DOCSLIB.ORG

Managing Medical Emergencies Including Resuscitation And

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Managing Medical Emergencies Including Resuscitation And POLICY REFERENCE NUMBER SABP/RISK/0029 POLICY NAME Managing Medical Emergencies (including Resuscitation and Anaphylaxis) Policy BRIEF OUTLINE OF THIS POLICY This policy outlines the procedures necessary to ensure that all staff are competent to a level which will provide appropriate care for people who use our services in the event of a medical emergency or cardiac arrest prior to the arrival of the ambulance. The policy adheres to the Resuscitation Council (UK) Guidelines 2015, national Patient Safety Agency Rapid Response Report (26NOVNPSA/2008/RRR010), the NICE Guidelines 25 and Trust Clinical Procedures. Version Number 7.0 Approving Committee Executive Board Policy Category Clinical Executive Lead Chief Nursing Officer Name of Author Resuscitation and Medical Emergencies Officer Date Approved 8th December 2018 Date Issued 18th February 2021 Review Date 8th June 2022 Target Audience All directorates, clinical and managerial staff KEY PRINCIPLES ABOUT THIS POLICY 1. Management of Medical Emergencies 2. Resuscitation 3. Procedural Responsibility This policy has been reviewed and is compliant with the most up to date Code of Practice and NICE Guidelines Title of Code of Practice NICE Reference Number(s) Resuscitation Council (UK) Guidelines 2015, NICE Guidelines 25 National Patient Safety Agency Rapid Response Report (26 NovNPSA/2008/RRR010) VERSION CONTROL LIST Version Date Author Status Comment 1 Nov 09 Simon Whitfield and live Mayvis Oddoye 1.1 May 11 Simon Whitfield and draft Substantial review Mayvis Oddoye 1.2 July 11 Simon Whitfield and draft Comments Mayvis Oddoye received from Fiona Lockwood 1.3 July 11 Simon Whitfield draft andVersion Julie Smith sent out for consultation 1.4 September 11 Simon Whitfield draft Ready to go to Oct 11 PAG 1.5 May 12 Amanda Shaw draft Approved at PAG 2 June 12 live Approved by Exec board 2.1 July 14 Simon Whitfield and draft Mayvis Oddoye 2.2 October 14 Simon Whitfield and draft Mayvis Oddoye 2.3 March 15 draft 2.3 August 15 draft Presented to PAG. Further amendments required 2.4 Nov 15 draft Approved at PAG 3 Nov 15 live 3.1 Feb 16 draft One minor amendment 4 Feb 16 Live 4.1 June 16 draft Amendment to emergency drugs 4.2 Oct 16 draft Returnedprotocol to PAG for final approval 5.0 April 2017 Live Approved by PAG 5.1 October 2018 Paul Luker draft Substantial review 6.0 January 2019 Paul Luker Approved 7.0 February 2021 Paul Luker Approved Covid Review extension agreed Page 2 of 55 Summary of Changes since Version 4.2 Numbers (Select the appropriate action) Original/New/Amendment/Deleted – Statement Page Paragraph Appendix (select the appropriate action) All Logo changed to reflect current branding All Multiple wording changes to update whole policy 7 The contact number 112 is an alternative number to 999 and directs calls to the same emergency call centre as the 999 number but can be used from mobiles 9.4.9 Addition of ‘carers’ to text 2.3 Addition of text: Staff employed in a clinical or care role by the Trust must comply with the requirements laid out in this procedure. 10 Addition of ‘Water for Injection’ to checking table Page 3 of 55 Contents Page Section Page POLICY SECTION Version Control List 2 Summary of Changes 3 1.0 Policy Purpose 5 2.0 Policy Statement 5 3.0 Related Policies 6 4.0 Glossary of Terms 6 5.0 References 7 PROCEDURE SECTION 6.0 Roles and Responsibilities 8 7.0 Procedure Flow Chart 10 8.0 Procedure Statement 13 9.0 Procedure / Process 13 9.1 Categorisation of Risk Areas 13 9.2 the Modified Early Warning System (MEWS) 13 9.3 Managing Medical Emergencies Including Resuscitation and 14 Anaphylaxis 9.4 Post Incident 16 9.5 Training Requirements 18 9.6 Equipment 21 9.7 Approved Emergency Medicines 23 9.8 Ordering, Location, Checking and Maintaining Medical 25 Emergency / Resus Equipment and Medication 9.9 Infection Control 26 9.10 Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) 26 9.11 Post Incident Debriefing 30 9.12 Cardiac Arrest Audit and Monitoring 30 9.13 Unannounced Medical Emergency / Cardiac Arrest Drills 31 10.0 Monitoring Table 32 11.0 Equality Analysis 33 12.0 Appendices 37 Page 4 of 55 POLICY SECTION 1.0 Purpose 1.1 The purpose of this policy is to ensure the Trust delivers an effective and timely response to medical emergencies, including cardiac arrest, which is compliant with the latest legislation, guidance and recommendations. 2.0 Policy Statement 2.1 The Trust’s policy will adhere to the Resuscitation Council (UK) Guidelines 2015, National Patient Safety Agency Rapid Response Report (26 NovNPSA/2008/RRR010) and the NICE Guidelines 25 and Trust Clinical Procedures in order to ensure that all staff are competent to a level which will provide appropriate care for people who use our services in the event of a medical emergency or cardiac arrest prior to the arrival of the ambulance. • NICE guidelines state that staff involved in administering or prescribing rapid tranquillisation, or monitoring service users, to whom parenteral rapid tranquillisation has been administered, should receive ongoing competency training to a minimum of immediate life support (ILS–Resuscitation Council UK) and the use of defibrillators. • Staff who employ physical intervention or seclusion should as a minimum be trained in basic life support (BLS – Resuscitation Council UK). 2.2 This policy also takes into account the Human Rights Act of 1998 in decision making particularly relevant to decision about attempted CPR in the context of the following points: • The right to Life (article 2) • The right to be free from inhuman or degrading treatment (article 3) • The right to respect for privacy and family life (article 8) • The right to freedom and expression, which includes the right to hold • opinions and to receive information (article 10) • The right to be free from discriminatory practices in respect of these rights (Article 14) Page 5 of 55 2.3 Staff employed by the Trust must comply with the requirements laid out in the Managing Medical Emergencies including Resuscitation and Anaphylaxis Procedure which cover: • Roles and Responsibilities of staff • Equipment • Training • Monitoring • Documentation • Drills 2.4 This policy and procedure will specifically cover Resuscitation and Anaphylaxis. However it is expected that staff will respond quickly to all medical emergencies and alert the appropriate emergency service(s) 3.0 Related SABP Policies Learning and Development Policy, Medicines Policy 4.0 Glossary of Terms Basic Life Support (BLS) BLS implies that no equipment is required to give cardio-respiratory resuscitation, other than a protective device to allow the responder to give ventilations without risk of infection transmission. Automated External Defibrillators (AEDs) Automated External Defibrillator (AED) - The machine analyses the heart rhythm and will automatically deliver a defibrillation shock via the defibrillation electrodes only if an arrhythmia with a shockable rhythm is present. This machine will not allow a shock to be delivered inappropriately. This defibrillator must not be used on neonates or infants. Immediate Life Support (ILS) NICE Guideline 25 requires that where rapid tranquillisation, physical intervention or seclusion are used, there should be access within 3 minutes to appropriately trained Page 6 of 55 personnel and equipment including an AED, bag valve mask, oxygen, cannulas, fluids and suction . 5.0 References • Resuscitation Council (UK) Guidelines 2015 • National Patient Safety Agency Rapid Response Report (26NovNPSA?2008/RRR010) • Nice Guidelines 25 • Trust Clinical Procedures • Human Rights Act 1998 • Guidance from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing 2016 (previously known as the HSC2000/028 ‘Joint Statement’) • Mental Health Capacity Act 2005 • British Medical Association, 2007, “Advance decisions and proxy decision- making in medical treatment and research” Page 7 of 55 PROCEDURE SECTION 6.0 Roles and Responsibilities 6.1 Staff employed in a clinical or care role by the Trust must comply with the requirements laid out in this procedure. 6.2 All staff employed by the Trust need to be familiar with their roles and responsibilities as outlined by this procedure. 6.3 The roles and responsibilities of staff depend on the categorisation of risk for their area of work and their individual role within that area. 6.4 Health professionals need to be aware of the law in relation to decision- making for different groups: • Competent adults (see appendix 1 for further information) • Incompetent adults (see appendix 2 for further information) • Children and young people (see appendix 3 for further information) 6.5 It is the responsibility of all staff to ensure they undertake the correct training to support the implementation of this procedure. 6.6 It is the responsibility of all ward/unit managers in conjunction with the Matron/Service Manager to ensure that appropriate life support equipment is in place at all times, properly maintained (Including mandatory checks), easily accessible and that all staff are competent to administer an appropriate level of life support. 6.7 The Consultant Nurse for Safeguarding Children is the Trust Lead for Resuscitation. 6.8 The Director of Risk and Safety is the Trust Lead Director for Medical Emergencies and Resuscitation. 6.9 The Education Department in conjunction with the Trust Resuscitation and Medical Emergencies Officer (RMEO) will be responsible for ensuring a rolling program of training and development to ensure a level of competence in staff that will adequately support this procedure. 6.10 The Resuscitation Steering Group will review the effectiveness of the current arrangements and will review changes in practice and support the Page 8 of 55 implementation of any policy changes or best practice recommendations which need to be made 6.11 The Trust Quality Committee will monitor the effectiveness of the arrangements for dealing with Medical Emergencies and Resuscitation on an annual basis.
Load more

Recommended publications
  • Understanding Code Status
    Understanding Code Status It’s important to consider the type of Code status conversations should include questions such as: medical treatments you want before • Which treatments, if any, might you not want to a medical emergency occurs. All receive? patients must choose a code status. • Under which circumstances, if any, do you believe life-prolonging treatments would not be desirable? Understanding what each code means • How has your past experience, if any, created your and selecting a code status will help opinion about resuscitation procedures for yourself? your caregivers and loved ones follow It is very important to have this discussion your wishes. before a medical emergency occurs. What is Code Status? Choosing your Code Status All patients who are admitted to a hospital or an You will work with your health care provider to outpatient facility (such as a dialysis center or discuss the types of resuscitation procedures and outpatient surgery center) will be asked to choose advance medical treatments you would benefit from a code status for the duration of their stay. and the type that you may not want if a medical emergency were to occur. This conversation should Your chosen code status describes the type of help you determine which code status is right for you resuscitation procedures (if any) you would like the to live well with your goals in mind. health care team to conduct if your heart stopped beating and/or you stopped breathing. During this Outcomes after CPR medical emergency, resuscitation procedures must Unfortunately, what you see on TV is not reality.
    [Show full text]
  • Cardiopulmonary Resuscitation EFFECTIVE DATE: October 2007 SUPERCEDES DATE: May 2004
    HEALTH SERVICES POLICY & PROCEDURE MANUAL North Carolina Department Of Correction SECTION: Care and Treatment of Patient Division Of Prisons POLICY # TX I-7 PAGE 1 of 3 SUBJECT: Cardiopulmonary Resuscitation EFFECTIVE DATE: October 2007 SUPERCEDES DATE: May 2004 PURPOSE To provide guidelines in case of a medical emergency requiring Cardiopulmonary Resuscitation (CPR). To re-establish effective ventilation and circulation. To prevent irreversible brain damage. To provide an efficient and organized team approach in response to a medical emergency requiring Cardiopulmonary Resuscitation (CPR). To delineate the responsibilities of staff in the event of a medical emergency requiring Cardiopulmonary Resuscitation (CPR). POLICY All Health Services personnel will be certified in Cardiopulmonary Resuscitation (CPR) including Automated External Defibrillator (AED) according to guidelines set forth by the American Heart Association (AHA) “Basic Life Support Health Care Provider Course” (BLS-HCP). It is the responsibility of the employee to maintain current BLS-HCP CPR certification, with renewal every two years. Dental hygienists are required to renew annually per professional standards. Failure to recertify may result in the disciplinary process being initiated. Custody Officers are trained to provide CPR according to guidelines set forth by the American Heart Association “HeartSaver-AED Course”. Cardiopulmonary Resuscitation will be initiated on all patients demonstrating cardiac and/or respiratory arrest (i.e., absence of spontaneous respirations and/or pulseless), with the exception of: a. Decapitation b. Body tissue decomposition noted c. Verification of a current Do Not Resuscitate (DNR) order originated or approved by a physician in the employ of N.C. Division of Prisons. (1) Most patients with current DNR orders will be maintained in a Hospice unit, health ward, or infirmary with DNR located in patient’s chart with staff knowledge of such.
    [Show full text]
  • VHA Dir 1101.05(2), Emergency Medicine
    Department of Veterans Affairs VHA DIRECTIVE 1101.05(2) Veterans Health Administration Transmittal Sheet Washington, DC 20420 September 2, 2016 EMERGENCY MEDICINE 1. REASON FOR ISSUE: This Veterans Health Administration (VHA) directive establishes policy and procedures for VHA Emergency Departments (EDs) and Urgent Care Centers (UCCs). 2. SUMMARY OF MAJOR CHANGES: This directive replaces the previous VHA handbook establishing procedures for VA EDs and UCCs. The following major changes are included: a. Information on EDs, UCCs, diversion, Mental Health, sexual assault, temporary beds, ED/UCC staffing, and Emergency Department Integration Software (EDIS) was added. b. Information about the Intermediate Healthcare Technician Program. c. Information about the ED and Women’s Health, Out of Operating Room Airway Management and Ensuring Correct Surgery and Invasive Procedures, and geriatric emergency care. d. Information about the Emergency Medicine Improvement Initiative and support resources. 3. RELATED ISSUE: None. 4. RESPONSIBLE OFFICE: The Office of Patient Care Services (10P), Specialty Care Services (10P4E), is responsible for the content of this VHA Handbook. Questions may be referred to the National Director for Emergency Medicine at 202-461-7120. 5. RESCISSIONS: VHA Handbook 1101.05, dated May 12, 2010; VHA Directive 1051, dated February 21, 2014; VHA Directive 1079, dated February 3, 2014; VHA Directive 2010-008, dated February 22, 2010; VHA Directive 2010-014, dated March 25, 2010; VHA Directive 1009, dated August 28, 2013; VHA Directive 2010-010, dated March 2, 2010; VHA Directive 2011-029, dated July 15, 2011; and VHA Directive 2009-069, dated December 16, 2009 are rescinded. 6. RECERTIFICATION: This VHA directive is scheduled for recertification on or before the last working day of September 2021.
    [Show full text]
  • Emergency Medical Services Statutes and Regulations
    Emergency Medical Services Statutes and Regulations Printed: August 2016 Effective: September 11, 2016 1 9/16/2016 Statutes and Regulations Table of Contents Title 63 of the Oklahoma Statutes Pages 3 - 13 Sections 1-2501 to 1-2515 Constitution of Oklahoma Pages 14 - 16 Article 10, Section 9 C Title 19 of the Oklahoma Statutes Pages 17 - 24 Sections 371 and 372 Sections 1- 1201 to 1-1221 Section 1-1710.1 Oklahoma Administrative Code Pages 25 - 125 Chapter 641- Emergency Medical Services Subchapter 1- General EMS programs Subchapter 3- Ground ambulance service Subchapter 5- Personnel licenses and certification Subchapter 7- Training programs Subchapter 9- Trauma referral centers Subchapter 11- Specialty care ambulance service Subchapter 13- Air ambulance service Subchapter 15- Emergency medical response agency Subchapter 17- Stretcher aid van services Appendix 1 Summary of rule changes Approved changes to the June 11, 2009 effective date to the September 11, 2016 effective date 2 9/16/2016 §63-1-2501. Short title. Sections 1-2502 through 1-2521 of this title shall be known and may be cited as the "Oklahoma Emergency Response Systems Development Act". Added by Laws 1990, c. 320, § 5, emerg. eff. May 30, 1990. Amended by Laws 1999, c. 156, § 1, eff. Nov. 1, 1999. NOTE: Editorially renumbered from § 1-2401 of this title to avoid a duplication in numbering. §63-1-2502. Legislative findings and declaration. The Legislature hereby finds and declares that: 1. There is a critical shortage of providers of emergency care for: a. the delivery of fast, efficient emergency medical care for the sick and injured at the scene of a medical emergency and during transport to a health care facility, and b.
    [Show full text]
  • Medical Emergency Minimum Standard: 5120:1-8-09(E) Revised
    Section 6: Jail Emergencies Response Plan Subject: Medical Emergency Minimum Standard: 5120:1-8-09(E) Revised: Authorized: _____________________________ Effective date: ________________________ Sheriff Paul A. Sigsworth POLICY The Erie County Jail shall provide 24-hour emergency medical, dental, and mental health care services. All corrections officers are trained to respond to medical emergencies, and will promptly implement emergency medical procedures for inmates who are in need of emergency medical attention. PROCEDURE A. Policy 1. Any Corrections Officer or member of the Medical Staff who is available will respond when a Medical Emergency is reported and initiate care. B. Definitions: 1. The following occurrence define an emergency, which may result from, but not limited to, injury from attempted suicide or injury from assault. a. Sever Bleeding: i. Apply clean/sterile pressure dressing to wound, apply pressure by use of hands. Monitor for signs and symptoms of shock. Follow American Red Cross Heartsaver Guidelines. b. Unconsciousness: i. Maintain body alignment, observe vital signs, respiration, etc., for any change until the doctor or emergency squad arrives. Monitor for deteriorating status. Follow American Red Cross Heartsaver Guidelines. c. Serious Breathing Difficulties: i. Keep in a semi-sitting position. Loosen or remove all tight clothing, observe and reassure. Monitor for deteriorating status. Follow American Red Cross Heartsaver Guidelines. d. Head, Neck, and/or Spinal Injury: i. Keep inmate quiet. Stop any bleeding, maintain neck alignment, observe and reassure. Monitor for deteriorating status. Follow American Red Cross Heartsaver Guidelines. e. Severe Burns: i. Do not remove clothing. Apply clean wet dressing to area. Prevent chilling, observe and reassure.
    [Show full text]
  • Search and Rescue Activities in the Mediterranean Sea the PERSPECTIVE of a YOUNG EMERGENCY PHYSICIAN
    27/09/2018 Search and Rescue Activities in the Mediterranean Sea THE PERSPECTIVE OF A YOUNG EMERGENCY PHYSICIAN MIGRATION TODAY Source: UNHCR Data 1 27/09/2018 MIGRATION TODAY Source: UNHCR Data THE NEED OF A SAR OPERATION Source: UNHCR Data 2 27/09/2018 THE NEED OF A SAR OPERATION Death rate 2,18% 1,82% 1,40% 0,37% 1,63% Source: UNHCR Data A CROWDED SEA ASSETTS INVOLVED Italian Coast Guard Maltese Coast Guard Libyan Coast Guard Operation Mare Nostrum (IT) 2013 FRONTEX Triton (EU) 2014 ‐> Themis (EU) 2018 Operation EuNavMedFor – Sophia (dal 2015) Merchant vessels NGO’s vessels SEARCH AND RESCUE AREA Italy Malta Lybia Tunisia Photo: Vesselfinder.com 3 27/09/2018 YEAR 2017 Total arrivals by sea: 112.737 migrants Total SAR events: 1.116 missions Total MEDEVACs: 58 missions for 169 migrants Source: UNHCR Data, Italian Coast Guard MAY 2017 YEAR 2017 JUNE 2017 Source: Italian Coast Guard 4 27/09/2018 GET ON BOARD MSF ‐ VOS Prudence • An almost 3000 tons offshore support vessel, built in 2013 • Ruled by VROON crew, rented by Médecins Sans Frontières on 2017 for SAR purpose • Customized by MSF with a small hospital and a structure adapted to cover up to 700 rescued migrants • 2 RHIBs (Rigid Hull Inflatable Boat) for early support and rescues MSF CREW • 1 head of mission, 4 logistics (1 Wat‐San), 2 RHIB pilots • 1 psychologist, 1 humanitarian officer, 4 to 6 cultural mediators • 1 doctor, 2 nurses, 1 midwife HUMANITARIAN MEDIC Humanitarian Medic is an innovative training program, designed and coordinated by CRIMEDIM in collaboration with Médecins Sans Frontières (Doctor Without Borders, Italian section).
    [Show full text]
  • Medical Emergencies and Resuscitation Policy Version: 7
    SH CP 30 Medical Emergencies and Resuscitation Policy Version: 7 Summary: The purpose of the policy is to provide direction and guidance for the planning and implementation of a high-quality and robust resuscitation service ensuring a consistent approach is applied in relation to the management of cardiopulmonary resuscitation and medical emergencies across the Trust. Keywords (minimum of 5): Asthma, Anaphylaxis, Cardio Pulmonary (To assist policy search engine) Resuscitation, Cardiac Emergencies: Angina & Myocardial Infarction, Choking and aspiration, Hypoglycaemia, Life support training, Medical emergency, Resuscitation equipment, Seizures, Syncope (fainting), The use of oxygen in an emergency. Target Audience: All staff involved with patient care Next Review Date: October 2021 Approved & Ratified by: Date of meeting: Resuscitation Group 1st April 2019 Date issued: March 2020 Author: Hayley Stockford, Resuscitation Officer Accountable Executive Lead: Karl Marlowe, Medical Director 1 Medical Emergencies & Resuscitation Policy Version: 7 July 2020 Version Control Change Record Date Author Version Page Reason for Change 18.07.16 Hayley Stockford 2 All Policy Review: Resuscitation Updated guidance in line with Resuscitation Guidelines 2015 and RCUK Officer Quality Standards, references and associated documents 16.08.16 Hayley Stockford 2 Amendments to equipment provision and checking requirements as Resuscitation 8 – 9 requested by CQC Delivery Meeting: Officer 54-59 Removed “ minimum monthly checks” to “daily checks” 54-57 Removed resuscitation equipment checking documents Added new resuscitation equipment checking documents 05.09.16 Hayley Stockford 2 5 Addition of adult, child and infant to definitions Resuscitation 55 Change presentation of midazolam Officer 55 Addition of needles and syringes to checklist February Hayley Stockford 3 8-10 Policy reviewed as part of the Trust wide standardisation of 2017 Resuscitation 46 resuscitation equipment as part of a managed service, for inpatient Officer settings.
    [Show full text]
  • Emergency Medical Services at the Crossroads
    Future of Emergency Care Series Emergency Medical Services At the Crossroads Committee on the Future of Emergency Care in the United States Health System Board on Health Care Services PREPUBLICATION COPY: UNCORRECTED PROOFS THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 282-99-0045 between the National Academy of Sciences and the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ); Contract No. B03-06 between the National Academy of Sciences and the Josiah Macy, Jr. Foundation; and Contract No. HHSH25056047 between the National Academy of Sciences and the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA) and Centers for Disease Control and Prevention (CDC), and the U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.
    [Show full text]
  • Emergency Medical Services First Responder Certification Level's Impact on Ambulance Scene Times Devin Todd Price Walden University
    Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2018 Emergency Medical Services First Responder Certification Level's Impact on Ambulance Scene Times Devin Todd Price Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Public Administration Commons, Public Health Education and Promotion Commons, and the Public Policy Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Social and Behavioral Sciences This is to certify that the doctoral dissertation by Devin T. Price has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Robert Levasseur, Committee Chairperson, Public Policy and Administration Faculty Dr. Patricia Ripoll, Committee Member, Public Policy and Administration Faculty Dr. Daniel Jones, University Reviewer, Public Policy and Administration Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2018 Abstract Emergency Medical Services First Responder Certification Level’s Impact on Ambulance Scene Times by Devin T. Price MS, University of San Diego, 2002 BS, University of Phoenix, 1999 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Policy and Administration Walden University November 2018 Abstract The foundation of modern-day emergency medical service (EMS) systems began in 1966, based on hospital medical care.
    [Show full text]
  • Emergency Medical Services Project
    DEMOCRACY IN ACTION Emergency Medical Services Project Social Science 495 – Capstone in the Social Sciences Spring 2017 Dr. Matthew Atherton Jenny Duffy EMT-P, RN Associate Professor EMS Coordinator Sociology San Marcos Fire Department [email protected] [email protected] Emergency Medical Services DEMOCRACY Project IN ACTION Social Science 495 – Capstone in the Social Sciences Background Objective To decrease the frequency of repeat 911 callers by finding alternative options and community resources that are more appropriate to their needs rather than repeated use of Emergency Medical Services (EMS). Utiliza-tion of alternative options and resources for low acuity, non-emergent patients will help increase the avail-ability of EMS to higher acuity patients, decrease offload delays at the Emergency Room (ER), and decrease re-admittance rates. Problem Fire Service based EMS can be considered the gatekeepers to the healthcare system. The number of 911 habitual users has increased, with these users accessing the system for a plethora of reasons. These reasons include having limited access to primary care, assisted care, or follow up care; a lack of awareness of how to access resources other than 911 for low acuity issues; or suffering from mental health issues or substance abuse problems that interfere in appropriate determination of the 911 system. The increase in the frequency of habitual users places a strain on EMS operationally as well as financially. This affects EMS resources, including the fire department, Emergency Medical Technicians (EMTs), paramedics, law enforcement, dispatch, ERs, hospitals, Psychiatric Emergency Response Team (PERT) clinicians, and neighboring agency resources. Previously identified potential solutions involve delivering patient care follow-up, establishing patient care plans and education, alignment of resources for low acuity needs, and local partnerships with law enforce- ment and hospitals.
    [Show full text]
  • Automated External Defibrillators (Aed)
    DOUGLAS COUNTY COLORADO OFFICE OF THE COUNTY ADMINISTRATOR RISK MANAGEMENT AUTOMATED EXTERNAL DEFIBRILLATORS (AED) Purpose: The practices and procedures described in this document comprise the program through which Douglas County Colorado will administer its Automated External Defibrillator Program. This program will be reviewed annually, and revised whenever new, or modified tasks, or procedures are implemented. Relevant Statute: Persons rendering emergency assistance through the use of automated external defibrillators – limited immunity. Colorado Revised Statute 13-21-108.1 13-21-108.1 (4)(a) Any person or entity whose primary duties do not include the provision of health care and who, in good faith and without compensation, renders emergency care or treatment by the use of an AED shall not be liable for any civil damages for acts or omissions made in good faith as a result of such care or treatment or as a result of any act or failure to act in providing or arranging further medical treatment, unless the acts or omissions were grossly negligent or willful and wanton. (b) The immunity provided in paragraph (a) of this subsection (4) extends to the licensed physician who is involved with AED site placement, the person or entity who provides the CPR and AED site placement, and the person or entity responsible for the site where the AED is located. Definitions: A. Automated External Defibrillator “AED” means an emergency medical device that can detect and recognize certain heart arrhythmias and can determine, without intervention by the operator, whether defibrillation should be performed. If defibrillation is appropriate, the AED automatically charges and requests the operator to deliver an electrical impulse to the patient’s heart.
    [Show full text]
  • The Rape of Emergency Medicine
    The Rape of Emergency Medicine James Keaney, M.D. © 2004 by the American Academy of Emergency Medicine Table of Contents Prologue..............................................................................1 Chapter One: Steinerman................................................. 8 Chapter Two: The Contracts and Their Holders ....... 13 Chapter Three: Suits and Scrubs....................................25 Chapter Four: Origin of a Species..................................45 Chapter Five: Crips and Bloods......................................54 Chapter Six: The Anderson Syndrome .......................... 62 Chapter Seven: Caveat Emptor .......................................82 Chapter Eight: Cro-Magnon ......................................... 99 Chapter Nine: The Quiet Room.................................... 108 Chapter Ten: The Other Side of Midnight ................ 126 Chapter Eleven: A One Way Ticket to Palookaville . 142 Chapter Twelve: Utah ................................................... 154 Chapter Thirteen: Pinnacle, Inc. .................................167 Chapter Fourteen: The Missing Chapter .................... 187 Chapter Fifteen: Chart Wars ....................................... 188 Chapter Sixteen: Physicians of a Lesser God ............. 200 Chapter Seventeen: Mea Culpa..................................... 214 Chapter Eighteen: California Dreamin’......................220 Chapter Nineteen: The Empire Strikes Back...............237 Chapter Twenty: The One Hundred and Eighty Thousand Dollar Pair of Sunglasses ...........................246
    [Show full text]