Step 1: Check-In/Triage
Tell the nurse in triage, or, if triage is busy,
let the ED clerk know what help you need. You will be seen in triage by a medical specialist to briefly evaluate the nature
and severity of your illness. Your vital signs will be taken. This determines
the order in which you will receive a medical screening exam. It is not
the actual exam.
Step 2: Registration
After being triaged you will proceed
to Registration and provide your health insurance and billing
information. Your ED Record will then be generated.
Step 3: The Waiting Area
Stay in the Waiting Area to be called for your medical screening
exam and/or tests. Our goal is to see patients as soon as possible, but patients
who may be critically ill or injured are always treated first.
This may make your visit longer than anticipated. Even if it appears there are few patients, reasons why you
may be waiting include:
If at any time you feel worse between the
time you are triaged and the time you are called for your medical
screening exam, go to the ED Clerk's desk (not to the Registration
Clerk) to notify a member of the ED immediately. You may then
need to be re-triaged.
- We may be trying to contact your family doctor or a specialist.
- We may be waiting for the results of blood tests, x-rays,
or other tests.
- We may be reviewing your medical record.
We appreciate your patience and understanding. We understand that it is frustrating to wait, but it may be life-threatening to leave without being seen.
If you have been waiting a long time, you may be tempted to leave before you
receive a medical screening examination. You have the legal right to do this.
We strongly discourage leaving without being seen. Leaving the ED without being
screened is a serious, perhaps life-threatening, decision that should not be made
out of frustration.
If you are still determined to leave, we ask you to notify a member of the ED
staff. Remember, even if you decide to leave, you may return at any time for
evaluation and treatment.
Step 4: Medical Screening
Depending on the severity of your condition, we may
arrange to transport you to another facility.
You will be escorted into an exam
room for the medical screening exam. You have the
right, within the capabilities of the hospital’s
ED staff and equipment, to have an appropriate
medical screening exam performed by a qualified
medical person. The purpose of this medical screening
exam is to determine if you are suffering from an
emergency medical condition, and to address your
presenting complaint to the best of our ability.
If you are suffering from an emergency medical condition,
our medical personnel will determine if your condition
can be safely treated at Nantucket Cottage Hospital
or if we should stabilize your condition and arrange
to have you transferred to another facility equipped
with specialized staff or equipment to treat your
specific medical condition.
You will receive these services even if you cannot pay. You do not
need to have medical insurance or Medicare or Medicaid coverage to receive this
Nantucket Cottage Hospital is
a not-for-profit community hospital dedicated to
providing quality health services to the community
regardless of one's ability to pay. The hospital
will be the point of access to the Nantucket community
for wellness and prevention, emergency, primary,
home and continuous care.
Step 5: Check Out/Cashier
When your examination and any
testing or treatment have been addressed, you will
be given discharge and follow-up instructions related
to your specific condition, in addition to a charge
slip for your visit. Proceed to the check out/cashier window. Here you may ask any further non-medical
questions about your visit. Also, you will be asked
to pay your insurance co-pay, if any, or to make
a payment for the services you have received. The
cashier can also help you contact the hospital's
Social Services Department to apply for programs
to assist you in meeting your financial responsibility
for the care you received in the ED.