Services We Provide - Medicine, Acute
Care & Clinical Support
Acute
Care - Emergency Care
Emergency Care at Middlemore Hospital is
a modern 97 bed Emergency Department providing acute care to the
population of Counties Manukau. The department provides specialised
areas for resuscitation and monitoring, with 6 resuscitation rooms.
There is a 27 bed adult assessment area, 2 adult procedure rooms, a
dedicated plastering room, and an ENT room. Within the confines of the
department is a partially separate paediatric area. This has direct
access to 2 of the resuscitation rooms, has 14 acute assessment rooms,
and a procedure room. There is also a 13 bed paediatric short stay area.
Also within the confines of the department is a 24 bed adult short stay
area. This is utilised for patients with an expected discharge within
24 hours, and is utilised by all of the teams providing acute care.
The annual attendances
are 80,000 patients per year (adults and paediatrics). Care is
prioritised according to the
Australasian Triage Score,
and the breakdown of scores is shown in the statistics in addition to
admission rates. There are also
Guidelines for implementation of the Australasian
Triage Scale in Emergency Departments. 
There is 18 hours per day of
senior medical
staff
presence in the department. We have 15 consultants, 18 registrars and 5
house surgeons working rostered shifts to provide 24/7 cover for the
department. Our Nurse Manager leads the dynamic nursing team of 100
Registered Nurses, 10 Associate Clinical Nurse Managers, 3 Nurse
Educators & 2 Clinical Nurse Specialists. The senior nurse team
provides 24 hr support for our RN’s & extended team. The structured 18
month education programme ensures ongoing professional development and
support during progression through the department. Staff development is
further supported with internship programmes to allow for a smooth
transition into a senior role. We work in partnership with our medical
team to provide seamless care to our clients all supported by Healthcare
assistants, clerical staff, and orderlies.
The
patient group referred by their primary healthcare providers are seen
directly by staff from the inpatient teams. General Medicine, General
Surgery, Gynaecology, Orthopaedic Surgery, Plastic Surgery, Hand
Surgery, and Paediatrics are represented in the department. There is
also direct access to Acute Psychiatry, Medical Subspecialties of
Cardiology, Respiratory Medicine, Renal Medicine, Gastroenterology,
Geriatric Medicine and Haematology. The department is supported by a 24
hour radiology service and an Intensive Care Unit. There are
established links with Auckland DHB for provision of Neurosurgical,
Cardiothoracic, Ophthalmology, and Paediatric Surgical services. We see
approximately 80,000 patients annually, 25% are paediatric and we admit
approximately 40%.
Published: 27-Apr-2009
|
Enquiries:
Contact Us |
