An Emergency Department trip can be nerve-wracking and daunting – for children and parents alike, but knowing what to expect can make the entire experience a lot less stressful. Here is our step-by-step guide of what patients and families can be expect at the Julia and George Argyros Emergency Department (ED) at CHOC Children’s Hospital:
Pull into the ED driveway off Pepper Street. Discounted valet parking is available 24 hours a day, seven days a week for ED visitors.
A registered nurse at the screening desk will greets each family upon entering the ED lobby and determines the reason for visiting. If there’s a wait, patients will be called to the screening desk in the order of their arrival – unless the child’s condition requires immediate attention.
Next, an employee will obtain the child’s registration information. The child’s basic information is confirmed upon arrival at the ED and more detailed information, including the child’s insurance carrier and primary doctor, are collected before the child leaves the ED.
The child will be called into a triage suite, where a nurse will ask questions, collect vital information such as temperature, pulse and weight, and perform a basic exam. During triage, the nurse assesses the child’s condition and determines the urgency of the situation and what type of care the child will need. In most cases, children are seen by a triage nurse in the order that they have arrived, but those with serious injuries or illnesses may go ahead of other patients. This is why you might notice some families being called first even if they arrived after you. If a treatment area or exam room is available upon your arrival, you may bypass the triage process entirely.
If all treatment rooms are full following triage, the child and his or her family will wait in the lobby. While there, it is important that the child not eat or drink. It is also important to tell the screening nurse if the child’s condition changes or if the child needs a scheduled medication. If you must leave the ED before treatment, notify an employee.
Treatment Area/Exam Room
This is where the child will receive treatment. The ED has several types of treatment areas that are each set up to provide a specific type of care. You might notice another family called ahead of you from the lobby should a space related to that child’s needs become available.
Once inside, you will be given a hospital gown for the child. Please undress the child and place him or her in the gown as quickly as possible to avoid a delay in the exam. If you bypassed the triage process, your child will undergo a similar exam here before seeing an ED physician.
The doctor might order tests and perform treatments, which will all be carefully explained to you. The physician will explain the results of all of the tests and provide a plan for follow-up care, and, if necessary, hospital admission.
At CHOC Children’s, we always strive make tests and procedures as “ouchless” as possible.
A patient is discharged once the physician gives approval for child to leave. Be sure to have a clear understanding of any instructions from the physician before leaving the hospital.