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Emergency Call Response & Resuscitation Equipment - SHED

This document provides a summary of best practice in relation to emergency call response and resuscitation equipment in SHED. The summary has been created to support staff during the Sunshine Hospital Emergency Department Redevelopment transition and early post-move period, and has been endorsed by the ED Leadership Team.

Overview

This QRG provides an overview of the location of key resuscitation equipment, emergency buzzer functionality and responders, and lift override/priority access within the SHED to support management of the deteriorating patient.

Applicability

This QRG is applicable to all staff working within the SHED.

Responsibility

It is the responsibility of the Nurse Unit Managers, Directors and Deputy Directors of the Emergency Department to ensure the relevant staff are familiar with this QRG, that it is implemented according to the guidelines as outlined within, and that there is compliance by all staff members.

Guideline/Process Details

Resus trolley, defibrillator, intubation equipment and ALS transport pack locations

Ground Floor resus, circulation and airway trolley, defibrillator and rapid intubation pack locations are shown in Figure 1 and listed in Table 1. The defibrillator in the SSU will be shared between SSU and the Children’s Area.

During a clinical emergency, the resus trolley will be collected by the Nurse in Charge of the pod/area in which the emergency is located. Resus trolleys do not contain intubation drugs. There is a bag, valve and mask response kit in the Triage area (no resus trolley).

Table 1 – Ground Floor Resus Equipment Locations

*With defibrillator

Equipment Pod/Area Location
Adult Resus Trolley

 

Resuscitation Area Each of the four Resus Bays*
Adult Acute Area Cubicle 8*
Short Stay Unit Outside Medication Room*
West CASA First Floor Fast Track*
BAU Inside Staff Base*
Paediatric Resus Trolley (Broselow) Children’s Area Outside Treatment/Plaster Room
PCN Trolley AV Triage*
Circulation Trolley Resuscitation Area Each of the four Resus Bays (Resus 2 has adult and paed equipment)
Airway Trolley Resuscitation Area Each of the four Resus Bays (Resus 2 has adult and paed equipment)
Intubation Drugs Adult Acute Area Medication Room
Rapid Intubation Packs Adult Acute Area Medication Room
ALS Transport Pack Adult Acute Area Medication Room
Short Stay Unit Medication Room
Children’s Area Medication Room

Figure 1 – Ground Floor Resus Equipment Locations Map

Figure 2 – First Floor Resus Equipment Locations Map

Bedside emergency roll down packs

Each cubicle and treatment space is fitted with an emergency roll down pack. A list of contents/photo is attached to each roll down pack.

Adult roll down pack contents
·         1x adult Hudson mask
·         3x  adult oropharyngeal airways (sizes 3, 4, 5)
·         1x non-rebreather mask
·         1x Yankauer sucker
·         1x packet of ECG dots

 

Paediatric roll down pack contents
·         1x paediatric oxygen mask with tubing
·         1x adult Hudson mask
·         1x paediatric Yankaeur sucker
·         1x paediatric nasal prongs
·         1x adult nasal prongs

 

 

Emergency buzzer activation and response

Activation of any bedside emergency buzzer will trigger an overhead alert and visual notification display on the nurse call annunciator panels within all pods/areas of the SHED. Emergency buzzer attendees for each pod/area are listed in Figure 3.

Activation of the nurse call or staff assist buttons will trigger a localised pod/area notification only.

The activation of the emergency buzzer or doortop alarms within WestCASA on Level One will trigger a localised pod/area notification within the Adult Acute Area on Ground Floor – the Adult Acute Area team will respond and will bring with them the resus trolley from the Adult Fast Track.

Figure 3 – SHED emergency buzzer responders

Changes to Short Stay Unit (SSU) clinical deterioration response

SSU utilises a localised ED response in the event of clinical deterioration. Activation of an emergency buzzer within the SSU will trigger an overhead alert and visual notification display on the nurse call annunciator panels within all pods/areas of the SHED.

In addition to the localised escalation process, SSU staff will activate an Urgent Clinical Review (UCR), MET Call or Code Blue as appropriate for patients admitted under an inpatient specialty unit awaiting transfer to the ward. Clinical deterioration in non-admitted patients will be escalated and managed by the local ED team, with further escalation to a MET Call or Code Blue if anaesthetic airway support or other additional support is required.

Lift access/override

There is a swipe card reader located outside all lifts within the SHED to activate priority lift call/override in the event of an emergency.

Supporting Documents

 

Document Governance

Title: Emergency Call Response and Resuscitation Equipment – SHED
Version: 3.0
Date Published: May 2022
Date of scheduled review: May 2023
Author:  Approver: 
Fiona Pazsa SHED Leadership Team