About us
The A&E department at the Hospital CIMA is made up of a multidisciplinary team designed to give each patient the best quality of care possible. We handle medical/surgical emergencies in children and adults, trauma and gynaecology/obstetrics care.
The objectives of the Emergency Service are to ensure the lives of our patients are “longer, healthier and happier”, as well as improving the professional quality of the personnel working there. To do so, we try:
- To analyse on a constant basis the working and organisation of the unit in order to offer/obtain the highest care quality and maximum safety of our patients, by improving:
- response times according to seriousness level
- information and communication given to patients and those accompanying them
- waiting times for ward admissions and care during this period
- To achieve a position of leadership within the organisation, strengthening the value of the people and the team, based on commitment and work, in order to achieve maximum satisfaction for our patients.
- To enter into agreements and collaborate with other care units in order to improve the position and expansion of our own.
- To develop an attractive training plan which is in line with the needs and aims of the Service.
- To develop a plan for research and dissemination of knowledge in areas outside the unit.
- To focus on innovation and creativity.
- The time it takes to receive medical attention will depend on the pressure on the unit at that time and the seriousness of the medical condition.
- Patients will go through both to triage and to the examination area accompanied by just one person (two if the patient is a child).
- Complementary tests may be requested during assessment of patients, who must wait their turn in the waiting room or in the examination area, according to medical criteria. If the diagnostic tests are performed outside the examination area, the person accompanying the patient must wait in the waiting room until they are performed.
- Out of respect for the privacy of the other patients, the doors of the examination areas will remain closed and those accompanying patients will be authorised to enter. For this reason, they must wait inside the examination areas and not in the hallways.
- Upon discharge, all patients will be given a medical report on the care provided or of their request for voluntary discharge.
Portfolio of Services
The medical team uses up-to-date evidence-based medical criteria in accordance with different national and international clinical guidelines. In addition, it actively participates in the various scientific and teaching activities which are undertaken at the hospital and within Sanitas.
The A&E department has developed action protocols for different conditions (neurological, cardiovascular, pulmonological, digestive, urogenital, trauma and orthopaedic, endocrine/metabolic conditions, etc.) and in many cases they have been agreed with other departments at the hospital, such as the ICTUS code (with Neurology and Intensive Care) and the HEART ATTACK code (with Cardiology and Intensive Care).
Within the department, different diagnostic procedures are carried out:
- Taking and monitoring of vital signs (temperature, blood pressure, heart rate, oxygen saturation, respiratory rate).
- 12-lead or continuous electrocardiographic monitoring.
- Peripheral and central venous catheterisation for ion of blood samples or administration of medication.
- Arterial puncture for ing blood samples.
- Urinary catheterization for monitoring diuresis.
- Nasogastric catheterisation.
- Ocular fundus.
- Otoscopy and rhinoscopy.
- Emergency ultrasound assessment according to different protocols.
- Lumbar puncture.
- Paracentesis.
- Thoracentesis.
- Arthrocentesis.
Therapeutic procedures are also performed:
- Sutures of wounds of the skin and subcutaneous tissue, which are not complicated, without al or cosmetic repercussions.
- Treatment, stopping bleeding and monitoring healing wounds.
- Extraction of foreign bodies in skin.
- Simple ion and curing of corneal foreign bodies.
- Simple ion of foreign bodies in the oropharyngeal cavity, nasal cavity and ear canal.
- Dressings, immobilisation of limbs and splints.
- Multiple trauma patient care.
- Administration of aerosols with air and oxygen.
- Administration and handling of emergency medication.
- Local/topical anaesthesia, and analgesia.
- Non-invasive ventilation.
- Cardiorespiratory arrest care.
- Care for patients with life-threatening emergencies.
- Cleaning, hygiene and care procedures and protocols.
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