What Happens at Accident and Emergency in Hospital?

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At one point or another, as a result of perhaps a fall or a broken bone, it is possible that you will need to go to an Accident and Emergency department.  In fact, according to NHS statistics:

  • Between 2012 and 2013, over 18.3 million people went to an Accident and Emergency department in the UK
  • 1% of these patients referred themselves to A&E
  • Interestingly, over 7.9 million A&E attendees were under the age of 29
  • Just under half of A&E attendees were male
  • 8 million of all Accident and Emergency attendances were then admitted to hospital
  • Overall, 10.8 million of all attendees to an A&E during 2012-2013 were then discharged
What Happens at Accident and Emergency in Hospital
Process at Accident and Emergency

What is the Process at Accident and Emergency?

In the UK, A&E departments can be visited 365 days of the year, 24 hours a day. Here are the steps that are usually taken when arriving at Accident and Emergency:

Register – Unless you arrive by ambulance at a department, you will be asked to sign in and register at the reception desk. You will be asked a few questions such as why you are visiting the department today as well as your name and address. If you have attended the A&E department before, the registrar may also check your health records at the same time.

However, in the event that you do arrive by ambulance, the ambulance crew will report to the hospital on your behalf whilst en-route to the department.

Triage – After registering at the reception you will usually be pre-assessed by a doctor or nurse before things are taken to the next stage. You will be assessed to determine if your condition requires you being seen as soon as possible. It is important to remember that patients are seen in order of priority, not the time of arrival at the department. Waiting times are up to four hours (from arrival to admission), however if A&E is extremely busy, this may be longer.

In addition, arriving by ambulance to A&E does not necessarily mean you will be seen sooner than if you had arrived yourself, as the same rules apply. So, if you are not in a life-threatening or serious condition, you will be prioritised according to other patients also needing to be seen.

Treatment, Discharge, or Transfer

After attending triage, there are a series of next steps that may be taken, depending upon the results of your assessment. In certain cases, you may require further tests before any decisive course of action can be taken.

The doctor or nurse may decide to send you to a nearby urgent care centre, if they feel that your situation is not an emergency or serious accident, in order to reduce waiting times at A&E and it will ensure you are treated quicker and more efficiently too. In other cases, you may be given a prescription and sent home, or asked to follow up with a GP referral to monitor your condition and then discharged.

If the results of your assessment reveal that your situation requires further urgent medical attention, you may be then transferred to a specialist unit at the hospital, or seen by an A&E doctor.

Treatment, Discharge, or Transfer
How Can I Find My Nearest A&E Department

How Can I Find My Nearest A&E Department?

This depends on how you arrive at the hospital. For example, if you dial 999, then the ambulance will decide on the hospital deemed most appropriate, which is not always closest to your home. However, if you are able to get there yourself, you can use the find services search on the NHS website to find the nearest department. It is important to check this first as it is not always the case that the closest hospital to you has an A&E department.

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