Emergency Care Centre Guidebook This booklet provides information about our new hospital. Contents The Emergency Care Centre - designed by Introduction 2 clinicians, focussed on patients. Services in the Emergency Care Centre/Building plan 3/4/5 This booklet is for members of the Level 0 and Level 1 Layout 6/7 public, patients and visitors. Patient Benefits 8 It provides information on how services are provided in the Emergency Care Centre Staff Benefits 9 and how to access the new building. Which Service - Know Who To Turn To 10 Emergency Care Centre Patient Access 11/12/13 Travel and Parking 12 Catering 15 Smoking 15 Special Features of the Emergency Care Centre Building 16/17 Interesting Facts 17 Grampian Hospitals Art Trust and the ECC 18/19 Frequently Asked Questions 20/21 www.nhsgrampian.org/emergencycare Introduction Services in the ECC Welcome to NHS Grampian’s Emergency Care Centre (ECC). Emergency and urgent care has been carried out in a number The opening of this facility represents a major step forward in of various locations on the Foresterhill Health Campus: the modernisation of facilities and services on the Foresterhill • Primary care out-of-hours service (GMED) in the Health Campus as laid out in NHS Grampian’s Health Plan. David Anderson Building. (www.nhsgrampian.org/healthandcareframework) • Urgent minor injuries and emergency care in the The Emergency Care Centre brings together emergency and urgent A&E Department. care services into one building. Accident and Emergency (A&E), • Medical emergency admissions in the Acute Medical GMED (primary care out-of-hours service), NHS24 and services for Assessment Unit (Ward 49, Aberdeen Royal Infirmary). people who require urgent assessment and treatment are all in • Acute geriatric medicine in Woodend Hospital. the new building. The work that goes on in the building will also support the delivery of unscheduled care and treatment in other These services are now all brought together in the Emergency Care locations throughout Grampian. Centre and their co-location will enable patients to be cared for in the most appropriate service setting for their particular emergency or urgent care need. The centre has X-ray and scanning facilities as well as access to all laboratory services. There are comfortable waiting areas with drinks and snack facilities close by, health and carer information points and a children’s play area. New ward accommodation is provided on the upper floors of the Emergency Care Centre. emergency care centre | 2 emergency care centre | 3 Level 7 Ward 112 Haematology 112 7 Level 7 Ward 114 114 Oncology Level 6 Ward 110 Medical Specialities 110 6 Level 6 Ward 111 111 Infection Unit Level 5 Ward 108 108 Renal Medicine 5 Level 5 Ward 109 109 Cardiology Level 4 Ward 106 Seminar/Conference Suite Medical High Medical Physics Workshop Dependency Unit 106 4 (General HDU, GI Bleeding Unit , CCU) Level 4 Ward 107 107 Respiratory Medicine Level 3 Ward 104 Digestive Disorders 104 3 Endoscopy Suite Level 3 Ward 105 105 General Medicine/ Diabetes/Endocrinology Level 2 Ward 102 Geriatric Assessment Unit 102 2 Level 2 Ward 103 Level 1 Operational Centre 103 Short Stay Medicine (NHS24 & GMED) Radiology (Plain Film, Ultrasound) 1 1 Link to Phase 2 Level 1 Ward 101 (authorised access only) Acute Medical Initial Assessment/ 101 Observation Unit Level 0 Emergency Department Pharmacy Link from main ARI Entrance Entrances to Emergency Treatment, 0 0 Minor Injuries Unit/GMED Level 0 Fracture Clinic Ambulance Access to Link to Phase 2, ARI 0 Acute Medical Initial Assessment/Observation Unit Radiology (CT) Building Plan Services in the Emergency Care Centre Link to Phase 2 Restricted Main Visitor/Staff Entrance N access for movement of patients Follow signs from ARI main only (operational from 2013) entrance WE S Visitor & Staff Lifts Visitor & Staff Stairwell Courtyard Operational Centre Observation Unit Staff only Stairwell Pharmacy Acute Medical Imaging Initial Assessment Staff only Stairwell Staff only Stairwell Patient only Lifts Floor Plan - Level 1 Plan - Level Floor LEVEL 1 Office/Support N Link to Phase 2 ARI Visitor & Staff lifts Services Accommodation WE Visitor & Staff Stairwell S Courtyard Emergency dept Emergency Dept ReceptionFront of & House Entrances Waiting Area GMEDMinors & Minor Fracture Clinic Injuries Unit EmergencyMajors Treatment Staff only Stairwell CBRN Zone Imaging Dept CT Imaging Dept CT Imaging Dept Staff only Patient only Lifts Stairwell Joint Staff only Stairwell Resucitation Ambulance Entrance Unscheduled Care Floor Plan - Level 0 Plan - Level Floor Arrivals LEVEL 0 Patient benefits Staff benefits The modern design of the Emergency Care Centre creates the The Emergency Care Centre is a modern, state of the art facility perfect environment for the care of patients. designed in partnership with clinicians. It is the perfect backdrop to Benefits include: a positive working and learning environment. • Better experience for patients Benefits include: For urgent and emergency care patients the centre will provide • Increased opportunities to deliver care in innovative and early diagnosis resulting in earlier and more appropriate creative ways. treatment. Services will be able to work together in a more • Improved learning opportunities for staff in all aspects of organised way. emergency and urgent inpatient care. • Less risk of infection • Better working environment, with modern facilities and, The accommodation in the new Emergency Care Centre is where appropriate, new equipment. predominantly in single rooms with en-suite facilities. • Improved security. This will reduce the likelihood of healthcare acquired infection. • Integrated working leading to increased career opportunities. • Reduced admissions/shorter stay in hospital • Enhanced opportunities for multi-disciplinary team working With more diagnostic, treatment and care services becoming and training. available in the community, more patients are likely to be treated • Enhanced support for clinicians. without the need for admission to hospital. • Privacy and dignity The Emergency Care Centre will deliver clinical care in a modern environment. Maintaining patient dignity and privacy has been an important element of the design process. emergency care centre | 8 emergency care centre | 9 Which Service – Know Who To Turn To Emergency Care Centre Patient Access When you are ill or injured it is important that you go to the right 999 Ambulance service to ensure you get the right advice, treatment and support Patients arriving by ‘999’ emergency ambulance will enter the for recovery. NHS Grampian’s ‘Know Who to Turn To’ information Emergency Department via the dedicated ambulance entrance on leaflet and website (www.know-who-to-turn-to.com) gives the west side of the building. This leads directly to the Emergency practical advice on which service to contact to get help with illness Treatment and Joint Resuscitation Area. and injury. By Car or on Foot The Emergency Department in the Emergency Care Centre provides Patients arriving by car or on foot will enter the Emergency care for people with symptoms of serious illness or who have been Department at the walk in entrance on the west side of the badly injured. building. The adult Emergency Department, the Minor Injuries The Minor Injuries Unit in the Emergency Care Centre provides care Unit and GMED will share a single reception. Staff at the reception for people with urgent minor injuries. There are 15 other minor desk will ensure patients are directed to the most appropriate service. There is a drop off zone in front of the entrance and there injuries units in the Grampian area. are a small number of parking spaces adjacent to the Emergency The GMED out-of-hours service will move from the David Anderson Care Centre for patients and relatives to park. All other visitors Building into the Emergency Care Centre. There are 6 other GMED should use Car Park 2, the main visitors’ car park off Foresterhill units in Grampian which provide out-of-hours care to patients who Road. are too ill to wait until their GP surgery opens. To access the GMED service telephone NHS 24 on 08454 242424. Returning to the Fracture Clinic Patients returning to the Fracture Clinic will enter by the Emergency Department ‘walk in’ entrance on the west side of the Emergency Care Centre. emergency care centre | 10 emergency care centre | 11 Emergency Care Centre Patient Access (cont) Patients referred by GP On entering ARI from Foresterhill Road follow signs for the Patients arriving by ambulance as ‘planned emergencies’ eg Green Zone down the main staircase to the main hospital corridor. referred by a member of the primary care team, will enter the Continue along the main corridor until directed right to the building via the dedicated ambulance entrance on the south side Emergency Care Centre. Use the lifts or stairs to ascend to other of the building. From there they will be transferred to the Acute levels. These lifts and stairs are the only access for visitors. Medical Initial Assessment/Observation Unit on the first floor There is a separate set of lifts dedicated to the transport of patients. using the dedicated patient lifts. Patients referred to the Acute Staff not involved in the movement of patients will also use the Medical Initial Assessment/Observation Unit who arrive by car or visitor lifts. To access the Emergency Care Centre from the on foot will enter by the main Aberdeen Royal Infirmary entrance Phase 2 building of Aberdeen Royal Infirmary use the lifts or stairs off Foresterhill Road and follow signs to the Green Zone and the to descend to the basement of Phase 2. Follow the signs for the Emergency Care Centre along the main ARI corridor. Green Zone and Emergency Care Centre to the visitor lifts and stairs. Children Visiting Times Children requiring emergency care will continue to be seen in The accommodation in the ECC is mostly in single rooms.