Emergency response team

I am pasting the protocol I put together for our urgent care clinic, we do not have different codes.  feel free to use what I've put together if it helps you out at all.

I typically will debrief those involved in the response after the incident to find out what went well and what could be improved, which has helped to identify weak points in our responses and in the way our office is set up.

5 PHASES OF RR

Detection - accurately identify pt’s in distress or leading to distress.

Activation - alert team members in a timely manner.

Response/ Assess/ Stabilize - work together to gather information and react appropriately

Disposition - recover pt or hand off to EMS

Evaluation - review RR for positive and negative 

RAPID RESPONSE CRITERIA

Loss of consciousness

HR > 140, < 40 RR > 28/min, < 8/min SBP >180, < 90  02  < 90

Take a second look, is pt symptomatic? Machine error? Treat pt not machine.

Change in mental status

Stroke: BE FAST (balance, eyes, face, arm, speech, time)

Seizure

Chest pain

Staff has significant concern about pt’s condition

RAPID RESPONSE ROLES

ACTIVATOR - can be anyone who recognizes a situation that meets RR criteria 

Qualifications: be alert

Responsibilities: Alert a staff member or member of the RRT of situation needing

Response. If a witness of pertinent events then remain available to give details to Lead.

LEAD - walk in provider or RN

Qualifications: ACLS/PALS certification

Responsibilities: coordinate response, assess pt, request resources, delegate orders,                                                                               

SBAR handoff to EMS

COMMUNICATION - MA/shift lead

Qualifications: familiar with phone system, able to communicate with EMS/ER

Responsibilities:  activate EMS, identify pt, record vitals as dictated, make note of times, 

record RR activity on roomer

RESPONDERS -  1 and 2 - RN or MA

Qualifications: BLS certification

Responsibilities: bring SBAR form, PPE, aed, crash cart, CPR, bvm as appropriate, RN to do initial assessment

RUNNER - MA

Qualifications: be familiar with medical supplies and locations

Responsibilities: bring needed supplies as requested as directed by the lead responder.       monitor roomer/walky talky

4 hours ago, RN John said:

I am pasting the protocol I put together for our urgent care clinic, we do not have different codes.  feel free to use what I've put together if it helps you out at all.

I typically will debrief those involved in the response after the incident to find out what went well and what could be improved, which has helped to identify weak points in our responses and in the way our office is set up.

 

5 PHASES OF RR

Detection - accurately identify pt’s in distress or leading to distress.

Activation - alert team members in a timely manner.

Response/ Assess/ Stabilize - work together to gather information and react appropriately

Disposition - recover pt or hand off to EMS

Evaluation - review RR for positive and negative 

RAPID RESPONSE CRITERIA

Loss of consciousness

HR > 140, < 40 RR > 28/min, < 8/min SBP >180, < 90  02  < 90

Take a second look, is pt symptomatic? Machine error? Treat pt not machine.

Change in mental status

Stroke: BE FAST (balance, eyes, face, arm, speech, time)

Seizure

Chest pain

Staff has significant concern about pt’s condition

 

RAPID RESPONSE ROLES

ACTIVATOR - can be anyone who recognizes a situation that meets RR criteria 

Qualifications: be alert

Responsibilities: Alert a staff member or member of the RRT of situation needing

Response. If a witness of pertinent events then remain available to give details to Lead.

 

LEAD - walk in provider or RN

Qualifications: ACLS/PALS certification

Responsibilities: coordinate response, assess pt, request resources, delegate orders,                                                                               

SBAR handoff to EMS

 

COMMUNICATION - MA/shift lead

Qualifications: familiar with phone system, able to communicate with EMS/ER

Responsibilities:  activate EMS, identify pt, record vitals as dictated, make note of times, 

record RR activity on roomer

 

RESPONDERS -  1 and 2 - RN or MA

Qualifications: BLS certification

Responsibilities: bring SBAR form, PPE, aed, crash cart, CPR, bvm as appropriate, RN to do initial assessment

 

RUNNER - MA

Qualifications: be familiar with medical supplies and locations

Responsibilities: bring needed supplies as requested as directed by the lead responder.       monitor roomer/walky talky

THANK YOU SO SO SO MUCH THIS IS SO HELPFUL!! I seriously appreciate it!! Thank you!