What to Expect

Our team provides the highest level of emergency care in the region, with a focus on safety, quality and customer service. Board-certified doctors and nurses staff all Sentara emergency departments, so you can rest assured you’re in the best hands.


Patients arriving at the Sentara RMH Emergency Department first report to the triage desk, where an RN will quickly assess their medical condition. Patients with critical health issues are immediately escorted to a treatment room. Those with non-critical health issues and those with minor injuries or illnesses may be directed to one of three treatment areas, including our Fast Track, or may be asked to register while a room is being prepared. 

Patient registration is an important step in this process. Information provided through registration is entered into the main hospital computer system. This allows physicians and other healthcare providers caring for the patient to access information from the patient's previous hospital visits, and to provide follow-up care after this visit, if needed.

Fast Track

Fast Track is an area within the Sentara RMH Emergency Department where patients with minor injuries or illness may be treated. Fast Track is open from 11am-10:30pm and is staffed with an Emergency Department physician and nursing staff. Fast Track patients usually go through the same processes as patients in the main Emergency Department; however, because of the nature of health issues seen in Fast Track, patients go through the process in a shorter time.

The ED has developed criteria for various types of illnesses and conditions that may be treated in the Fast Track. Examples include:

  • Simple lacerations
  • Colds
  • Sprains
  • Ear pain
  • Insect bites
  • Rashes
  • Toothache
  • Sore throats

Occasionally, a patient may appear to meet the criteria for Fast Track, but once an ED physician completes the initial evaluation, he/she may determine that the patient needs to be seen in the main ED.

Understanding Your Bill

After you have been treated in the Sentara RMH Emergency Department, you will receive a bill. Depending upon your specific treatment, you may receive several bills from different healthcare providers.

Generally, bills from Sentara RMH Medical Center include charges for the use of the facility, medications and supplies used in your treatment and care. Emergency Department costs, radiology and laboratory costs, and charges from other departments that contributed to your care will be included in the Sentara RMH bill.

Physician providers each bill separately for their services. Some of these may include:

  • Harrisonburg Emergency Physicians (charges for the ED physician)
  • Harrisonburg Radiology Associates (charges for reading diagnostic images)
  • Harrisonburg Pathology Associates (charges for laboratory test analysis)
  • Individual consulting physicians (charges for specialist consultations)
  • Your private medical physician (if your physician saw you in the ED)