Dr Parvinder Chawla
Scope Of Service For
The Department Of Emergency
The goal of the department is.....................
The scope and complexity of services provided
by this department is...............
The methods used to assess patient needs in
order to customize services provided are....
The types and ages of patients served are......
The extent to which the level of care/ service
provided meets customer needs are.......
Appropriateness, clinical necessity, timeliness
of support service provided...
Regulatory agencies relevant to this service.
Days and hours of operation of
Dept....................
• To provide timely and appropriate treatment to
every new patient coming to the triage
• To efficiently manage the patients admitted in
HDU/ MICU
• To provide world class ambulance services
• ER deals with both medical & surgical patients
of all age groups with diverse diseases relating to
various specialties
• Patients in HDU + MICU need collective and
interactive environment for decision making
with the Concerned Consultants/ SMO/ MO etc.
• Ambulance calls are unpredictable for which
doctors have to be diverted from their other
duties in ER
• Services are customized on the basis of clinical
assessment of the patients
• Those requiring ventilator / Ionotropic support +
intensive monitoring are managed in MICU
• Usually adults of ll ages
• Occasionally pediatric cases also
• 70 % of the patients have medical problems &
• 30 % are surgical in triage
• Level of care + service provided meets customer
needs almost completely. However there is a
scope for improvement in this area like
• Response time of the consultant
• Duration of triage stay due to non availability of
beds in wards/ HDU/ ICUs
• Quality of ambulance service
Support services provided here are appropriate,
absolutely necessary and timely in most of the cases.
Nevertheless scopes for improvement lies in
• Cutting down on the admission, discharge time
• Cutting down on the time taken to indent
medicines from the pharmacy
• Better stocking up of the pharmacy
• Increasing the number of GDAs
• Not so far
the • 24 hrs a day, 7 days a week, all round the year.
Staffing plan is........................... • Triage 1 SMO + 1 MO per shift
• HDU – 2 MO per shift in each HDU
• MICU – 2 SMO during day 1 SMO + 1 MO
during night
• Ambulance – “ Triage MD” – 1st Ambulance on
call, “ HDU MO” – 2nd Ambulance on call
• Junior consultant supervises work in HDU,
Triage & MICU
• Director ER

Equipment purchase and replacement plan. • Capex raised and they procured by materials
department

CME organized/ attended by the unit • Organized – Non so far

members… • Attended BLS, ACLS, BTLS, course, Common
pediatric Emergencies, Infectious Diseases

Quality initiatives for the department. Planning

• BLS training for every employee
• ACLS training for every doctor
• BTLS training for all ambulance staff in the
coming year