Tire Devlet Hastanesi

İzmir İl Sağlık Müdürlüğü
Tire Devlet Hastanesi

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EMERGENCY SERVICE

Updated: 14/09/2018

Tire State Hospital Emergency Service serves 24 hours.
Prior to entering Emergency Service, a prioritization process (triage) is performed according to disease status. Emergency patients have priority over other illnesses.
The triage officer evaluates the vital signs of the patient, such as fever, pulse and blood pressure, and decides which patient should be examined first.
Patients applying for dressing and injection are placed in the dressing-injection unit according to the order in which they come in and the priority patient's general.
A list of all employees on duty and the sentry pharmacy Emergency Service is available on the LCD screen in the waiting area.

EMERGENCY SERVICE CAPACITY
 
 Number of Examination Table 7
 Mr. Observation Number of Beds 7
 Mrs. Observation Number of Beds 7
 Resuscitation Chamber Number of Stretcher 2

PATIENT INFORMATION

One person only is taken in addition to the patient for examination.
Patients who are observed in Emergency Service  are not accepted as visitors. The patient is accompanied by a companion.
The list of patients taken to the Emergency Department are published on the LCD screen in the waiting area.
Emergency services are classified according to the triage criteria defined in the Emergency Service procedure. In this classification, a quaternary triage system is applied.
 
TRIAGE CATEGORIES

CODES

RED The primary priority includes patients who can survive by intervention within a few minutes. Upper respiratory tract obstruction

Bleeding to put life in danger

Head, neck, chest, abdomen, rectum or vaginal penetration injury

Blood pressure pneumothorax

Level of consciousness worsening rapidly / coma

30-50% II-III degree burns

Open fracture

Spinal cord trauma with neurological deficit

Hypertensive pulmonary edema

Great vessel injuries

Acute coronary syndromes

Cerebrovascular event
 YELLOW Secondary priority can be put on hold,
 including anomalies and diseases that do not involve urgency,
 but can threaten life if current pathologies are not resolved.
 Long bone fractures

Less than 20% of grade II-III burns

Hip, elbow, knee dislocation

Controlled external bleeding

Non-progressive, sudden visual impairment, etc.

High fever

Head trauma without loss of consciousness

Closed bone fractures

Can stop a nosebleed

Hypertension (no additional complaints)

Skin, subcutaneous incisions
 
 GREEN It only includes prescriptions for patients whose problems will be resolved. Need for medication
LIGHT BLUE It includes patients who have ongoing treatment.
 Dress a wound Injection

Emergency Services are in service and operate in coordination with our other units in our hospital. Our Emergency Services unit will provide uninterrupted service to our patients as soon as possible after the first intervention has been made and to be discharged to their health.

COLORLY CODES USED IN HOSPITAL
Emergency and disaster management team and plan were established in our hospital. The necessary arrangements were made in the hospital units. In addition, trainings have been given to employees and the team.

There are also various risks in the areas where health services are provided, such as in all areas where human life continues. It is important to determine in advance these risks, what to do if they happen and how to manage risk. In this framework, a variety of tools were needed to manage emergencies and a number of stimulating systems were developed for them. One of the most widely used tools around the world for this purpose is the color codes. The color codes are determined according to the determined emergency situation;
Notify the hospital staff
Allowing communication in case of risk
To give short and clear messages
Gives time for correct intervention
Preventing panic
It makes it possible to be prepared for emergencies
It provides patient and employee safety.

Trainings on color codes should be given to ensure that color codes are accepted and implemented by employees. It should be ensured that everyone who is  the health institution and establishment is informed and a common language should be established.Within the scope of our quality health studies in our country, 4 different color code applications were started with blue code in 2008, pink code in 2009, white code in 2011 and red code in 2015.
Blue code; a monochrome code that uses the same color for the same emergency all over the world. It is an emergency management tool that allows patients, relatives and all hospital personnel to be intervened as soon as they need urgent medical intervention. The code given by the health practitioner via a commonly used paging system makes it possible for the intervention to be performed in the fastest and most effective manner in cases of respiratory or cardiac arrest in the hospital.
Pink code; is an emergency alert code for the purpose of timely intervention in the health institution and establishment where the risk of infant or child abduction and / or action is mentioned. The health care provider establishes a warning system for child abduction cases under its own unique circumstances.
White code: This is an emergency alert code created to intervene as soon as possible in case of violence or risk of violence against the personnel in the health institution or organization. Trainings are given to the health workers related to this code and the exercises are carried out every semester for white code application. The necessary support is provided to employees who are exposed. Subsequently, records related to actual events are submitted to quality management units and necessary corrective preventive actions are taken. A common language has been established at national level in practice by designating a separate common number for each color code in the National Color Code (URK).
Red Code: This is an emergency warning code which is created to minimize and / or prevent the hazards and damages that may arise by interfering with the fire in the event of any fire danger in health institutions and organizations. Trainings should be given to health workers related to this code. The red code application must be performed at least once a year.


For health, a telephone number is set for each color code in the National Color Code (URK). Thus, a common language was established in practice at the national level. The numbers are given in alphabetical order according to the initials of the codes.