|Phone:||Emergency dial - 911|
|Office hours:||24 hours a day, 7 days a week|
Important Phone Numbers:
|EMERGENCY DIAL - 911||UNITED HEALTHCARE FOR MILITARY AND VETERANS - 877-988-9378|
|CENTRAL APPOINTMENTS - 866-460-5305||PATIENT REPRESENTATIVE - (760) 380-4876|
|MON, TUES, WEDS, FRI 0700-1600|
|11TH ACR AID STATION|
The Emergency Department is an 8 bed/6 room facility that serves a population of 16,000 and provides care for an average of more than 40 patients every day. Our goal is to offer the best medical care possible in a friendly, professional environment to every patient that comes to our department. Our staff is made up of civilian and military physicians, military and civilian Registered Nurses (RNs), and military Medics (68W).
The way we determine who will be seen first is based upon the concept of triage. Triage is a French word meaning "to sort". When used medically, it means to see the sickest, or potentially sickest, patients first. This assumes that patients get the right care at the right time. In the Emergency Department, we use four triage levels:
- EMERGENT - Patients requiring immediate attention to prevent loss of life, limb, or eyesight. Examples would be CPR being performed, severe bleeding, or someone close to losing their airway.
- URGENT - Patients who have the risk to deteriorate into life-threatening conditions, such as loss of life, limb, or eyesight without timely care. Examples of this would be an asthma attack, someone experiencing chest pain, certain pediatric conditions, or a severe bone fracture. This category also includes mental health emergencies as well as highly sensitive presentations, such as Sexual Assault victims.
- NON-URGENT - Patients who have developed a minor illness or injury over the past 24-48 hours or an illness or injury those that poses no threat to loss of life, limb, or eyesight. For example a school-aged child with a fever, a two-day old minor injury such as a sprain, or chronic back pain that has been unchanged for several weeks.
Patients enrolled to a Primary Care Manager (PCM) should use Sick-Call procedures (for Active Duty,) use Tricare Online, call central appointments at 866-460-5305 or utilize the Nurse Advice Line at (800) TRICARE (874-2273) before coming to the Emergency Department. This will prevent an excessive wait and allow you to see your regular provider.
- ROUTINE - This category is for non-urgent complaints that might be better served by the patient's PCM. Examples include patients requesting medication refills, requesting specialty referrals, or other routine healthcare needs. Routine patients should follow the above procedures to avoid an excessive wait and allow you to see your regular provider. Most times a patient with a ROUTINE complaint will be triaged and if found to be stable, will be directed to follow up with their PCM.
When you do come into the Emergency Department for care you will first be logged in by a medical clerk or a Medic at our front desk. You will be screened, which includes your vital signs and a few simple questions about your condition. The Medic will then bring your chart to the RN in charge of the shift for that day. The RN will do an initial review of your information and assign you a triage level according to the reasons you came to the Emergency Department today, your past medical history, and your current physical condition.
The patients we see first are determined by the triage level assigned to a patient, NOT BY THE ORDER OF ARRIVAL in the Emergency Department. Critically ill patients (Emergent and Urgent) are often very time consuming and require extensive exams, tests, treatments, and consultations, which may not allow the physician on duty to take care of other patients at the same time. This is why wait times in the Emergency Department can exceed 3-5 hours. We ask you for your understanding as we see our critical patients first.
Please keep the folowing in mind when you come to the Emergency Department:
|a.||A “critical” or “urgent” patient may not always appear “gravely ill” to you as you sit in the waiting room. Our staff is trained to use multiple different pieces of information, beyond external appearances, in order to accurately triage patients.|
|b.||Emergency Department patients come to us via 911 ambulance, helicopter and tactical vehicles. Just because you haven’t seen any other patients arrive during the time you have been waiting, does not mean patients haven’t come in through another entry point.|
|c.||We also cover medical emergencies for the Soldiers training in “the Box”. Expect that wait times can increase significantly whenever there is a Rotation on post.|
|d.||Method of transport to the hospital will not affect your triage category. All triage assignments will be based on the patient's history and symptoms. Patients will be seen according to their triage category.|
Please know that we in the Emergency Department are committed to providing the highest quality care possible, we work as quickly and as safely as we can to see all patients in a timely manner. We are all members of the same Fort Irwin community and partners in service to the Army and Nation.