Bon Secours Memorial Regional Medical Center 1

Part of Bon Secours
255 Bed, Community Hospital
74,000 Annual Visit ED
49 Bed ED (main side, fast track, hallway)
- 33 private, monitored, Main Side rooms
- 8 private, monitored, Fast Track rooms
- 8, monitoring capable, Hallway beds
- ED last renovated in 2003.
APPs work both on the Main Side and Fast Track
100% Scribe coverage for both EMPs and APPs
8% of ED population is PEDs
15% admission rate (combined true hospital admits and observation admits)
Hospitalists admit 85% of the admitted patients in the hospital.
EPIC EMR System
VCU EM Residents rotate through the ED as part of their community ED rotation
ED Director sits on the Medical Executive Committee
US Machines in the ED
- Currently doing procedural and screening diagnostic scans – not billing for ED ultrasounds at this point.
- US Director on staff
PACS radiology film reading on site
Sedation Agents used: Propofal, Versed, Ketamine, Etomidate
RN to Patient Ratio: 4 RNs to 8 beds (peak); 3 RNs to 8 beds (low)
Splinting done by EMPs and RNs

3 CT machines located in the ED
Plain Film Suite in the ED
Designated a Primary Stroke Center
- TPA given with in-house neurology.
- Receiving hospital for stroke patients

STEMI Center
- 3 In-House Interventional Cath Labs
- Receiving hospital for STEMI patients
- 95% complaint less than 90 minutes
RN to Patient Ratio: 1:4
Tech to RN Ratio: 1:2
Splinting is done by the Physicians (for billing purposes)
24/7 In-House Coverage for the following:
- Psych Social Workers
  - EMPs medically clear pts, they finalize everything and find placement
  - No in-house psych beds
- Radiology – 24/7 in-house real-time reads for all scans
- CT
- Ultrasound
- MRI
- Hospitalist
- Anesthesiology
- ICU
  - 45 bed ICU
- NICU
- OB-GYN
- Neurosurgery
- Neurology
- Opthomology
- Ortho
- Oncology
- Laparoscopic Surg.
- General Surgery
- Urology
- Hand Surgery
- Spine Surgery
- Thoracic Surgery
- Gastro
- Vascular Surgery
- Pulmonology
- Nephrology
- Colon-Rectal Surgery
On-Call only:
- Opthomology (24/7)
- Plastics (8a-5p)
- Cardiology (24/7)
- Oral/Facial Surgery (24/7)
- Cardiothoracic Surgery (24/7)
- ENT (24/7)
Currently Lacking:
- Pediatrics (no in-house PEDs unit)
  - PED admits are sent to St. Mary’s
- PICU
- Trauma
Good Lab Turnaround times
Point-of-Care Labs in the ED:
- Chem Eight
- Creatinine
- Lactate
- BNP
- Hemocult
- Gastrocult
Glidescope in the ED
Booje in the ED
RN Protocals used in Triage
Provider in Triage (APP)
- Enables door to provider times of less than 1 minute

Also have direct-to-bed policy, which bypasses Triage if beds are available (10a-10p)

Patient Population:

Important Links

Alteon Health