POLICIES AND PROCEDURES ON EMERGENCY CARE

                                        

                               POLICIES AND PROCEDURES ON EMERGENCY CARE



Policy:

 

Emergency care has to be provided to all patients seeking emergency medical services irrespective of paying capacity.

 

Emergency care shall be provided by emergency department on 24 X 7 bases. Admission or discharge to home or transfer to another organization from emergency department shall be recorded.

 

  • All patients attending the emergency services department shall be screened by the physician on duty.
  • Documented triage procedure shall be followed in all cases.
  • The emergency department shall be in readiness for handling disasters and other emergencies as per disaster and emergency management plan of the hospital
  • Medico-legal cases shall be handled as per policy and procedure documented separately.
  • All staff of the emergency department are to be conversant with the policies and procedures concerned with the care of emergency patients
  • Patient attending Emergency services will be handled as per documented procedure.

 

Sr. no

Procedural steps

Responsibility

1.       

Receive Patient on stretcher

Servant and Brother

2.       

Call the doctor

Nurses

3.       

Immediately check

L. I. S. A : Life Threatening

                 Impression

                Stabilize Cervical Spine

                AVPU

Doctor /Staff

Nurse/ EMT

4.       

Air Way : Suction

                Head Tilt Chin Lift /

              Jaw Thrust Maneuver

              Oral Airway

Assess for Advance Air Way Management

Definitive Air Way.

Doctor /Staff

Nurse/ EMT


 

5.       

Breathing : IPASS-O2

                   I : Inspection

                  P: Palpate

                 A: Auscultation

                O: Oxygen

        (1) Do you see any sign of inadequate respiration?

        (2) Is the rate and quality of breathing adequate to    sustain life?

       (3) Is the patient complaining of difficulty breathing?

       (4) Quickly palpate the chest for unstable segments, repetition (trauma), and equal expansion of the chest

(5) If the patient is responsive and breathing < 8 or

>24, administer oxygen using a None Rebreather

Mask (NRM) at 15 lts/minute

(6) If the patient is unresponsive and breathing is

adequate, administer oxygen using a NRB at 15

lts/minute

(7) If the patient is unresponsive and breathing is

inadequate, administer oxygen using a Bag

Valve Mask (BVM).

Doctor /Staff

Nurse/ EMT

 

 

 

 


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