Leonard Center Room 53
For Life-Threatening Emergencies, CALL 911
Be prepared give your name, describe the situation and provide contact information. Security can also connect you with other campus response personnel. Security is the best place to start for issues of personal safety.
Your RA or the RA on duty
Telephone numbers are posted on the door of your residence hall office. RAs have special training to deal with personal and community concerns.
Resident Hall Director (RHD) on duty
There is always an RHD on duty - you may reach the RHD on duty through calling Security or RA on call.
24/7 Telephonic Counseling - ProtoCall
To speak to a mental health counselor after hours, simply call the Hamre Center for Health & Wellness phone number: (651) 696-6275. Then press "2" and you will be connected to ProtoCall, a free phone counseling service that Macalester provides for students.
These are the hospitals that are closest to Macalester, both of which have emergency rooms:
Regions Hospital - Emergency Room
640 Jackson Street, St. Paul, MN
St. Paul, MN
For both medical and mental health emergencies
Directions via Google maps
333 North Smith Avenue
St. Paul, MN 55102
Directions via Google maps
The Urgency Room
Urgency care delivers fast, high-quality emergency care in a convenient out-of-hospital environment. Unlike the ER, the Urgency Room is an outpatient facility with no inpatient or overnight rooms available. The Urgency Room has a high-complexity lab, x-ray machine, CT scanner, ultrasound machines all onsite to allow for treatment of acute injuries that surpass the abilities of a standard urgent care. For insurance questions refer to their website. Open 7 days a week 8am to 10pm, including holidays. Advantage: Generally much shorter wait to be seen than in hospital ER. Disadvantage: location makes it most readily accessed by car and if you were to need hospitalization, you would need to transfer to a different provider/location.
You should call ahead to clarify that your insurance will be accepted and, particularly in the case of influenza symptoms or other communicable disease concerns, if they have special instructions.
Urgent care facilities are to be utilized when Macalester Health Services is closed and you believe the medical condition is severe enough that it cannot wait. If the Urgent Care facility is not open, contact a hospital emergency room.
The odds are good that at some point during the year you will feel REALLY sick over the weekend or at night when the Macalester Health and Wellness Center is closed. Who can you call to get some advice and determine if you need to be seen by a doctor? Where can you go to be seen outside of an emergency room? Where is an emergency room?
First determine how urgent it is. Most of the time, symptoms indicate that you can probably wait until a provider is open or you can go to urgent care and you won't need the ER. While the ER is THE place to go for life-threatening emergencies or middle-of-the-night urgent situations, students are encouraged to consider other options first. A visit to an ER for non-urgent situations can translate into many hours in the waiting room and hundreds of dollars.
Examples of Urgent Conditions
- Severe pain (chest, abdomen, head or ear), especially with fever
- Asthma (when not responding to usual medication)
- Urinary tract infection
- Possible fracture or dislocation
- Laceration (a cut requiring stitches)
- Major bee sting reaction - hives wheezing, or swelling (e.g. whole arm or leg swells)
- Persistent thoughts about committing harm to self or others
- Severe diarrhea and vomiting - dehydration
- Fever of 103F+ sustained
HOW TO DECIDE IF IT IS A LIFE-THREATENING CONDITION
Examples of life-threatening conditions include
- Difficulty breathing
- Major injury (e.g. open chest wound with trouble breathing; spinal or neck injury with loss of responsiveness
- Unconscious or minimally responsive (e.g. drug or alcohol overdose)
- Convulsion that will not stop
In case of a life-threatening emergency, call 911! Remember, this is not for sore throats, nausea, or a light fever, unless you are concerned that it is indicative of a more severe, life-threatening situation. If you call 911 from a cell phone while on campus, be sure to call Security at 651-696-6555 as well to let them know so that they can assist the ambulance. There is no charge for the EMTs to come but if you are transported in an ambulance, there is a significant fee that your insurance may not cover, depending on your insurance. But if it is an emergency, call!
What to do:
- Call the Urgent Care center/Emergency Room first
- As soon as you arrive, indicate why you think it's urgent
- State the main problem first
- Report any past experience with the problem
- Bring any medications you have taken for the problem
Paying for Emergency Visits: Macalester College does not cover visits to the emergency room; those are billed to your insurance company.
If you need treatment and do not have transportation, contact your RA/CA, the hall director on duty, or Security. Macalester has taxi cab vouchers that can be given to students for just such urgent situations. The charge for the cab will then be put on your student account. Of course, you can always call a cab yourself or take the bus.
If you are looking for health information, reference some of the self-care provided at a reputable website such the one at the Mayo Clinic
1040 Grand Avenue
Saint Paul, MN 55105
Directions via Google maps
These clinics see common concerns such as sore throats, bladder infections, etc. Check the web page for more details and directions to the site, as well as insurance information.
Sexual Offense Services (S.O.S.)
Public Health Center
555 Cedar St
St. Paul, MN 55101
Directions via Google maps
Provides direct services to victims of sexual assault including individual counseling as well as 24-hour information, referral, crisis phone service and hospital outreach and advocacy.
St. Paul Corner Drug
240 Snelling Avenue S
St. Paul, MN 55105
At the corner of St. Clair Avenue and Snelling Avenue; south east end of campus
Macalester College Health and Wellness Center offers emergency counseling services for students during office hours whenever school is in session. After hours, if you are having thoughts of harming yourself or are feeling dangerously out of control, you have several resources available to you. If residing on campus, we recommend you first contact your RA/CA or RHD who can help you determine the best option and facilitate your decision.
An additional resource for students with counseling needs is ProtoCall, the 24/7 phone counseling service for Macalester. Simply call HWC at 651-696-6275 and press "2" when you reach the voice mail.
The Crisis Connection (612-379-6363) is a 24-hour crisis line available when simply talking with a trained counselor can help. Finally, consider going to the nearest emergency room or calling 911. The closest emergency room to campus is at Regions Hospital (651-254-1000), located at 640 Jackson Street in downtown St. Paul.
Here are some other steps students can take to help manage times of distress:
- Identify the specific source or distress and write down and review positive strategies for responding to it.
- Talk with a trusted family member, mentor, or friend.
- Engage in activities that help you feel better (e.g. listening to relaxing music, exercising, walking, journaling, or doing a relaxation exercise).
24-hour crisis counseling by telephone
Urgent Care for Adult Mental Health
24 hour/7 day mobile crisis team plus crisis phone support
Walk-in services available. Click link for times.
Located at 402 University Avenue, St. Paul
Walk-In Counseling Center
Walk-in services are available at two Twin Cities sites including one in St. Paul. Click on the link above for locations and times.
Persons may present at the Emergency Center for crisis counseling, psychiatric assessment and possible admission for inpatient services. Call in advance of arrival when possible.
Located at 640 Jackson St., St. Paul
Sexual Offense Services
Public Health Center, 555 Cedar Street, St. Paul
Provides direct services to victims of sexual assault including individual counseling as well as 24-hour information, referral, crisis phone service and hospital outreach.
Hennepin Regional Poison Center
24-hour phone consults with pharmacists certified and trained in poison information