UNDERSTANDING THE ACCIDENT AND EMERGENCY (A&E) DEPARTMENT AT PARIRENYATWA GROUP OF HOSPITALS

UNDERSTANDING THE ACCIDENT AND EMERGENCY (A&E) DEPARTMENT AT PARIRENYATWA GROUP OF HOSPITALS

THE Accident and Emergency Department is the port of entry for patients who fall suddenly ill without prior booking. 
The spectrum of illness widely varies from very minor cases who can be seen and discharged, to very seriously ill patients who need stabilization in casualty before admission by a relevant specialty. Thus, on arrival patients are sorted into three groups depending sorely on the severity of their condition.

 

The first group consists of those with immediately life threatening illness and these are seen first, followed by those with serious illness but no immediate threat to life and the last group present with minor ailments.

Unfortunately, the majority of our patients belong to the last group who present with minor ailments and these are seen last after all emergencies have been attended to. It is envisaged that this group of patients should be seen at local clinics and should only come to Parirenyatwa Group of Hospitals as referrals. Most of the patients we see present by their own means of transport with a smaller proportion being brought by ambulances.

The Accident and Emergency Department is open 24 hours a day, 7 days a week including public holidays and is manned by a very dedicated team of Doctors, Nurses, Accounts Clerks, Security personnel and Cleaners. It is well equipped and consists of the following functional areas and processes.

Ambulance Bay: This is mainly where patients are delivered to the hospital by an ambulance, private or public transport. Sorting of patients actually begins here and those with life threatening illnesses are taken straight into the resuscitation room for immediate intervention whilst all stable patients then go to the waiting area.
Main Waiting Area 1/Triage/Reception: The main waiting area is where the bulk of the patients sit waiting to be screened according to their illnesses and severity. Adjoining the main waiting area is the reception where the clients then proceed to register to be treated.

Waiting Area 2/Observations Bay: Those that would have completed registration then proceed to this area. Here their vital observations are measured and recorded and they are monitored by a nurse, waiting to be ushered to the consultation room where they will be seen by a Doctor.

Consultation Rooms: There is a total of five consultation rooms where the clients are then seen by a doctor. From the consultation rooms, some patients are discharged whilst others will require to be further seen by specialists with the possibility of admission.

Treatment Room and Suture Room (Rooms 4&5): Those requiring administration of any medication proceed to the treatment room. Next to the treatment room is the suture room where small procedures are done.

Pharmacy: There is a dedicated pharmacy which is open for 24 hours every day including weekends and public holidays. This is meant to enable our patients to have easy access to drugs at any time.

Radiologic and Laboratory Investigations: These are available and the x-ray department adjoins the A&E Department.

Resuscitation Room: Dedicated to the immediate care of those patients who would have collapsed or are severely compromised in their airway, breathing, circulation such that there is an immediate threat to life.

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