St. Michael’s storeys: building the emergency department 3.0

St. Michael’s storeys: building the emergency department 3.0


My name is Glen Bandiera, I’m the chief of
Emergency Medicine at St.Michael’s Hospital. For me, patient care is doing the most that
we can for each and every patient to meet their individual needs and that of their families.
St. Michael’s 3.0 will allow the Emergency Department to expand significantly, and have
two major treatment areas – one for patients who can ambulate on their own, and one for
patients who need to stay on stretchers. We’re also going to have a specially-built area
for mental health patients to meet their specific unique needs, and we’re also going to have
what we call a rapid assessment zone model, where patients are only in treatment rooms
as long as they need to be, and we minimize waiting, and we minimize blockage of rooms
so that all patients can get into a room quickly and get out of the room quickly, so that they
can move on to investigations, treatment and disposition into the community. The other
thing that we’re going to have in the St. Michael’s 3.0 Emergency Department is a state-of-the-art diagnostic imaging facility right in the Emergency Department, so patients will no longer have
to leave the department to get a CT scan or an ultrasound. It will make patient care a
lot better, a lot safer and a lot faster. Family-centred care is very important to us
in emergency medicine because people come to the Emergency Department at one of the
most critical and stressful times in their lives, and it’s important for them to have
family members with them to insure that they are well looked after, well cared for and
supported during their stay in the Emergency Room. The design of the St. Mike’s 3.0 Emergency
Department is predicated on patient and family comfort. At the moment, we don’t have space
for patients to sit with their family that’s quiet and confidential. In the new Emergency
Department, every room will be a private room with doors and walls instead of curtains so
that the stay in the emergency room will be much quieter and much more confidential for
the patients. The St. Michael’s Hospital 3.0 Emergency Department will continue to meet
a very diverse mandate. We have a large and growing inner city population, but we also
support many regional programs such as neurosugery, trauma, Code Stroke and Code STEMI for heart
attacks. It’s important that our Emergency Department be ready and able to meet the diverse
needs of all of these patient populations, and the new St. Mike’s 3.0 Emergency Department
will do exactly that.

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