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Emergency Medical Services and Procedures

The Upper Valley Medical Center (UVMC) Emergency Department (ED) has a variety of procedures and services in place to ensure that patients receive quality care as quickly as possible.

UVMC receives patients from EMS departments throughout the northern Greater Dayton region. EMS services in the northern region are capable of providing care for various ages of patients and levels of severity. Patients suffering from severe injury or illness are immediately evaluated by the ED team with appropriate treatment initiated and if needed, transferred to a Premier Health Partner hospital for the specialty services required. The highly collaborative teamwork between EMS personnel and the ED team ensures a smooth transition for quality and safe care for all patients in need.

Triage

Patients who walk into the Emergency Department are evaluated by experienced Nurses to determine the level of care needed.

Patients with more severe illnesses are taken to one of our private Major Care treatment rooms based on the level of severity.

Behavioral Health

The UVMC Emergency Department has designated rooms and Behavioral Health Professionals to provide quality care to meet the needs of patients experiencing a behavioral health emergency. This service is available 24/7 in the Emergency Department.

Disaster Preparedness

UVMC is committed to support and protect the community and its employees in the event of an external disaster. UVMC has a comprehensive system for handling hazardous materials (hazmats), beginning with the START process, Simple Triage and Rapid Treatment.

All Emergency Department staff are trained on how to respond to hazardous materials situations. Training includes the use of different types of personal protective equipment, decontamination equipment and procedures, and the employee’s responsibility during the decontamination process.

UVMC has several resources available for hazardous materials emergencies:

  • A dedicated decontamination room, which is located on the outer perimeter of the Emergency Department
  • Chemical, Biological, Radiological, and Nuclear protective suits
  • Powered air-purifying respirators
  • N95 masks
  • Mobile decontamination unit
  • Local resources readily available include the Miami County Mobile Haz Mat unit and the GDAHA Mobile Decontamination trailer

Streamlined Decontamination Process

UVMC’s new mobile decontamination system can be set up anywhere, and each line consists of three interlocking privacy tents. Tent One is for undressing, Tent Two is pre-plumbed for water, and Tent Three is set up for changing into clean clothing after decontamination. Along with new portable tents, the UVMC ED has fixed, heated decontamination rooms with hot water, two ceiling-mounted shower heads, and a shower wand. This room is also large enough to accommodate patients restrained on a back board brought to the department via EMS.

Chemical, Biological, Radiological, and Nuclear (CBRN) Suits

UVMC stocks new CBRN protective suits to safeguard staff from a wide range of situations that may arise in the ED. These new CBRN level-B chemical suits are pre-packaged with boots, gloves, chemical tape to seal seams, and four iodine tablets.

PAPRs

A supply of PAPRs is stocked to provide respiratory protection for staff members. These PAPRs are chemical resistant and can be worn for 12 hours on one battery charge.

N95 Filtering Masks

N95 masks, including 3M model 1860 and AO Safety’s Pleats Plus respirators, have been stocked for respiratory protection against airborne diseases. Each year all staff members are fit-tested using quantitative procedures to ensure that each staff member is wearing the proper size mask.

Telemedicine

UVMC recently started using telemedicine for the care of stroke patients. After examination by the Emergency Department Physician, this technology allows immediate visual and verbal communication between the patient exhibiting signs of a stroke and a Neurologist who may be working at another Premier Health site or even from his/her home at the time of the call. The addition of this service can greatly enhance the outcome for patients with the diagnosis of stroke.  Having this technology “can truly enhance the quality of life for our stroke patients,” said Yvonne Baker, Manager of the Emergency Department.

Rapid Assessment Area

If all Emergency Department beds are full from 3 p.m. – 11 a.m., an area in the Emergency Department is dedicated for the purpose of rapid assessments of Emergency Department patients. Patients with the most minor illness or injury may be assessed, treated, and discharged from this area of the Emergency Department while others will be assessed and tests may be ordered in this area while the patient waits for an available Emergency Department bed.

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