Emergency

The Emergency Department at JDWNRH provides 24/7 emergency medical care with a highly skilled team of Emergency Physicians, General Duty Medical Officers, Clinical Nurses, Emergency Medical Responders, and support staff. Serving over 40,000 patients annually, the department handles cases ranging from life-threatening conditions requiring resuscitation and critical care to minor emergencies and urgent care.

Vision

To become a center of excellence in Emergency Medicine education, clinical care, and the development of leaders in emergency healthcare.

  • Provide high-quality emergency care for acute and life-threatening conditions.
  • Support professional development for all staff through continuous education.
  • Set and uphold the highest standards of emergency medicine.
  • Promote impactful research to advance emergency medicine pr.actice
  • Integrity: Committing to honest and reliable care for patients.
  • Evidence-Based Decision-Making: Applying knowledge in a culturally sensitive manner.
  • Accountability: Upholding responsibility and meeting commitments.
  • Collaboration: Engaging in interdisciplinary problem-solving.
  • Initiative: Constantly improving departmental effectiveness and focus.
  • Critical Thinking: Ensuring clarity, accuracy, and logical reasoning in care.
  • Professionalism: Committed to ethical, respectful, and high-standard behavior.
  • Caring: Demonstrating kindness and compassion.
  • Teamwork: Working collaboratively for the best patient outcomes.
  • Safety: Prioritizing safe practices in all procedures.

1. Triage Unit:

2. Resuscitation Unit:

3. Acute Medical Care Unit:

4. Short Stay Unit (SSU):

5. Minor Procedure Unit:

6. Minor Emergency Unit:

7. Emergency Pre-Hospital Care:

Patients are prioritized by urgency into four levels to ensure timely care.

Dedicated area for critical and life-saving procedures with two adult and one pediatric bed.

Urgent care for non-ambulant patients, seen within 30 minutes.

Observation and treatment for patients requiring less than 24-hour care.

Wound care, fracture casting, suturing, and other minor procedures.

Quick care for non-critical, ambulatory patients needing minor attention.

Emergency responders provide essential pre-hospital care during ambulance calls.

  • Triage Unit
  • Resuscitation Unit
  • Acute Medical Care Unit
  • Short Stay Unit
  • Minor Procedure Unit
  • Minor Emergency Unit
  • Emergency Pre-Hospital Care
  • Master’s in emergency medicine
  • Diploma in Emergency Medical Response
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS)
  • First Aid

Achievements

  • Initiated Masters in Emergency Medicine and Diploma in Emergency Medical Response.
  • Developed department SOPs and protocols for critical procedures.
  • Established the Bhutan Emergency Aeromedical Retrieval (BEAR) Team.

Challenges

  • Limited emergency physicians and high GDMO turnover.
  • Space congestion and long patient boarding times.
  • Need for year-round availability of essential emergency medications.
  • Expand emergency facilities, including an isolation room and patient counseling areas.
  • Improve diagnostic services through a dedicated mini emergency lab.
  • Enhance the Emergency Department Information System to better manage resources.
  • Strengthen emergency security with trained personnel and CCTV coverage.
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