial Line only – RN;
 Patient on Ventilator – RN, ICU Specialist, RT;
 Patient with VasoActive Infusion – RN / ICU
Specialist;
 Unstable Patient – RN / ICU Specialist / RT;
 Patient with Ar tificial Air way – RN / RT.

48.  It is palliative care, the shif t from the
treating the pathological process to the
patient and emphasis on assessment
and controlling of symptoms related to
the disease process or the secondar y to
the treatments provided as pain,
nausea and respirator y distress.

50.  A designating family member/watcher to stay with the patient,
 Food and comfor t measures to be brought in by the family;
 Suppor t of the family (physical, psychologically and spiritually);
 Suppor t of end-of-life concerns, hopes, fears and expectations
in an open, honest, and culturally sensitive manner,
 consider special wishes of the patients and family are
suppor ted whenever possible;
 Pain management, comfor t measures
 treatment of primar y and secondar y symptoms related to the
disease process
 Patients and families shall be given suf ficient information
needed to par ticipate in decisions about care
 Spiritual Care: According to KSA rules and regulations patients/
families who so desire may arrange for their spiritual
representative to visit with the patient and of fer prayers. The
social worker and or nursing shif t super visor on duty can
facilitate such visits upon request.

52.  Maintain all invasive lines;
 IV pumps;
 ET tubes;
 Humidification;
 Foley catheter;
 Dressings;
 Medications;
 Oxygen therapy,
 Cardiac monitoring;
 Vital sign monitoring as ordered and as
applicable to the patient.

54. THROUGH ADMISSION OFFICE WHICH

EXPLAIN THE PATIENTS SERVICES AND
RIGHTS AND RESPONSIBLITIS

56.  DO NOT SHARE COMPUTER PASSWORD
 DO NOT DISCUSS PATIENTS IN OPEN AREAS
 USE CAUTION WHEN GIVE INFORMATION OVER
THE PHONE
 SHARE INFORMATIONS ONLY WITH
APPROPRIATE STAFF
 TEAR UP PAPERS THAT CONTAIN PATIENT
INFORMATIONS
 DO NOT USE PATIENT NAME WHEN PAGING
 ONLY AUTHORIZED PERSONNEL HAVE THE
ACCESS TO PATIENTS RECORDS
 ALWAYS CLOSE THE DOORSTO MAITAIN MUCH
PRIVACY.

58. VERIFY THAT THE PATIENT HAS EVERY
INFORMATION NEEDED REGARDING THE
PROCEDURE
IF THE PATIENT HAS QUESTIONS WE
MUST HOLD THE PROCEDURE TILL
ANSWERING ALL INQUIRIES

60.  PPG
 ICU 18

62. ONLY HEALTH CARE
PROFFESIONALS AND PATIENT
AND SELECTED FAMILY
MEMBERS

64.  CLARIFY THE NATURE OF COMPLAIN
 CALL SUPERVISOR OR DEPARTMENT
HEAD
 INVESTIGATE AND ANALYZE THE
SITUATION
 INFORM SOCIAL WORKER AND P.I.
 INTERVENTION OCCURED WITHIN
48 HOURS

66.  ASSESSTHIER DESIRE FOR
SUCH SERVICES AND INFORM
SOCIAL WORKERS TO DISCUSS
WITH THE PATIENT

68. PATIENTASKED ABOUT PAIN
LEVEL, LOCATION AND
DESCRIPTION.
USE PAIN TOOL TO MEASURE
THE PAIN INTENSIT Y

70.  FACIAL PAIN INTENSIT Y
 COLOURED ANALOGUE SCALE
 NUMERIC RATING SCALE