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Upstate Medical university Emergency Medicine

ED Virtual Tour
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Welcome to the University Hospital ED Tour

Below is a floor plan of the University Hospital Emergency Department. Click the yellow arrows to see a picture and description of the area.

Bedside carts found in all patient rooms contain items such as phlebotomy supplies, sterile gloves, body fluid collection/culture supplies, bandages, and other items frequently used during patient care. New in 2006, the Emergency Medicine ResidentŐs Office and On-call lounge was created as a place for ED residents to complete their dictations and charting at the end of a shift, as well as for EM residents on off-service rotations to spend time when not busy on the wards. Here residents can complete paperwork, eat meals, relax, and even take the occasional nap. This room is equipped with lockers for all EM residents, a computer terminal for access to electronic medical records and the internet, a television, and a couch. The physician staff of our ED frequently uses a portable Ultrasound machine while evaluating patients with a variety of complaints such as abdominal pain, Deep-vein-thrombosis screening evaluations, and Focused Abdominal Sonography in Trauma (FAST Exams). Emergency Medicine residents quickly become fluent in the use of this diagnostic tool in a variety of settings during their day-to-day shifts, and a specific Emergency Medicine Ultrasound elective is also available. Bedside shelves found in all patient rooms contain items like bed linen, gowns, bedpans, sterile gauze, emergency airway equipment, and irrigation fluids. The Adult patient tracking board is the primary information resource for the entire ED staff regarding patient locations, chief complaints, attending, resident, and nursing patient assignments, admission status, and the tracking of the patient's progress through their ED course including the status of diagnostic tests and consult requests. This image shows the Adult ED patient chart rack. In this rack, active ED patient charts are held while not in use. Although a dictation system is used for physician documentation of patient ED visits, a paper-based ED Supplemental Record is still utilized for triage information, initial physician data gathering, nursing documentation, and specific written discharge instructions for patients. In addition, a computerized database of condition-specific patient discharge information is available. Beginning in October 2006, the Upstate ED began utilizing a Computerized Physician Order Entry (CPOE) system. This program is an integrated system that includes electronic patient records, laboratory and diagnostic imaging results, and patient-care orders (medications, diagnostic tests, nursing instructions, etc.). Added in early 2006, this 64 slice CT scanner is used exclusively by the Department of Emergency Medicine for evaluation of both adult and pediatric patients. Located one floor above the ED and used by the remainder of the hospital, additional CT scanners and an MRI scanner are also available to the ED as needed. This view looking South down the hallway from the Peds ED shows the location of the ED Staff restroom and break room. In addition, the cafeteria, dedicated ED CT Scanner, and EM Resident's Office/On-call Lounge are located down this hallway and to the right. Room A14 is where many patients with dental, ENT, or eye complaints are seen. This patient care space includes equipment such as a Wood's Lamp, Ophthalmology Slit Lamp, and Dental chair. Specialized Dental and Ophthalmology Kits are also stocked with diagnostic and treatment supplies needed to evaluate and treat dental and eye-classated complaints. The Orthopedic supply cart contains items such as rolled plaster, stockingette, webroll padding, and pre-made cut-to-size plaster splints. Ready-to-use fiberglass splinting supplies are also available from the Omnicell supply system. In this view, you can see a typical bed arrangement for one of our Adult patient rooms, room A7. Bedside carts and shelves are stocked with linens, bedpans, gloves, phlebotomy supplies and examination tools. Our ED utilizes an electronic supply tracking system called the Omnicell. This computerized cabinet system allows users to locate items via a simple to use electronic interface. Suturing materials, bandaging supplies, Central Venous Access kits, specialty surgical instruments, splinting supplies, and other items needed in the day-to-day management of ED patients can be found in this area. Room A20 serves as a dedicated space for Obstetrical and Gynecological exams. Female patients with Ob/Gyn classated complaints are primarily seen in other rooms of the Adult and Peds ED but are brought to Room 20 for Ob/Gyn exams. This room provides for more patient privacy than available elsewhere in the ED and is equipped with examination tools and diagnostic supplies needed for evaluation of Ob/Gyn-classated complaints. In addition, this room is utilized by Sexual Assault Nurse Examiners (SANE Nurses) for interviewing, evaluation, examination, and collecting evidence from patients who report being the victim of a sexual assault. In this view of the Pediatric ED you can see the glass-enclosed Pediatric Radio room to the right, and some of the Peds ED patient rooms in the background. The Pediatric Radio Room is the primary office space for the Pediatric ED attendings and residents. Here the Peds ED physician staff can access electronic patient charts, online information resources, and digital radiology images via a host of computer terminals. In addition, there is a small collection of Pediatric Emergency Medicine Texts. Room P10 is the primary Pediatric Resuscitation and Stabilization room. This room is stocked with a variety of diagnostic equipment and treatment supplies that are used to evaluate and stabilize critically ill or injured pediatric patients. In some cases, the Trauma Bay (T1 and T2) in the Adult ED is utilized as a Pediatric Resuscitation and Stabilization room as well. In this view, looking West from the Waiting Room entrance to the ED, you can see a portion of our dedicated Pediatric Emergency Department. In this 12-bed facility, Pediatric Emergency Medicine boarded attendings and Emergency Medicine and Pediatric resident physicians see approximately 18,000patients a year. Supported by a Pediatric Surgery Center, 7 bed PICU, 6 bed ICU-Step down unit, and 36 inpatient pediatric beds, the SUNY Upstate Pediatric Emergency Department serves as the primary pediatric referral center for an 18 county area of Central New York. To the left of this image you can see the Peds ED Nursing Station and Peds ED patient rooms can be seen to the right and in the background. The Medication room is the location of the secure ED Pharmacy Cache (Pyxis), as well as a supply room for IV fluids and Phlebotomy equipment. The Adult Radio Room is the primary office space for the adult ED attendings and residents. Here the ED physician staff can access electronic patient charts, online information resources, and digital radiology images via a host of computer terminals. In addition, there is a small collection of Emergency Medicine Textbooks. In this view looking West down the hall from the Trauma Bay area you can see the Adult Nurses Station on the left, Adult patient rooms A1 and A2, as well as the Adult Radio Room on the right. In the background you can see a portion of the dedicated Pediatric Emergency Department. In this view looking South down the hall from the EMS Entrance you can see the acute-care rooms on the left, and the Adult Nurse's Station on the right The ED operates a dedicated two-bed trauma bay in which the most severely injured trauma patients are stabilized. Other bed areas in the ED can be converted to Trauma Resuscitation rooms in cases of Multiple-Casualty Incidents. In 2006, 444 Trauma Codes and 763 Trauma admissions were managed in the ED.


Last Modified: Jul 30, 2007
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