Emergency departments (ED) Ngā tari ohotata
Emergency departments treat people who have a serious illness or injury that needs urgent care. Find out when to visit an emergency department in Aotearoa New Zealand, the cost, and what happens when you arrive. Major emergency departments are open 24 hours a day, 365 days a year.
When to go to an emergency department
In any critical or life-threatening emergency call 111 for an ambulance. If you are near the hospital and the situation is serious but not life threatening, you may choose to get there without an ambulance.
This is for illnesses or injuries such as:
- heavy bleeding
- broken major bones
- bad burns
- chest pain
- issues breathing or staying conscious
- mental health emergencies
- severe allergic reactions
- injuries after an accident like a car crash.
Anyone in Aotearoa New Zealand can go to the emergency department of a hospital for urgent care.
Some people may be referred to an emergency department by their healthcare provider or the ambulance service.
If you are not sure what to do
If you have symptoms that you are worried about:
- call or visit your healthcare provider
- call Healthline for free advice on 0800 611 116
Find a hospital
Assessment and treatment
When you arrive at an emergency department , a triage nurse or doctor will see you. They will assess your illness or injury, and decide how urgent it is and how soon you need treatment. This is called 'triage'.
You are treated in order of the seriousness of your condition. Life-threatening illness or injury will be treated immediately, and non-urgent injuries could be treated within a few hours.
- Immediately life-threatening (for example, a heart attack).
- Imminently life-threatening or important time-critical (for example, chest pain or severe shortness of breath).
- Potentially life-threatening, potential adverse outcomes from delay, or severe discomfort or distress (for example, bad injuries or severe abdominal pain).
- Potentially serious, or potential outcomes from delay, or significant complexity or severity, or discomfort or distress (for example, a fractured wrist).
- Less urgent, or dealing with administrative issues (for example minor strains or sprains, which could be treated by your healthcare provider).
This process allows for the sickest and most urgent patients to be seen first.
Treatment for illness or injury
You will discuss your injury or illness with an emergency department staff member. Depending on your situation, you may need to take some medicines for your symptoms, or get tests like blood tests or an x-ray.
Once assessed and treated by emergency department staff, you may be:
- admitted to the hospital to stay longer
- transferred to another hospital
- treated and discharged.
If your health issue is not urgent
If your injury or illness does not need immediate attention you will wait to be assessed and treated. Your name will be called when it is time.
You may have to wait for a few hours.
For non-urgent problems, it may be easier or faster to visit your healthcare provider, after hours duty doctor or clinic, or phone Healthline for free advice on 0800 611 116
Cost of visiting an emergency department
In Aotearoa Zealand, the government sets out who is eligible for funded health and disability services. People who meet the criteria for free or partly-funded healthcare, include:
- New Zealand citizens and permanent residents
- Australian citizens and permanent residents who have lived or intend to live in Aotearoa New Zealand for 2 years or more
- some students and visa holders
- refugees and protected persons
- tamariki (children) of eligible people.
The full list of who is eligible for publicly funded healthcare is on the Health New Zealand website.
Eligibility for publicly funded health services — Health New Zealand
When you are sent home
If you are okay to leave the hospital (discharged) check that you are happy with the following before you leave.
- You know what is wrong with you.
- You will be able to manage at home.
- You have your prescription if needed and know where to go to pick up your medicine.
- You know how to care for your illness or injury at home.
- You have transport home.
- You know what follow-up care you might need. For example, a follow-up specialist appointment or a visit to your GP or family doctor.
- Your pain is under control.
- You have a copy of your discharge summary form and, if appropriate an ACC form if you had an injury.
Find out about injuries covered by ACC.
If you get worse or do not get better
If your condition gets worse, or you do not get better at home, contact your regular healthcare provider or return to the emergency department.
If it is urgent call 111