Emergency & Urgent Care

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Here you will find information about what to expect when visiting our Emergency Departments and Urgent Care Centres. You will also learn about our wait times and why it is important to bring your medications with you. Niagara Health has the fourth largest Emergency Program in Ontario, with almost 200,000 patient visits annually to our three Emergency Departments and two Urgent Care Centres.

In need of emergency care for:


Main Switchboard 905-378-4647

Emergency Departments and Urgent Care Services open 24/7

Locations

Emergency Departments

St. Catharines Site
1200 Fourth Avenue
St. Catharines

Greater Niagara General Site
5546 Portage Road
Niagara Falls

Welland Site
65 Third Street
Welland

Urgent Care Services

Douglas Memorial Site
230 Bertie Street
Fort Erie

Port Colborne Site
260 Sugarloaf Street
Port Colborne

Niagara-on-the-Lake Walk-in Clinic

Walk-in clinic, staffed by a Niagara Health Nurse Practitioner, is located at 176 Wellington Street in Niagara-on-the-Lake.

Hours are Monday to Friday, 9 a.m. to noon, and 1 p.m. to 3 p.m. (excluding holidays)

 

We recognize that a visit to an Emergency Department can be stressful for you and your family, especially during medical emergencies. 

Our healthcare team will serve you as quickly as we can, and we will make every effort to make your visit a positive experience.

Fill out your Personal Emergency Information Card

What to expect during your Emergency visit

Niagara Health’s team is committed to providing safe, quality care in a timely manner.

Patients are seen on a priority basis, not on a first-come first-served basis. This ensures the sickest patients get the care they need first — even though they may arrive after other patients.

Frequently Asked Questions

Are you in the right place?

Understanding your medical options will help you get the right care as quickly as possible. In non-emergency situations, your first option should be your family doctor or nurse practitioner.

Other options include:

  • Walk-in clinics
  • Call Telehealth 1-866-797-0000 for health advice and information from a registered nurse 24 hours a day, 7 days a week
  • Visit the Healthcare Options Ontario webpage to search for a healthcare provider near you
  • Call 211 for information and services about healthcare in Niagara
  • Learn more about your healthcare options

When to go to an Emergency department?

Our specialized ED teams treat patients who call 9-1-1 and arrive by ambulance. They also treat walk-in patients for such emergencies as:

  • Broken bones
  • Dizziness
  •  Complications of pregnancy
  • Serious illness
  • Serious injury
  • Mental health issues

When to go to an Urgent Care Centre?

  • Minor abdominal pain (nausea, vomiting)
  • Ear, nose, throat and eye problems
  • Minor mental health issues
  • Cuts that may need stitches
  • Sprains, strains, sports injuries
  • Minor asthma attacks or allergic reactions

How long does a visit to the Emergency Department take?

It is difficult to estimate how long your wait will be because wait times can vary, and change quickly, due to a number of factors, including:

  • The severity of each patient’s condition or illness
  • The high number of patients seeking medical attention in other areas of the hospital, which impacts movement through the Emergency Department.
  • An incident such as a serious car accident, which can unexpectedly and significantly impact the wait time for others.

What can I expect when I arrive?

Most people arriving at an ED/UCC will follow these steps:

  1. Triage (Assessment of your condition by a specially-trained nurse)
  2. Registration
  3. Consultation with our healthcare team
  4. Diagnostic, lab tests as required
  5. Diagnosis
  6. Treatment begins
  7. Discharge or admission
  8. You may be requested to wait between some of these stages.
  9. If you have respiratory symptoms, you may be asked to wear a mask.

Assessing your condition

To evaluate your medical needs, the Triage Nurse will ask you for details about:

  • The circumstances that brought you to hospital
  • Your history of illness or injury
  • Whether you have allergies
  • Which medications you take

The nurse will also check your temperature, pulse or blood pressure during the triage process.

Why is the waiting room sometimes empty, but I still have to wait?

This is because patients have been moved into the Emergency Department and there may not be any more spaces available at the time you arrive.

Why are other people being seen before me?

Patients are seen on a priority basis, not on a first-come first-served basis. A specially trained Triage Nurse, who is located at the front of the Emergency Department, conducts the initial assessment of the patient.  Canadian hospitals all use the same triage scale when assessing patients to ensure the most urgent cases are seen first. There are five triage levels, Level 1 being the most critical and No. 5 being non-urgent.

Level 1

Critical — obviously life threatening

Conditions requiring resuscitation, including cardiac arrest, shock and major trauma

Level 2

Emergent — potential threat to life or limb

Examples include asthma, altered mental state, chest pain suggestive of heart problems

Level 3

Urgent — a condition or serious problem requiring emergency intervention

Examples include abdominal pain, mild dehydration, kidney stone or shortness of breath

Level 4

Less Urgent — conditions which because of distress or potential for complications would benefit from intervention

Examples include vomiting and diarrhea with no dehydration, bladder infections, lacerations and earaches

Level 5

Non Urgent — conditions which are non-urgent and/or which might be part of a chronic problem

Examples include sore throat and insect bites

What does the posted wait time mean in the Emergency Department or Urgent Care Centre waiting rooms?

The online wait time reflects the most current estimate of how long it will take from the time you are assessed by a triage nurse in the Emergency Department or Urgent Care Centre until you are first seen by a doctor or nurse practitioner inside the ED/UCC. It does not represent the entire length of your visit.

While you wait

  • Tell the Triage Nurse immediately if your condition changes or you begin to feel worse.
  • Don’t leave the ED without telling the Triage Nurse and having your condition re-evaluated.
  • Don’t eat or drink anything without speaking to the Triage Nurse first — some tests cannot be performed if you have consumed food or beverages.
  • Clean your hands frequently with a cleansing solution provided in the waiting area and throughout the ED. Proper hand hygiene is key to prevent and control the spread of infection.
  • Have only one friend or family member wait with you, if possible. This will help reduce your own level of stress and prevent overcrowding.
  • Please be respectful and courteous to other patients and hospital staff.

What happens once a physician or nurse practitioner sees me?

To diagnose the patient, the physician or nurse practitioner may order bloodwork, X-rays, ultrasound, and other tests, a process that could take several hours to complete. Throughout this period, the patient could expect to see a number of different members of the healthcare team, including lab assistants, medical imaging technologists and respiratory therapists. The Emergency Department physician may also request a consultation with a specialist in cardiology, for example, if the patient is having heart issues, or an orthopedic surgeon for a serious bone break.

What happens after my results are in?

The physician or nurse practitioner will review the test results with the patient and discuss suggested next steps in care. It is at this point that the patient will either be discharged, with instructions for follow-up care if required, or admitted to an inpatient unit. About one in eight patients who come to Niagara Health’s Emergency Departments is admitted.

How does the number of patients in other areas of the hospital impact Emergency Department wait times?

Like other hospitals, Niagara Health cares for a number of patients who may no longer require the resources of the hospital. Many of these patients cannot be safely discharged to another setting without home care or additional services. And some may need different levels of care and wait in hospital beds for space at other healthcare facilities, such as a long-term care home. Delays occur in the EDs as patients continue to be admitted to an inpatient room but have to wait for patients elsewhere in the hospital to be discharged. This impacts movement through the Emergency Department.

What to bring when you come to the Emergency Department

When you come to the emergency room or for any hospital or medical visit, be sure to bring:

  • Ontario Health Card
  • Medical insurance information if you live outside Ontario
  • List of current medications
  • Any records you have regarding your health
  • Private health insurance cards
  • Personal Health Information Card

What hospital services does the Ontario Health Insurance Plan (OHIP) cover?

OHIP covers most hospital services, but there are a few things that are not covered:

  • Ambulance charge of $45 (OHIP covers the remainder of the cost)
  • Medical equipment such as crutches, casts, knee immobilizers
  • Charges for a semi-private or private room if requested by the patient
  • Transportation home from the hospital

If you are not covered by OHIP or your OHIP card has expired, you will be charged for your hospital visit. If you receive any of these services, please see the cashier to make payment before you leave the hospital.

Compliments or concerns?

Patient and family feedback is important in helping us improve our services. There are a number of ways you can give us your compliments, concerns and suggestions. Click here to connect with us.

Niagara Health System