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Emergency Medicine Department

The Emergency Medicine Department (EMD) is the receiving department for all emergency referrals and cases at Muhimbili National Hospital. The department has been open since January 2010. The EMD is the first and currently only full capacity Emergency Medicine Department in Tanzania having emergency physicians available in the department for 24-hours every day including weekends, and to serve to treat critical ill patients, conduct research in emergency medicine, as well as train emergency care providers for the country. The EMD in collaboration with other stakeholders serves as the commanding and tertiary receiving center for mass causality incidents around Dar es salaam and Tanzania at large.

Emergence Medicine Department (EMD provides services for acutely ill patients with a potentially life threatening conditions. The EMD aims to stabilize critically ill patients and manage them for a maximum of 24 hours before referral to an inpatient ward, intensive care, outpatient clinic or medical evacuation if possible for further diagnostic and treatment.

1.1 Organization:

The EMD has a main unit with triage, treatment and resuscitation areas, Mass causality area and an Emergency Operating Theater. The main unit has a total of 70 nurses, 18 Registrars, 18 Residents, 8 Emergency medicine specialists, 1 Super specialist and 28 Health Attendants.

The Emergency Operating Theater has 8 Nurses and 8 Health Attendants with specialist anesthesiologists and surgeons rotating from the MNH departments. Training programs for all staff are ongoing and visiting foreign Emergency physician and nurse providers (from USA, Canada and South Africa)are present as mentors and faculty in the department.

1.2 Core Functions:

1.2.1 Triage Area

  1. To receive referral and emergency cases.
  2. To collect data and rapidly assess patient condition in order to prioritize and initiate appropriate care.
  3. Transfer patients to the appropriate EMD area, treatment or resuscitation.
  4. In non-emergency cases, send patients to the cold casualty or Out-patient department.

1.2.3 Treatment Area.

  1. To treat priority and queue patients; patients with conditions that are not immediately life threatening but must be attended within 24hours.
  2. Patients will receive a doctor consultation, nursing care and interventions according to priority.
  3. Additional investigations may be ordered and initiated.
  4. Specialist consultations, in addition to Emergency, may be called in the EMD depending on patient condition.
  5. Patients’ admitted to appropriate ward or discharged with follow-up instructions according to their condition.

1.2.4 Resuscitation Area.

  1. To treat emergency patients with immediately life-threatening conditions.
  2. Patients receive a doctor consultation and nursing care and interventions immediately.
  3. Additional investigations may be ordered and initiated.
  4. Specialist consultations, in addition to Emergency, may be called in the EMD depending on patient condition .
  5. Patients’ transferred to operating theater, admitted to appropriate ward or discharged with follow-up instructions according to their condition

1.2.5 Mass causality area.

  1. To receive all the causalities from the site of accident .
  2. To triage all the causalities and channel them to appropriate sites.
  3. To act as an overflow site for patients that are in treatment.

1.2.6 Emergency Operating Theatre.

  1. To provide minor and major surgical services for patients with emergency surgical needs from the EMD
  2. To observe and care for patients through the post-surgical recovery period.
  3. To transfer patients to the Ward.

Guiding Principles

Integrity

MNH has a social responsibility to improve the health of future generations. Guided by fundamental ethical principles of access and equity and in compliance with related laws and regulations, MNH will work with integrity in the pursuit of high quality clinical services. Respect Our patient and our workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication, and institutional teamwork at all levels within the organization. .

Respect

Our patience and workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication and institutional team work at all levels within the organization.

Quality

MNH will accomplish objectives by using all available resources to continually ensure best value for patients and stakeholders. This strategic planning process directs available resources to achieve strategic goals in the most cost effective manner. MNH shall collaborate with the Ministry of Health (Government), Muhimbili University College of Health Sciences (MUHAS), Muhimbili Orthopaedic Institute (MOI), Ocean Road Cancer Institute (ORCI), the Dar es Salaam Municipal and other referral hospitals to deliver the highest quality services within existing resources.

Security

MNH is committed to ensure the security of the Hospital. MNH will work proactively with patients, employees, and Hospital security officials to maintain a secure work environment for patients, staff, and Hospital assets.

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