EMERGENCY RMT

From Guide to YKHC Medical Practices
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FOR ALL EMERGENCY RMT

  • Get the health aide’s contact number.
  • Find out where the health aide and patient are located.
  • Get the patient’s name/DOB and last weight for peds patients.
  • Find out who else is helping the health aide-make sure they call for more help.
  • Get at least one more provider to help you with true emergency RMT.
  • Move patient to clinic (if able) if they are at home or another site.
  • Have health aides follow CAB/ABCs.
  • Make sure:
  1. O2 plus bag and good fitting mask are available.
  2. Health aides are ready to do CPR if needed.
  • Get all patient’s regular and emergency medications to the clinic.
  • Activate medevac ASAP if indicated. (May ask another provider to do this while you are working with the health aide.)
  • Set up video with Vidyo for better patient assessment and to assist with health aide resuscitation.
  • Intermittently Reassess/Review/Confirm/Validate what has been done and let health aides know they are doing a good job.
  • Stay calm and reassuring.
  • Take detailed notes as you are able.
  • Do not order emergency medications ‘per CHAM’. Give health aides the doses of medications needed such as ceftriaxone and steroids plus fluid rates etc.
NOTE: CHAs may not give any medications besides IV fluids per IV.
  • For pediatric patients…Use the Pediatric Critical Care Guide (weight based pediatric emergency dose sheets). Use this link or the critical care sheets in book on the side of the peds code carts on NW and in the ER.
  • If RMT is taken by Wards physician, stay in close touch with ER physician on duty. Coordinate medevac information and let ER physician assume care of a patient that is being medevaced when able.