The Emergency Department At St. Mary's Medical Center

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The unit and facility I chose for this paper is the emergency department at St. Mary’s Medical Center in Evansville, Indiana. I chose this unit because it is where I work full-time as a registered nurse. St. Mary’s emergency department (ED) is a Level II Adult and Pediatric Trauma Center that is open twenty-four hours a day and seven days a week. The nurses are all certified in basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS). The majority of the nurses are also certified in trauma nurse core curriculum (TNCC). The nurses work eight or twelve-hour shifts. Nurses are either weekend-option meaning they only work weekends or must work every third weekend. St. Mary’s emergency department has a total of forty beds. The unit is then split into different zones based on patient acuity: red zone, blue zone, yellow zone, and green zone. St. Mary’s ED uses a five-level triage system. Red zone will typically see patients that are acuities one, two, and three. Red zone is always open. Red zone consists of three trauma rooms, sixteen exam rooms, and four hallway beds. Patients that are acuity one need life-saving measures. Examples of patients that are acuity two include strokes, chest pain, and mental health evaluations. Blue zone will typically see patients that are acuities three or four. Blue zone consists of eleven exam rooms and will have two to three nurses seeing patients with one team care specialist (TCS).
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