Emergency department process

We’re here for you when you need it most

When you or a loved one have suffered a serious medical emergency or injury as a result of an accident or traumatic incident, prompt intervention by trained medical professionals could mean the difference between life and death. 

Netcare not only provides first-response emergency medical services through Netcare 911’s road and air operations; there are also 45 emergency departments at Netcare hospitals across the country operating around the clock, every day of the year. Clinical care at the emergency departments is provided by independent doctor practices or by doctors with whom Netcare has contracted to provide this service, while specialists are on call should more specialised treatment be required.

Netcare Milpark and Netcare Union hospitals operate the only accredited level 1 private trauma units in South Africa.

What constitutes emergency medical treatment?

The International Federation for Emergency Medicine defines emergency medical treatment as “where medical treatment is necessary because a person’s life or health is in serious danger as a result of disease, injury or ill health”.

“An emergency department is defined as “The area of a facility devoted to provision of an organized system of emergency care that is staffed by emergency medicine specialist physicians and/or emergency physicians and has the basic resources to resuscitate, diagnose and treat patients in emergencies.”

Assessment and treatment process

The triage process

Because the volume of patient admissions to an emergency department cannot be precisely planned, Netcare uses the South African Triage Scale for the assessment of all patients presenting at its emergency departments.

The aim of the triage system is to assess the severity of the condition of the patients and assign treatment priorities according to clinical urgency in order to ensure that staff members are able to deliver time-critical treatment for patients with life-threatening conditions. These individuals are triaged either red or orange.

The system uses a physiology and symptom-based scale, which gives the patient a score which is derived by assigning a number between 0 and 2 for each of the patient’s vital signs. The higher the score, the greater the urgency. The triage scale is used for all patients whether they are adults, children or infants presenting with medical, surgical or trauma conditions or injuries.

The South African Triage Scale uses a five-step approach to assess the patient:

  • Look for emergency signs and ask for the presenting complaint
  • Look for very urgent OR urgent signs
  • Measure the vital signs and calculate the TEWS (triage early warning   score)
  • Check key additional investigations
  • Assign a final triage priority level
What information should the patient provide to the nurse conducting to assessment?

The process of triage starts with a question to the patient/parent/carer as to the reason for coming to the emergency department. As this question is being asked and answered the triage process has already commenced with the triage practitioner rapidly assessing the patient for any clinical signs indicating an emergency.

If ‘emergency’ clinical signs are detected, the patient is assigned as a P1 or Red priority level and taken to the resuscitation area without delay.

If ’emergency’ clinical signs are not present, the patient is checked for any ‘Very urgent’ or ‘Urgent’ clinical signs.

In all instances, the patient’s vital signs are measured, a triage early warning score (TEWS) is calculated, key additional investigations are checked and the triage priority is adjusted accordingly.

Emergency department fees

Netcare emergency departments support the principle that patients should be encouraged to use the healthcare system appropriately – non-urgent cases should be seen by general practitioners, family physicians or at walk-in care facilities rather than in the emergency department. The inappropriate use of emergency department services is one of the common problems leading to overcrowding.

Emergency care at Netcare emergency departments is provided by emergency practitioners who are in private practice, i.e. they are independent practitioners and not employed by the hospital.

Patients are entitled to ask for an estimation of the emergency department services costs and the cost of procedures. However patients should note that the final bill may well differ from the estimated cost, since it will depend on the actual care, treatment, procedures and consumables used for the procedures.

Medical scheme patients

The costs of your treatment in the case of a medical emergency should be covered by your medical scheme, but you should be aware that the often high costs of diagnosing your condition in an emergency situation may not always be covered.

Medical schemes are obliged, in terms of regulations under the Medical Schemes Act, to cover all medical emergencies because they fall under the prescribed minimum benefits (PMBs). Your medical scheme may refuse to cover the costs of your visit to an emergency department if the reason for your visit is not classified as an emergency.

Some medical schemes may require co-payments, to ensure that their members use the facilities appropriately and that they use facilities with which the medical scheme has contracted.

You will receive the following bills for your care at a Netcare emergency department.

  • A bill from the hospital for the use of the facility (facility fee) and for all consumables used in the emergency department.
  • A bill from the emergency doctor practice for the doctor consultation and procedures performed.

If other independent service providers – such as the radiology department, pathology laboratory, medical specialists and other healthcare professionals – have provided services to you, they will bill you separately for such services. 

Private patients

Private patients will be given an estimate for the proposed treatment plan required and will be required to place a deposit for medical management and settle the accounts of all service providers.

Netcare sexual assault centres

Experiencing a sexual assault is without doubt one of the most intrusive, disempowering and traumatic experiences. For survivors of this abhorrent crime, the ordeal is often exacerbated by the indifference or mismanagement they experience when trying to access care and support afterwards. In South Africa, the prevalence of HIV/AIDS and the fear of possibly becoming infected as a result of the violation, add significant stress to survivors.

Netcare established the first private sexual assault centre in South Africa in 1998 at Netcare Sunninghill Hospital. There are now Netcare sexual assault centres integrated into emergency departments at the group’s hospitals across the country, providing quality multi-faceted treatment and sensitive support free of charge to all survivors of sexual assault.

A multi-disciplinary team approach is followed in the management of survivors of sexual assault. The support provided is emotional, psychological, medical, physical, sanitary (shower facility and dignity pack) and administrative; all aimed at restoring dignity through compassion and ensuring absolute confidentiality.

The service to survivors of sexual assault assists in reinforcing Netcare’s values of care, dignity, participation, truth and passion amongst staff, as well as the Netcare Way of treating all those people whose lives we touch with professionalism, dignity and compassion.

The holistic approach to treatment and care introduced by Netcare in conjunction with its project partners provides survivors of sexual assault and their loved ones with the support to enable them to begin the process of healing and rebuilding their lives. 

Read more

Symptoms or health problems to look out for after leaving the emergency department

The doctor and/or the nursing staff who have been involved in your treatment at the emergency department will guide you on symptoms or health problems to look out for after your discharge.

Click here for more general guidance

Netcare hospitals with emergency departments

Eastern Cape

Netcare Cuyler Hospital
Netcare Greenacres Hospital
Port Alfred Hospital
Settlers Private Hospital

Free State

Netcare Kroon Hospital
Netcare Vaalpark Hospital
Pelonomi Private Hospital
Universitas Private Hospital

Gauteng

Netcare Akasia Hospital
Netcare Bougainville Hospital
Netcare Clinton Hospital
Netcare Garden City Hospital
Netcare Krugersdorp Hospital
Netcare Linksfield Hospital
Netcare Linmed Hospital
Netcare Milpark Hospital
Netcare Montana Hospital
Netcare Mulbarton Hospital
Netcare N17 Hospital
Netcare Olivedale Hospital
Netcare Pinehaven Hospital
Netcare Pretoria East Hospital
Netcare Rand Hospital
Netcare Rosebank Hospital
Netcare Sunninghill Hospital
Netcare Sunward Park Hospital
Netcare Union Hospital
Netcare Unitas Hospital
Netcare Waterfall City Hospital

KwaZulu-Natal

Netcare Alberlito Hospital
Netcare Kingsway Hospital
Netcare Margate Hospital
Netcare Parklands Hospital
Kokstad Private Hospital
Netcare The Bay Hospital
Netcare St Anne's Hospital
Netcare St Augustine's Hospital
Netcare uMhlanga Hospital

Limpopo Province

Netcare Pholoso Hospital

North West

Netcare Ferncrest Hospital

Western Cape

Netcare Blaauwberg Hospital
Netcare Christiaan Barnard Memorial Hospital
Netcare Kuils River Hospital
Netcare N1 City Hospital
UCT Private Academic Hospital