Dehradun
The state government has started ‘upchar’ of emergency services of government hospitals. Which has been started from medical colleges. Health Secretary Dr. R Rajesh Kumar has directed that emergency medical management in government medical colleges should be further improved. For which he has issued a new guide line (SOP). According to the guidelines, it is the responsibility of any hospital to provide emergency medical care to every patient who comes in emergency. Even if the patient does not have money, the doctor or hospital will neither delay his treatment nor refuse treatment.
First priority is immediate treatment of the patient.
The Health Secretary has given strict instructions that the first priority of the doctor should be to provide immediate treatment to the patient, so that he can be saved. In the meeting of the Health Secretary with the principals of government medical colleges regarding emergency medical management, this topic was discussed in depth. SOP has been issued for hospitals after long deliberations on emergency medical management. Under which a detailed guide line has been made regarding quick examination of patients in the triage area, clinic protocol, documentation and quality assurance etc. The Health Secretary said that in case of emergency, it will be ensured that serious patients get treatment within 10 minutes. In case of negligence in this regard, the MS or Principal of the concerned medical college will be held accountable.
These instructions were given
Any patient requiring emergency treatment will be given appropriate treatment even in the absence of beds or specialist services.
The emergency department will immediately provide appropriate life-saving care. Which will include emotional security and person-centred care.
The emergency department will function as a specialized unit. Where there will be adequate resources and staff to provide prompt and diverse emergency care in all life-threatening situations.
It is the responsibility of the on-call faculty to inform the EMO of their availability and contact details. He will have to sign the roster register as part of his call duty. It will be mandatory to be available in the duty room at night.
In case of unnecessary delay in attending a patient, the Emergency Incharge/MS will review the situation. If any lapse is noticed, action will be taken against the erring EMO, SR or faculty member.
The Medical Superintendent should ensure that no employee posted in the emergency department is directly or indirectly associated with any private establishment. An affidavit to this effect should be taken before deployment. If any employee is found involved in sending patients to a private nursing home or diagnostic center, he will be removed from the department and appropriate action will be taken.
The emergency department is the face of any hospital. Where prompt, appropriate and coordinated care is provided, it increases public confidence in the health system. In such a situation, there is a need for training or removal of employees who are not discharging their responsibilities properly.
The patient faces problems when he is sent from one department to another without any valid reason. This should be considered equivalent to medical negligence.
There should be no financial hindrance in the initial treatment of the patient.
pay attention to this
Triage process: Develop a systematic approach to prioritizing patients based on the severity of their condition. Ensure prompt treatment.
Clinical protocol: Establish guidelines for the treatment of common emergencies. Ensure staff training for effective results.
Documentation: Implement accurate recordkeeping processes for continuity of care. Also systematically document patient complaints.
Quality assurance: Include regular audits and feedback systems. Evaluate the effectiveness of the SOP.
Ethical aspects of emergency care
Quick Response: Respond quickly with impartiality and provide expert care.
Patient rights and communication: Prioritize patients’ interests and rights. Communicate honestly with them or their family.
Patient status: Keep in mind the patient’s social and economic status during disease management.
Patient confidentiality: Respect and protect patient confidentiality.
