Emergencies & After Hours Care

To report an emergency from any phone on campus dial: 3311
To report an emergency from any phone off campus dial: 911

Counseling, Health, & Wellness Services is available for treatment of many medical and psychological concerns. However, Counseling, Health, & Wellness Services is not staffed or equipped to provide emergency treatment. If you, or someone around you, is experiencing a medical emergency, please call x3311 if living on campus, or 911 if living off-campus, and get appropriate treatment at a local emergency room. Do not come to Counseling, Health, & Wellness Services, as that may delay getting the treatment required.

Local Emergency Rooms

Allenmore Hospital

South 19th and Union

Tacoma General Hospital

315 Martin Luther King, Jr. Way

St. Joseph's Medical Center

1717 S. J Street

Group Health or Kaiser Permanente

209 Martin Luther King Jr. Way
Note: You will need proof of Group Health or Kaiser Permanente insurance information.

Local Urgent Care Facility

Westgate Multicare Urgent Care Center

2209 N. Pearl St, Suite 100
Note: Walk-in clinic open 9 a.m. - 9 p.m. weekdays, 9 a.m. - 5 p.m. weekends and holidays; must sign in one hour before clinic closes. Payment/insurance information due at time of service. Billing is available.

After Hours Resources

If you are experiencing medical or psychological difficulties outside Counseling, Health, & Wellness Services office hours (see hours at right), and don't think you should wait for assistance, you may call the After Hours Consulting Nurse or go directly to an urgent care facility or hospital emergency room.

The MultiCare (24 Hour) Consulting Nurse Service can be reached at 253.792.6300. The University of Puget Sound has contracted with this service to provide consultation and triage after hours for Puget Sound Students. If you call this service you will be asked to provide your student ID number. A summary of your consultation will be faxed to Counseling, Health, & Wellness Services for inclusion in your medical record here. Counseling, Health, & Wellness Services staff may initiate a follow-up phone call on the next working day, depending on the nature of your consultation.

Emergency Contraceptive Pills

Fact Sheet and Instructions for Emergency Contraceptive Pills (ECP)

Before you take emergency contraceptive pills (ECP), be sure you understand both the benefits and the possible problems associated with their use. This fact sheet lists the danger signs you should be aware of.

If you think you need emergency contraception and Counseling, Health, & Wellness Services is closed, don't wait! You can obtain ECP without a prescription at several local pharmacies. They are listed at the end of this article.

In order to obtain ECP from Counseling, Health, & Wellness Services, you will need to make an appointment with one of the providers. Call extension 1555 as soon as possible after the unprotected intercourse. Anything you discuss will be kept confidential.

If you have any questions as you read this, ask your health care provider during your scheduled appointment. If you have questions or concerns afterwards, call ext. 1555 and ask to speak to your provider or the triage provider. If you have an urgent question when Counseling, Health, & Wellness Services is closed, call the Multicare 24 Hour Consulting Nurse line at 253.403.7778.

Here are the facts: ECPs are hormonal pills (similar to birth control pills) that may help prevent pregnancy after unprotected vaginal intercourse. That means either your birth control method failed or you failed to use birth control. The pills keep the ovary from releasing an egg, thicken the cervical mucus or change the lining of the uterus in such a way that a fertilized egg may not attach and develop into a pregnancy. The pills should be taken as soon as possible after unprotected intercourse, preferably within 72 hours. The sooner you take them, the more effective they will be in preventing pregnancy.

ECP is currently dispensed at Counseling, Health, & Wellness Services for free. An appointment with one of the medical providers is required. (Price is subject to change).

FDA-approved information is printed on the ECP packaging. You should read the information and ask questions during your Counseling, Health, & Wellness Services visit about anything you do not understand.

These emergency pills prevent pregnancy about 76-99% of the time, depending on when the unprotected intercourse occurs relative to your menstrual cycle. However, this method fails to prevent pregnancy in some cases because:

  • A fertilized egg has already implanted in the uterus
  • Too much time has passed since unprotected intercourse
  • The drug itself fails.

A sensitive urine pregnancy test should be done before taking ECP if you think there is a chance you could already be pregnant (your last period was late, light, or short, or if you feel pregnant.) You should not use these pills if you think you are already pregnant. However, there have been no reports of serious side effects for the woman or the fetus in women who are already pregnant when taking ECP, or when the pills fail and pregnancy occurs.

Some reactions to these pills (in the first 24 hours) may include:

  • Nausea and/or vomiting
  • Abdominal pain
  • Headache/dizziness
  • Breast tenderness.

Your next period may be early or late, or could be lighter or heavier than normal. If you use ECP more than once in a monthly cycle, the chance of an irregular period next time will be greater.

ECP are not designed to be used as birth control. It is vital to consider a reliable form of birth control if you are sexually active and at risk for unintended pregnancy. After using ECP, many women start birth control pills immediately. Ask your Counseling, Health, & Wellness Services health care provider for information about birth control pills and/or other forms of birth control during your ECP appointment.

Having unprotected sex puts you at risk for sexually transmitted diseases, including a serious infection known as pelvic inflammatory disease (PID), which can cause infertility. You and your partner can be tested confidentially at Counseling, Health, & Wellness Services for STIs.

If you vomit within 2 hours of taking your ECP the dose should be repeated. Ask your Counseling, Health, & Wellness Services health care provider for a second dose.

Schedule a follow up appointment at Counseling, Health, & Wellness Services  four weeks after taking your ECP if:

  • You have not had a normal period
  • You think you may be pregnant
  • You have any early signs of pregnancy (nausea, fatigue, breast swelling or breast tenderness.)

How to take these pills (Plan B):

  1. You will be given Plan B pills during your scheduled appointment at Counseling, Health, & Wellness Services
  2. You should take both pills at the same time within 72 hours after unprotected intercourse. The sooner, the better.

Call Counseling, Health, & Wellness Services and ask to speak with your provider or have your provider return your call if you have questions or think you have a problem.

Call Counseling, Health, & Wellness Services and ask for triage, or if Counseling, Health, & Wellness Services is closed, go to the emergency room if you have any early pregnancy danger signs, such as:

  • Sudden pain, pain that lasts, or strong cramps low in your abdomen, usually on only one side, with or without bleeding
  • Fainting or dizziness that lasts more than a few seconds. This could be a sign of bleeding inside your abdomen.

Possible miscarriage:

  • Heavy bleeding, sometimes with clots, pieces of tissue and/or bad cramps 
  • A period that is heavier and longer than normal
  • Pain in your abdomen.

When Counseling, Health, & Wellness Services is closed