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30 Minute ER Pledge

What exactly is the 30-Minutes-or-Less ER Service Pledge?

When patients enter the Emergency Department at Astria Regional Medical Center Medical Center, the time of their arrival will be noted. Our pledge is that a clinical professional (physician, physician assistant or nurse practitioner) will work diligently to have our patients initially seen within 30 minutes of their noted arrival.

Does this mean patients will be on their way home in 30 minutes or less?

No. We will work hard to have a clinical professional initially see our patients and begin their evaluation and treatment within 30 minutes of their noted arrival.  Depending on the nature of their illness or injury, and the unpredictable volume of patients requiring emergency care at any given time, the wait time and duration of each visit will vary.

How is the timeframe of patients' visits documented for this pledge?

When a patient arrives and checks in, the time of arrival will be noted. When the clinical professional initially sees the patient, the time will be documented by the Emergency Department staff.

Is a 30-Minutes-or-Less ER Service Pledge really necessary for an emergency room?

In many emergency rooms across the country, wait times have been increasing. We want to assure our patients that we are dedicated to not only offering quality care but also to working diligently to provide that care as efficiently as possible.

When do the 30 minutes officially start?

The 30 minutes start when the patient checks in with our staff at the Emergency Room desk.

Does the 30-Minutes-or-Less ER Service Pledge affect how patients are prioritized?

While the goal is to initially see every patient within 30 minutes of their noted arrival, the most severe cases will always receive immediate attention.

How can the Emergency Department maintain quality care if speed is the priority?

It is not our objective now, nor will it ever be, to "rush" patients through the Emergency Department. Our process improvements have been focused on getting patients into a room as quickly as possible and enabling the clinical professional to initially see a patient and begin their diagnosis and treatment in a timely manner.

Is the 30-Minutes-or-Less ER Service Pledge in effect at all times and does it apply to all ages - infants to senior citizens?


Do I have to wait up to 30 minutes for someone to say, "May I help you?"

Absolutely not. Emergency Department staff will greet you as soon as you come in, and a nurse will assess your condition through a triage process. We know your time is valuable and we pledge to work diligently to have a clinical professional initially see you within 30 minutes of your noted arrival.

Does this cost more?


If you are experiencing a medical emergency, call 9-1-1.

The Emergency Department (ED) average wait time is provided as an informational service to the public. It is approximate, and based on a rolling average that is updated four times an hour and does not represent the actual current activity in the ER waiting room.

The ED wait time represents the time it takes from arrival until a patient is initially seen by a Clinical Professional (Physician, Physician Assistant or Advanced Practice Nurse). Patients are triaged upon their arrival in the ED. They are then seen by a Clinical Professional in an order based on their complaint, condition, and the reason for their visit.

While many patients are initially seen by a clinical professional within 30 minutes of their arrival, during some peak times when the number of patients and/or trauma situations exceeds the number of providers or beds, some patients are not initially seen within 30 minutes of their noted arrival.

Should you have any additional questions about the 30-Minutes-or-Less ER Service Pledge, please ask any of our Emergency Department staff.

Cardiac Care

Having chest pain? Our team is highly trained in taking care of patients with cardiac symptoms. Astria Regional Medical Center’s “door to balloon” time, or the time it takes from when the patient walks through the door until angioplasty is performed, is more than 40 minutes less than the average found by the American Heart Association of 100 minutes. Patients entering the ER with any kind of chest pain are immediately admitted and monitored by an EKG to determine if catheterization is needed. 

Astria Regional Medical Center has been named an "Accredited Chest Pain Center with PCI" by the Society for Chest Pain Centers. This distinction means that we are able to provide a higher level of cardiac care to patients with chest pain. We have the tools and experience to quickly and efficiently diagnose and treat all patients arriving in the ER with cardiac symptoms.

The Fast Track

Astria Regional Medical Center’s ER makes every second count, with a “fast track” system where patients who require less acute care can be treated efficiently. Fast Track patients include those who have cold or flu symptoms, sprains, eye infections, small cuts, and other medical problems that are not considered critical. 

SANE Nurses

Astria Regional Medical Center’s emergency room also features Sexual Assault Nurse Examiners (SANE) to help victims of sexual assault. SANE nurses receive special training that can help them deal with the emotional and physical needs of a patient who has been sexually assaulted. 

Convenient, Quality Care

All of our Emergency Department physicians are board certified, and we offer bedside registration, which allows patients more privacy and can expedite the ER process. Our renovated ER has been expanded to 21 beds, including 2 trauma rooms and a decontamination room, all featuring bedside computers. All of the equipment in the ER is state-of-the-art, allowing even the most severely injured patients to be stabilized. We are a level III trauma center.

Exceptional, Experienced Emergency Care

Time can make the critical difference when saving lives. Astria Regional Medical Center’s secure emergency department design supports the separation of critically ill patients from those requiring urgent or minor injury care by providing two separate entrances; one for patients arriving on foot, and one for EMS ambulances and paramedics delivering patients. This makes it easier for everyone to get the care they need as quickly and efficiently as possible.

You can now check-in online to the Emergency Room, and wait from home! Check-in here.

Contact Us
Astria Regional Medical Center
110 S. 9th Ave. Yakima, WA 98902
(509) 575-5000