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In an emergency room (ER) examination room, your child will be seen by a registered nurse (RN), who will again ask about the emergency and get a more detailed history and past medical history, including immunizations and medications. The RN will document this in the record. Your child will then be seen by a pediatrician who works full time in the emergency department. After the evaluation, there may or may not be tests or x-rays ordered. The tests will be done in the room and sent to the lab. Most x-rays will be done in the radiology department. Parents can accompany their children for an x-ray.
In the emergency room (ER) examination room, you will likely be asked to repeat the reason for your visit as well as pertinent information about this visit to several different medical people at different levels of depth. You can also expect a physical exam commensurate with your presentation. Lab draws and treatments also often occur in the examination room.
In the emergency room (ER) examination room, a doctor or nurse practitioner will do a problem-focused exam, meaning he or she will examine the parts of your body that may be causing your problems. For example, if you come in for a sprained wrist, they’ll look at the muscles and the bones in your wrist. If you come in for chest pain, they’ll listen to your heart and breathing sounds, and may order blood tests or scans.
In the ER examination room, the first thing that’s checked are vital signs. Watch Justin Williams, MD, of Methodist Stone Oak Hospital, explain what happens after receiving vital signs.
The medical condition bringing you to the emergency room determines much of what happens in the exam room. There are a few things that you can rely on happening, including the following:
- You will receive a medical screening exam by an ER Physician. An ER physician, ER nurse, and possibly, a Physician Assistant or Nurse Practitioner will ask you questions for a more detailed history and understanding of the reason for your visit.
- If your condition is such that you are unconscious, or otherwise unable to speak for yourself, a medical history about your condition may be solicited from family members, friends at the bedside, nursing home or assisted living facility records and staff reports, your previous hospital records, and from ambulance personnel involved in your pre-hospital care. Ambulance personnel may even call ahead and send data like an EKG to the ER physician prior to arrival in the case where CPR and other life sustaining measures are already in progress and need to be continued immediately upon patient arrival to the exam room.
- X-rays, blood tests, CAT scans, ultrasounds or other diagnostic tests will be ordered, if appropriate, and you may be informed of these orders.
- Medical specialists may be called by your ER physician to perform consultations, evaluations and, possibly, treatments.
- Your physician may order medications for you such as pain medication, antibiotics, breathing treatments, blood thinners, anti-nausea medication or other medications targeted to reduce your discomforts. You may receive intravenous [IV] fluids for hydration, or even blood transfusions for anemia [low blood count].
- At completion of your medical screening exam, you [or your designated, responsible significant other] will be informed of your medical diagnosis and treatment recommendations by your ER physician. Your recommendations will be for discharge from the ER, admission to a specific specialty area of the hospital, or transfer to a medical facility best suited to care for yourspecific health need.
The ER exam room may also be the place where you speak with a social worker, law enforcement [if necessary], or a chaplain/minister. You may interact with a variety of important members of your health team including housekeepers, and techs. You will have a primary ER nurse who cares for your medical, educational, and spiritual needs, along with your physician. The nurse coordinates much of your care and serves as a liaison between you and your physician.
This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.