Level 1 trauma centers in rhode island

Deborah C. Escalante

Rhode Island Hospital

 

 

 

 

 

 

 

 

 

Rhode Island Hospital [rhodeislandhospital.org] is a not-for-profit, 719-bed, acute care hospital. It is the largest hospital and the only Level I Trauma Center  and the only Comprehensive Stroke Center in Rhode Island.  It is also the principal teaching hospital for the Alpert Medical School of Brown University.

Rhode Island Hospital is one of only 122 hospitals across the country and the only one in Rhode Island to receive the Consumer Choice Award from the National Research Corporation.  The hospital has received multiple other awards for its stroke care, cardiothoracic services, cancer care, pulmonary hypertension, diagnostic imaging safety, technology and teaching. https://www.lifespan.org/locations/rhode-island-hospital/about-rhode-island-hospital/awards

The Andrew F. Anderson Emergency Center, built in 2005, has a volume of just over 100,000 adult patients per year, making it one of the busiest emergency departments in the Northeast. We serve as the primary referral center for the Southern New England area.

This state-of-the-art facility features 99 treatment rooms, six critical care bays (each with the capacity for two patients), multiple procedure rooms, two CT scanners and an MRI machine.  Additionally, inside the ED there is a cardiac catheterization lab,  a dedicated neuro-interventional suite and a 7 bed observation unit for low-risk chest pain, TIA and a variety of other diagnoses. 

Other services include 24-hour interpreters, 24-hour radiologist support in the department, 24-hour social work availability, a full toxicology laboratory, and many other support services necessary for a busy teaching hospital.

 

The Miriam Hospital

 

 

 

 

 

 

 

 

 

The Miriam Hospital is an outstanding 247-bed academic community hospital located on Providence’s East Side. The Miriam Hospital has been ranked the best hospital in Rhode Island and southeastern Massachusetts by US News and World Reports and has received the Magnet Award for Excellence in Nursing Services six times in recognition of its outstanding nursing culture. The hospital is known for its cardiac care at the Cardiovascular Institute, as an award-winning Stroke Center, as a regional orthopedic referral center with the Total Joint Center, as well as for nationally recognized programs in bariatrics, urology, and many other services. 

The emergency department cares for nearly 80,000 patients each year.  Emergency department acuity is consistently high, with an admission rate of approximately 28 percent. The patient population spans all ages, with a significant geriatric component. The Miriam Hospital is located within a neighborhood in close proximity to Brown. 

Emergency physician, nurse practitioner, physician assistant, and nursing coverage is generous, and specialty care is excellent. 

The Miriam Emergency Department has a dedicated radiology suite including a 64-slice CT scanner within the department.  The Miriam Hospital Emergency Department also benefits from a 10 bed Clinical Decision Unit.  These 10 private rooms opened in 2018 and allow for safe, high-quality care of patients with a variety of diagnoses beyond their typical emergency department stay.   

Our care teams use a provider in Team Triage to shorten door-to-doctor times and enhance care. Our patient satisfaction survey scores remain high with extremely high scores on likelihood of recommending our department. 

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Hasbro Children’s Hospital

Hasbro Children’s Hospital, located next to Rhode Island Hospital, is the area’s only dedicated children’s hospital.

The seven-story, 87-bed hospital offers a wide range of pediatric services and programs in all medical and surgical subspecialties.

 

 

 

 

As the regional tertiary care children’s hospital and Level 1 pediatric trauma center, the Hasbro ED is staffed 24 hours a day by board-certified pediatric emergency medicine physicians and pediatric emergency nurses with access to pediatric surgeons and other pediatric medical and surgical subspecialists.

The  Hasbro Emergency Department (16,500SF + 2200 SF CDU) is staffed by 25 full-time Pediatric Emergency physicians, three pediatricians, 12 pediatric advanced practice providers as well as pediatric emergency certified nurses and sees more than 53,000 patients a year. It offers a dedicated space for sedation, behavioral health, family waiting, a rapid treatment unit and has a six- bed clinical decision unit (CDU) for patients requiring periods of longer emergency department observation and is adjacent to the emergency department.

The department is staffed by board-certified pediatric emergency medicine attending’s, all of whom are full faculty members in the Department of Emergency Medicine. Attending’s work closely with the Lifepact Critical Care Pediatric Transport team which transports critically ill children from health care facilities across the state and Southern New England to Hasbro.

Newport Hospital

Newport Hospital

Newport Hospital is an outstanding 104 bed community hospital that serves the more than 80,000 Newport County residents, seasonal residents, and tourists.  It is located near the water in beautiful downtown Newport, Rhode Island.  The emergency department serves more than 32,000 patients per year.  The department is supported by a full range of dedicated specialists.  The acuity can vary, with an admission rate of 15% and a transfer rate of 3%. 

 

The emergency department sees a diverse set of patients reflective of this diverse county of urban, suburban, and seasonal tourism. 

As the key resource to the community the emergency physicians care for patients with all ranges of illness – pediatric, geriatric, obstetrics, trauma, and many others.  Most patients have access to a local primary care, patient-centered medical homes, and accountable care organizations.   Most of the emergency physicians work at other Lifespan emergency departments.  The emergency department works closely with the local cardiac, trauma, and stroke referral centers within the Lifespan network.  


The Level 1 Trauma Center at Rhode Island Hospital consists of a broad team of medical professionals and care providers specially trained in treating critically ill trauma and burn victims.

Trauma surgeons and other team members are in the hospital 24 hours a day, seven days a week, ready to treat a variety of traumatic injuries. Physicians in specialties ranging from neurosurgery and orthopedics to plastic surgeons and obstetricians and gynecologists are on standby as well. These medical providers are backed up by an institution wide commitment to care of the injured patient. Rhode Island Hospital is the only American College of Surgeons certified Trauma Center in our region, and is the only hospital with the entire spectrum of resources required to take care of all the needs of the complex trauma patient.

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Our trauma surgical team oversees the efforts to determine the patient’s life-threatening injuries and coordinates the complete care of the injured patient including any surgical interventions that are required. The trauma team works in a multi-disciplinary fashion to provide state-of-the-art care throughout the hospital admission, and rehabilitation period as well.

Emergency Services at Rhode Island Hospital

Welcome to the Andrew F. Anderson Emergency Center at Rhode Island Hospital. We know that a visit to the emergency room can be stressful and challenging. We hope our web site will answer some of your questions and make your visit as smooth as possible. The emergency department and its staff are available 24 hours a day, 365 days a year. Our team is dedicated to providing the very best service and highest quality medical care. 

The Andrew F. Anderson Emergency Center is the only Level I Trauma Center in southeastern New England, where we see the region’s most critically injured and most severely ill people – about 110,000 annually.

Medical teams made up of doctors, nurses, and other health care workers will be sent to Rhode Island Hospital, which is the state’s only Level 1 Trauma center. Rhode Island Governor Dan McKee’s office said 23 medical personnel from the Department of Defense will arrive at the end of next week and will include a mix of doctors, nurses, medics, and support staff. The team will be based in the emergency department and the surgical unit of Rhode Island Hospital for the next 30 days.

PROVIDENCE — President Biden announced Thursday that six states, including Rhode Island, will be getting medical military personnel to help alleviate staffing shortages in hospitals.

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A National Disaster Medical System team of 14 medical workers will also arrive next week at Kent Hospital’s emergency department and will be stationed there for two weeks.

Officials said the teams are expected to help triage patients arriving at hospitals to offset staffing challenges at emergency departments.

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“When you want to get something done, you call in the military,” said Biden at the White House on Thursday. Secretary of Defense Lloyd J. Austin III and FEMA administrator Deanne Criswell also attended the president’s announcement.

Rhode Island Hospital’s chief medical officer Dr. G. Dean Roye said he is not sure how many workers are coming to the hospital, but was told that “it’s supposed to be a full team,” which could include physicians, nurses, and other medical workers.

“I don’t know what the particular skillset of this group is, but we have a need and we can use them,” said Roye in an interview with the Globe. “I don’t believe we are at the peak of Rhode Island’s latest COVID surge.”

Roye said 30 percent of positions at Rhode Island Hospital are vacant.

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For weeks, McKee faced mounting pressure to mobilize the National Guard and call in Federal Emergency Management Agency workers to help in the state’s hospitals amid a staff shortage.

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He stalled writing a letter to Criswell requesting the agency’s medical personnel to assist in the state’s efforts to address staffing shortages within the hospital system until Dec. 15.

“We promised Rhode Islanders that we would pursue every resource to alleviate stress on our hospital system and support critical staffing needs. Yesterday, our whole of government COVID response team announced a series of initiatives and partnerships to help us make good on that promise,” said McKee in a statement Thursday.

The governor’s office said it would provide additional details about the FEMA medical personnel in the coming days.

Biden’s announcement comes as McKee’s office confirmed that state health director Dr. Nicole Alexander-Scott is stepping down from her post. She will stay on as director for the next two weeks while the governor conducts a new search for a health department leader.

Biden also plans to send military medical teams to Michigan, New Mexico, New York, New Jersey, and Ohio. These new deployments will be on top of other federal medical personnel who have already been sent to states with acute shortages.

Biden called Rhode Island a “hard-hit state” during this latest COVID-19 surge.

More than 18,000 military medical personnel have been deployed to 24 states since Thanksgiving, said Biden. Their deployments have been paid for by the American Rescue Plan.

Senator Sheldon Whitehouse, a Rhode Island Democrat, took to Twitter and said he appreciated the president responding to hospital needs in Rhode Island.

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“My office communicated the importance of this help to the administration,” he wrote Thursday. “Nurses, doctors, and workers at Rhode Island Hospital have held the fort heroically as [unvaccinated] omicron patients swamped its capacity. We owe them deep, deep gratitude.”

Senator Jack Reed, a Rhode Island Democrat, said he has been in “close contact with the U.S. Department of Defense and the White House since plans were first announced last month.”

“COVID-19 is surging worldwide and Rhode Island is not immune. The good news is our high rate of vaccination uptake is preventing a major increase in deaths,” said Reed Thursday. “But more action is needed to stop the spread and prevent hospitals from being overwhelmed.”

On Wednesday, McKee mobilized 60 Rhode Island National Guard troops to Butler Hospital, a private psychiatric facility in the city, as part of the state’s effort to address the crisis in the state’s health care system.

The troops will help with tasks that don’t require a high-level medical education, such as with transportation and observation, according to General Chris Callahan, the adjutant general and commanding general of the state National Guard.

Biden encouraged all Americans to get fully vaccinated, including getting their booster shots, “for the sake of the country.” He said he will unveil plans to provide both high quality face masks and COVID-19 tests to Americans for free next week.

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Alexa Gagosz can be reached at [email protected]. Follow her on Twitter @alexagagosz and on Instagram @AlexaGagosz.

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