This department is located in southern part of the hospital on the ground floor, accessible both from the main (east) entrance and the south entrance. The end of the corridor that runs along this department leads to clinics while the opposite direction on the same corridor leads to post cath and cath lab. It contains two sets in connection with each other: One includes triage, examination room, ECG room, admission, cash, buffet, ER waiting room The other set consists of ER CCU (Hospitalized patients), CPR room, echocardiography room,, standby physician room (the department head’s room), the security guard, the drug storage room, warehouse equipment, rest, and toilets
Triage and Examination Room
Triage is the prioritization of patients based on severity of their condition in order to receive medical services. In this unit a triage nurse determines the severity of the disease and the priority of the patients along with relevant policies. Triage is the first unit where the patients refer to at their entry to ER. Two nurses attend in triage per shift. Medical equipment of the unit comprises of two portable monitoring devices (including ECG, SPO2, NIBP( and two digital thermometers. At their arrival to triage the patient refers to a nurse and gives a brief history of their disease. After measuring the blood pressure, temperature, pulse rate and SPO2, triage form is filled out by the nurse and the patient will be guided to ECG room to have their ECG taken. The patients will be prioritized to be visited by according to their ECG changes and clinical symptoms. High risk patients (Levels 1 and 2) are immediately led to visit the examination room doctor and those with less acute and serious heart failures will be placed in the queue to visit the doctor.
This unit, located beside ER CCU, is equipped with seven beds and.Each bed is equipped with a medical monitor. Patients who need a blood test or the ambulatory ones who need drug injection are led to this unit by the examination room doctor with an outpatient visit file prepared for them. After cardiac monitoring (if necessary), a nurse will give medical, laboratory and radiology directives and all other relevant care will be carried on. When the results of the initial studies are prepared the doctor decides whether the patient needs to be hospitalized or they can be discharged. In case of hospitalization, the patient will be led toER CCU.
- Patients hospitalized at their first visit by examination room doctor.
- Patients referred to observation unit by the examination room doctor and hospitalized at their further visits according to their condition and the laboratory and radiology test results.
- Patients visited by a cardiologist in the clinic and referred to ER in order to be hospitalized and treated by the same cardiologist.
- Patients admitted by ER physician from other hospitals in Tehran or other provinces and transmitted to be hospitalized in this center.
- Patients who had undergone a surgery and who are referred to ER due to some after effects of surgery (surgery wound infection, pericardial effusion, foot cellulites, etc.) to be hospitalized in line with the physician’s diagnosis at the respective cardiologist service.
Patients are visited by examination room doctor after they are prioritized by the triage nurse. In case they need further hospital care they are either referred to observation unit or admitted to be directly hospitalized in ER CCU. At their arrival, after giving a brief description of the symptoms the patients are guided to ECG room to have their ECG taken. Afterward they are admitted. The triage nurse fills out the admission form assessing the patient’s general and vital signs and symptoms including HR, BP, T, and SPO2 then delivers it to the patients and their companions and asked them to stay in ER waiting room to be visited.