24/7 emergency room (ER) in Richmond, Virginia

Any time, day or night, Johnston-Willis Hospital's ER is prepared to handle medical emergencies for children and adults. Here, our ER physicians are board certified in emergency medicine to ensure you have the expert care you need. Additionally, our ER features:

If you are experiencing a medical emergency, call 911.

Our emergency services

Our emergency services are designed to offer supportive and life-saving care when you need it most. To do that, our ER includes:

ER wait times

Check the top of our website or text "ER" to 32222 to find out the wait times of the HCA Virginia ER closest to you.

Note: Message and data rates apply. ER wait times are approximate and provided for informational purposes only.

Pediatric-friendly ER

When your child needs emergency medical attention, we offer the compassionate pediatric expertise they need in our kid-friendly ER. Additionally, we understand you play an important role in your child's health and treatment, so we keep you informed every step of the way.

Our pediatric-friendly ER features:

  • Physicians and nurses with special training and expertise in pediatric care
  • Pediatric medication management system that allows us to improve the speed, accuracy and administration of medications for children
  • Family-friendly environment
  • Complimentary valet parking so you and your child can go directly to the ER

Senior-friendly ER

We are the only ER in Chesterfield County with geriatric-specific protocols, so we're qualified to handle a wide variety of geriatric emergencies.

Our senior-friendly ER features:

  • A streamlined triage process
  • Senior sensitivity training for all senior-dedicated staff
  • Dedicated rooms for seniors with safety rails, step stools and overbed tables
  • Hearing amplifiers
  • Magnifiers for small print and reading glasses
  • Large digital clocks
  • White boards with large writing to communicate the custom plan of care
  • One-on-one help with the electronic medical record and scheduling follow-up appointments
  • Special attention to discharge planning
  • Discharge transportation service available upon request

FastTrack ER

Similar to an urgent care center, our FastTrack ER is for patients 2 years old and older. Specifically, we offer this care for those who have medical conditions that are not emergencies but require treatment within 24 hours.

Use the main ER entrance and check-in area for our FastTrack ER from 11:00am to 11:00pm, Sunday through Friday.

ER symptom checker

To help you determine whether you need an ER, urgent care or primary care visit, we have provided the following guidelines. You should usually go to an ER if you experience:

Chest pain—watch for sweating, trouble breathing, pain in other parts of the body and other signs of a heart attack

Concussion or head injury—watch for headaches, slurred speech, any loss of consciousness or feelings of confusion

Flu or "stomach flu"—watch for trouble breathing and signs of dehydration or other flu complications

Severe stomach pain—watch for high fever, shortness of breath or pain in other areas of the body

Side pain—watch for fever, dizziness, diarrhea or constipation

Trouble breathing—watch for high fever, swelling in the limbs, pain (especially in the chest) and extended periods of breathlessness

If you are unsure if your symptoms require an ER visit, you may speak to a registered nurse 24/7 by calling (804) 320-3627.

Our intensive care services

The intensive care unit (ICU) provides compassionate treatment to critically ill individuals with life-threatening injuries or diseases. Because of the complexity of these conditions, you will often see patients in the ICU connected to a variety of medical equipment. This allows us to carefully monitor their lungs and heart. It also enables us to treat them quickly via feeding tubes and catheters.

To provide the highest-quality care to our patients, our ICU has certain restrictions. This includes age of visitors, hours of visitation and gifts for patients that may or may not be allowed. Please ask a staff member if you have any questions about these restrictions.

Neonatal ICU (NICU)

Johnston-Willis Hospital features a Level III NICU in our maternity center. Our NICU is staffed with expert neonatologists who specialize in providing critical care to newborns who need additional support after birth. For example, newborns may need to stay in the NICU if they have low birth weight, premature birth, complications during delivery or birth abnormalities.

Neurosciences ICU (neuro ICU)

We also offer a neuro ICU where neurological intensivists and neurologists provide critical neurological care. A patient may stay in our neuro ICU while recovering from a neurological surgery, such as brain surgery, or a neurological event, such as a stroke.

Our intermediate care services

The intermediate care unit (IMCU) delivers care to two different types of patients. One type includes patients whose conditions require a longer hospital stay and medical technology for support, respiratory, nutritional or other needs. The other type includes "step-down patients" who still need engagement from critical care specialists but don’t require the ICU. We offer this specialized care to ensure your recovery is as fast and complete as possible.

Emergency care at HCA Virginia

Emergency care is the treatment of emergent medical conditions. It is generally performed in an emergency room, but can also refer to treatment in an ambulance. Emergency medicine physicians may treat patients with injuries or infections, in addition to life-threatening conditions.

Learn about Emergency care