SEGREGATION

CATEGORY DESCRIPTION/EXAMPLE
Non-risk/ Infectious Waste :
Dry waste All domestic waste : paper, food packing, cans.
Wet waste All domestic waste: vegetable peelings, left over
food
Sharps Syringes, blades, glass pieces, and scalpels.

Infectious Waste :
Clinical waste Human/animal tissue, excretion, contaminated
drugs, swabs, dressings, disposable gloves, mask.
Pathological waste Highly infectious, pathological and anatomical
waste ex. Blood, bloody fluids, body parts, human
organ.
Radioactive Generated from nuclear medicine.
Chemical waste Reagents, cleaning and disinfecting products.
Colour Coding System
TYPE of Waste Colour of Container Description

General HC waste (dry) Black Non-infectious dry waste

General HC waste (wet) Green Non-infectious wet waste

Sharps Marked “ SHARPS” Sharps and pressurized

Red containers

Hazardous waste (infectious) Yellow Infectious and

Pathological

Radioactive Orange Radioactive waste

 POLICIES AND PROCEDURE
EMERGENCY ROOM
1. WHEN THE PATIENT COMES TO THE ER FOR TREATMENT / ADMISSION, THE NURSE
INTERVIEWS THE PATIENT OR REPRESENTATIVE THEN LISTS THE PATIENT’S VITAL SIGNS AND
WEIGHT AND ALSO ASSESSES THE PATIENT’S GENERAL CONDITION.
2. The nurse notifies the PGI/Junior Consultant in charge of the patient’s condition.
3. The PGI/ JC in charge will examine the patient and the JC on duty notify the Attending
Physician.
4. The nurse renders necessary treatment and care as ordered by the JC or Attending Physician.
5. The nurse directs the patient’s relative or companion to admitting office for admission.
6. If the patient is alone and unable to go to admitting office the admitting clerk may come to
the ER to process and complete the patient’s admission data and the assign admission
number and room to be given.
7. The nurse informs the nurse in charge of the unit where the patient is to be admitted. A
COMPLTE REPORT ABOUT THE PATIENT SHALL BE GIVEN. The ID band should always be
checked. The ER nurse will inform the Dietary section regarding the patient’s diet.
8. The nurses shall check that the patient or his authorized representative, signs for consent for
admission.
9. For STAT orders, the ER nurse is responsible for carrying out orders, making prescription for medicines,
starting IV fluids as ordered, informing laboratory personnel for blood works, give instructions collecting
specimen/urine, stool and sputum, informing respiratory therapist for ABG and inhalation, and sending to X-
RAY department when needed.
10 . If the patient is a medico- legal case, the nurse must inform the security guard on duty for proper
reporting to the police department and supervisor on duty.
11. If the patient is for admission to ICU, a clearance/ approval must be secured from the accounting
office/ admitting section.
12. If the patient is for STAT surgery, a patient or relative must secure surgical approval clearance from the
accounting office/ admitting section.
13. For surgical patient, a surgical consent must be duly signed by patient or his legal representative. If the
patient cannot write , a right thumb mark is secured and it should be properly witnessed by the nurse.
14. For STAT surgery, all pre-operative preparation should be done in ER, unless with special
instructions/order from surgeon or Anesthesiologist.
15. Operating room staff nurse must notified of the said surgery approval.
16. ER nurse must accompany the patient to OR and endorse patient to OR nurse.
17. All OB-GYNE patients are taken directly to labor room for examination by the JC incharge. ER nurse must
notify the DR staff of the coming patient. DR staff is responsible for admitting the patient and inform the unit
in-charge of her room.
18. If the patient died in the ER the JC must fill up the Provisionary Death Certificate form and the death
certificate .
19. The nurse records the following data in the ER log book.
20. In case of “ MAYDAY” or CODE dial 7252 and state the case of the patient.
Ex. MAYDAY or CODE BLUE medical care ER.
21. The monthly statistics of ER admissions must be pass to the DIRECTOR of Nursing then to be submitted
to Service Director.
 ER POLICIES
1. All emergency cases reaching the hospital must be properly and promptly
attended to and managed accordingly
2. Emergency room service must be opened and manned 24 hours a day by
experienced nursing and medical personnel.
3. Patients needed institutional care must be admitted and patients to be sent home
must be given advice for follow-up in the OPD.
4. In case of emergency, JC and nurses who are not busy and are present in the
vicinity of the ER should attend to the case not withstanding what department
he/she belongs.
5. Police notification of the medico-legal cases will be the responsibility of the nurse-
supervisor in the ER.
6. Patients in emergency conditions and who at the time cannot afford to buy his
drugs must be given emergency drugs.
7. All physicians and nurses must be properly attired for easy recognition by the
patients. Doctors on 24 hours duty must wear a smock gown.
8. Patients valuables should be handed to the family ,in case no relative the nurse
should kept it in the envelope and labelled properly.
 PATIENT FLOW DIAGRAM IN ER
ADMISSION ( IN-PATIENT)
Patient ------------> Nurse -----------> PGI ------------> Junior Consultant

Relative/Patient Attending Physician

Admitting Office STATION

Billing

Cashier

NURSE
 THANK YOU
• BETTY ROSE B. FLORES
• OFFICER IN-CHARGE OPD/ER
• INFECTION CONTROL COORDINATOR