The document outlines the policies and procedures for the emergency room (ER) at Silver Crescent Dispensary in Khobar, KSA, detailing its operational aims and necessary equipment for managing severe medical conditions 24/7. It describes staff duties, shift responsibilities, patient management via a triage system, and the physical layout, including bed capacity. Essential equipment and medication requirements for the ER are listed to ensure effective emergency medical services.

1. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
ER Policies and Procedures
Agenda:
Definition of ER: Aim -- Flow chart -- Mode of operation --
Staff cover the work -- Functions -- Bed capacity -- ER
necessary equipments (the minimum)

2. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A..
Definition of ER:
It is a reception management area working 24
hours a day in the hospital for a patient victim
with a serious or unwaitable medical or surgical
condition in need of an immediate management.

3. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
Aim
To restore victim life by:
Preventing further damage to the body.
Classifying patient’s condition and manage
accordingly.
Starting the line of medical care.

4. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
Flow chart -Flow chart -
Patient entry - Triage nurse -Patient entry - Triage nurse -
main ED doctor - Waiting area - Screen roommain ED doctor - Waiting area - Screen room
ED - X ray – LABORATORY - PharmacyED - X ray – LABORATORY - Pharmacy

5. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
Mode of operation
It receives all acute traumas and life threatening
cases by implementing the principles of the
triage system 24 hours a day and providing
emergency medical service (EMS).

6. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
Staff cover the workStaff cover the work
8 hours duty shift (except in Ramadan 68 hours duty shift (except in Ramadan 6
hours shift).hours shift).
Staff should not leave their shift untilStaff should not leave their shift until
second shift members present andsecond shift members present and
endorsement of patients is done toendorsement of patients is done to
them.

7. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
There is a doctor In-charge of theThere is a doctor In-charge of the
shift, who is responsible for all of theshift, who is responsible for all of the
staff in ED in every shift in thestaff in ED in every shift in the
absence of his superior.absence of his superior.
ED doctors must see both medical andED doctors must see both medical and
trauma cases male or femaletrauma cases male or female..

8. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
No change in schedule should be madeNo change in schedule should be made
except for valid reason and should beexcept for valid reason and should be
written in an official forms to bewritten in an official forms to be
requested at least a day before workingrequested at least a day before working
hourshours.

9. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
FunctionsFunctions
It is divided in 2 sections Male and FemaleIt is divided in 2 sections Male and Female
side.side.

10. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
Bed capacityBed capacity
TWO male beds and TWO female beds.TWO male beds and TWO female beds.
-One CPR room.!-One CPR room.!
-two dressing rooms.-two dressing rooms.

11. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
ER necessary equipments (the minimum)ER necessary equipments (the minimum)
1-Crash cart.1-Crash cart.
2- Suction machine2- Suction machine
3-Monitor.3-Monitor.
4-Defibrillator4-Defibrillator.

12. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
5-5-Pulse OximetryPulse Oximetry
6-Surgical instruments, separate septic and6-Surgical instruments, separate septic and
aseptic woundsaseptic wounds
7-Chest tubes of different sizes7-Chest tubes of different sizes

13. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
8-Intubation equipment (Adult).8-Intubation equipment (Adult).
9-Intubation equipment for (children).9-Intubation equipment for (children).
10-All emergency drugs (e.g. valium, ADRENALINE etc).10-All emergency drugs (e.g. valium, ADRENALINE etc).
c.f. Essential ER medication listc.f. Essential ER medication list

14. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
11-Portable X-ray machine.11-Portable X-ray machine.
12- Abdominal lavage set.12- Abdominal lavage set.
13-Infusion pumps.13-Infusion pumps.

15. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
14-Thrombolytic therapy.14-Thrombolytic therapy.
15-Wall Oxygen or cylinder.15-Wall Oxygen or cylinder.
16- Wall suction or suction machine.16- Wall suction or suction machine.

16. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
17-Immobilization device: hard board, C-Spine17-Immobilization device: hard board, C-Spine
collars, etc.collars, etc.
18-Poison antidote.18-Poison antidote.
19-Delivery set19-Delivery set

17. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.
20-Set for IV Access

18. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A.

19. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
DISCUSSIONDISCUSSION

20. S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A