For Patients and Families

When Should I Bring my Child to Emergency Services?

If you are concerned about your child's health, you may come to the Pediatric Emergency Service at the Komansky Center at any time without an appointment. Our doors remain open 24 hours each day, and there is a physician trained in pediatric emergencies to care for your child. You do not have to call the emergency department before you come. If you have a primary care physician, upon your request we will contact your doctor when you are in the Emergency Department.

If your child has recently received treatment in the Emergency Department and you have concerns related to your child's medical health, you may call your primary doctor or you may return to the Emergency Department. Many conditions evolve over time, and you may notice that your child has developed new or different symptoms after being discharged. Our staff is always available to perform further evaluation, including additional testing, if needed.

What Should I Expect During a Visit to Emergency Services?

Triage

Triage is the process of evaluating the seriousness of your child's illness or injury. When you first arrive, you and your child will be seen by the triage nurse who is specially trained to take care of children in the Emergency Service. This registered nurse will ask you questions about your child's illness or injury, check your child's temperature and weight, and briefly examine your child. It is important to give all the needed information to the triage nurse. If your child has a life-threatening or very serious illness or injury, he or she will be seen by a doctor with the nurse right away. Before you arrive to the Emergency Department, your child's primary care provider may have called to tell us about your child and his or her condition.

Registration

After triage, you will usually go to the registration area. The registrar will ask you for information such as your address and telephone number. This information will help us to contact you or your child's doctor about your child's care. Paperwork necessary for your ER visit will be given to you at that time.

Waiting Area

You may be asked to wait in the waiting area until an exam room or doctor is available to see your child. Please understand that patients may not be seen in the same order of their arrival to the Emergency Department. Patients with the most serious illnesses and injuries will usually be given priority. A child life specialist is available during the early evening to offer activities, answer questions, and help keep you informed. Feel free to ask a nurse or doctor if he/she can give your child something fun to do; we have many toys, books and videos available. While you are in the waiting area, please do not to give your child anything to eat or drink without checking with the triage nurse first. If you notice that your child is getting sicker or is in more pain, tell the triage nurse right away.

Examination

As soon as possible, you and your child will be brought into an exam room. A team of doctors and nurses will care for your child. Your child may be evaluated by 2 different doctors. Your child may be initially seen by a resident physician, who is a medical doctor in training to care for children. Your child will also be seen by an attending physician, who is a medical doctor who is trained to care for children with emergencies. The attending physician supervises the care of your child. Depending on your child's condition, your doctor may order a blood test, x-rays, or other tests to help determine what is wrong with your child. Each test will be fully explained to you before it is performed.

A top priority in our Pediatric Emergency Service to make sure each child is as comfortable as possible, and to rapidly assess and treat pain. If your child is in any pain, please make sure a doctor or nurse is notified so that the proper medication can be given.

Discharge

When your child's care is complete, the doctor or nurse will give you instructions on how to care for your child's illness or injury. They will also tell you about follow-up care. If you have any questions after you leave, call the Pediatric Emergency Services at (212) 746-3300 or you may also call your child's primary care provider.

Admission to the Hospital

Your doctors may decide that your child needs to stay in the hospital longer for further observation or tests. Arrangements will be made for your child to be moved to an inpatient bed on either our general pediatrics unit or the pediatric intensive care unit as soon as possible.