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Hospital Universitario La Moraleja Madrid

Accident and emergency

Approximate waiting times in Accident and Emergency at the Hospital Universitario La Moraleja
  • Generales0-15 min
  • Gineco-Obstétricas0-15 min
  • Pediátricas0-15 min
  • Traumatología0-15 min

 

We place at your disposal this new service enabling you to consult online in real time the waiting time for the different A&E services. The time indicated is the approximate average waiting time in the last hour for the A&E services indicated.

The Accident & Emergency department of the Hospital La Moraleja is made up of a multidisciplinary team in order to give each patient the best quality of care possible. We care for medical/surgical pathologies in children and adults, and trauma and gynaecological/obstetric pathologies.

The objectives of the A&E department aim to ensure that the lives of our patients are "longer, healthier and happier", as well as improving the professional quality of the staff working in it. Therefore, we try:

  • Constantly to analyse the ing and organisation of the unit in order to offer/obtain the maximum quality of care and maximum safety of our patients, improving:
    1. care times according to the level of severity
    2. the information and communication given to patients and those accompanying them
    3. waiting times for ward admission and care during this period
  • To attain 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 the maximum satisfaction of our patients.
  • To formalise agreements and partnerships with other care units in order to improve the position and expansion of our own.
  • To develop an attractive training plan in harmony with the needs and objectives of the department.
  • To develop a research and knowledge dissemination plan in areas outside the unit.
  • To focus on innovation and creativity.

This is the procedure that the patient will follow in A&E, step by step:

  • First, reception and registration at A&E admissions.
  • An initial consultation will be carried out by trained nursing staff who will determine the level of severity, currently using the Spanish Triage System (SET, for the Spanish acronym), and assigning the most adequate specialist according to age, triage level and medical problem.
  • Next, the patient will be assessed by the medical staff in the corresponding area, who will establish the diagnostic/therapeutic approach.
  • After the initial medical intervention and depending on their medical problem, the patient may:
    1. be discharged from hospital, or
    2. kept under A&E observation for a better clinical control or completion of the diagnostic study, or
    3. admitted to a hospital ward.
  • The waiting time to receive medical care will depend on the pressure on the department at the time and on the severity of the problems.
  • Patients will go through both triage and the different areas accompanied by a single person (two if the patient is a minor).
  • During the assessment of the patient, complementary tests may be ordered, and the patient must await their turn in the waiting room or the examination area, according to medical criteria. If the diagnostic test is performed outside of the examination area, the person accompanying the patient will wait in the waiting room until it is performed.
  • Out of respect for the privacy of the other patients, the doors to the examination areas will remain closed and the individuals accompanying patients will be authorised to enter. For the same reason, they must be within the examination areas and not in the hallways.
  • Upon discharge, all patients will be given a medical report of their care or of their request for voluntary discharge.

Mission:

To provide comprehensive care to patients in the different stages of their lives, both in control and curative aspects in their full scope and severity, as part of a multidisciplinary and integrated approach, applying the most modern diagnosis and clinical action procedures and standards, seeking excellence with care focused on the patient.

Vision:

To make the A&E department a leader and benchmark in this field in private medicine in Madrid, the philosophy of multidisciplinary work as opposed to the obsolete individual approach becomes a reality. As part of this, aside from our tradition of teamwork, we consider it a privilege to have the support of a company such as Sanitas, with a long-standing tradition of work always at the service of the patient.

We can distinguish the following zones and/or areas:

  • Lobby: reception area for patients in which the reception er is located.
  • Spacious waiting rooms for families and patients who do not a trolley, with public telephones and toilets, with nappy-changing areas for babies.
  • Classification and initial treatment area (Triage): examination room with a bed and other important elements. This area is the need for urgent care of all the patients who come to the department is filtered, except for those who are immediately transferred to the "critical cubicle" due to the severity of their condition.
  • Critical cubicle: very accessible but isolated. It is set up immediately to care for patients in cardiac arrest or with another life-threatening emergency. It is equipped with the sufficient resuscitation equipment, including a defibrillator, respirator and a crash cart. It is a larger cubicle than the rest to allow easy access to staff.
  • Cubicle/Consultation Room Area: offices with a bed and other important elements, the care is actually provided. The basic equipment thereof s:
    1. outlets for oxygen and vacuum with their accessories at all beds
    2. wall and mobile sphygmomanometers, stethoscopes and otoscopes
    3. gastric and tracheobronchial aspiration equipment
    4. trolley
    5. office desk with computer and printer
  • Seating Area: rooms with several mobile, reclining chairs for the temporary placement of patients requiring intravenous treatment or aerosol therapy. Therefore they supports for I.V. and medication, and outlets for oxygen and vacuum with their accessories at all chairs.
  • Observation/Beds Area: with several cubicles for short stays, patients with unclear emergency symptoms will be kept under observation to await their development over the next few hours or for fast recovery treatment not requiring admission. The basic equipment s outlets for oxygen and vacuum, electrical outlets for radiological examinations and a trolley with fold-away headboard and side rails allowing the subsequent transfer of the patient.
  • Nursing posts: with direct external telephone line, emergency medication kit, linen storage and supplies.

The medical team uses evidence-based medical criteria d according to different national and international clinical guidelines. Furthermore, it participates and collaborates actively in the different scientific and teaching activities carried out at the hospital and at Sanitas.

The A&E department has action protocols in place in view of different pathologies (neurological, cardiovascular, pulmonological, digestive, urogenital, traumatological, endocrine/metabolic, etc.) and in many cases they are agreed with other departments of 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 performed:

  • Taking and monitoring of vital signs (temperature, blood pressure, heart rate, oxygen saturation, breathing rate).
  • Constant or 12-lead electrocardiographic monitoring.
  • Channelling of peripheral and central venous lines for ion of blood samples or administration of medication.
  • Arterial puncture for ion of blood samples.
  • Catheterisation for monitoring of urine output.
  • Nasogastric tube.
  • Ocular fundus.
  • Otoscopy and rhinoscopy.
  • Ultrasound assessment of emergencies according to different protocols.
  • Lumbar puncture.
  • Paracentesis.
  • Thoracentesis.
  • Arthrocentesis.

Therapeutic procedures are also carried out:

  1. Surgical:
    • Uncomplicated skin and subcutaneous tissue wound sutures without al or cosmetic impact.
    • Treatment, sealing of haemorrhages and control of bleeding wounds.
    • Extraction of foreign bodies in skin.
    • Simple ion and treatment of corneal foreign bodies.
    • Simple ion of oropharyngeal cavity, nasal cavity and ear canal foreign bodes.
    • Dressings, immobilisation of limbs and splints.
    • Politraumatised patient care.
  2. Non-surgical:
    • Administration of aerosols with air and oxygen.
    • Administration and management of emergency medication.
    • Topical/local anaesthesia and analgesia.
    • Non-invasive ventilation.
    • Cardiorespiratory arrest care.
    • Care for patients with life-threatening emergencies.
    • Cleaning, hygiene and care procedures and protocols.

The medical team has vast teaching experience:

  1. Rotation of students of different Medicine programmes:
    • 1st-year paediatrics and gynaecology/obstetrics residents.
    • Universidad Francisco de Vitoria medicine students.
    • Medicine students from American Universities through the EUSA Programme.
  2. Completion of courses for healthcare personnel from the hospital and Sanitas:
    • Basic Life Support courses for healthcare teams.
    • Advanced Cardiovascular Life Support courses.
    • Basic Ultrasound in Emergency Medicine course.
    • A&E Update courses.

The A&E department at the Hospital Universitario Sanitas La Moraleja recommends following a balanced diet and exercising regularly. We have also d recommendation sheets for some of the most common conditions, for both paediatric and adult patients, which are usually given to the patient along with their medical discharge report. In any case, they can be obtained at the following links: 

Paediatrics:

  • Head trauma
  • Bronchiolitis
  • Acute gastroenteritis

Adult:

  • Head trauma
  • Thoracic trauma
  • Migraines/headaches
  • Acute gastroenteritis
  • Reno-ureteral or renal colic
  • Catheterisation
  • Dressings and immobilisations

Admission, access to certain specialist areas and tests will be by order of a doctor. Consult with your corresponding doctor.

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