Emergency RMT Scenarios and Responses: Difference between revisions

From Guide to YKHC Medical Practices

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===FOR ALL EMERGENCY RMT===
[[image:All Emergency RMT.png|750px]]
::* 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:
:::# O2 plus bag and good fitting mask are available.
:::# 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 [[media:pediatric critical care guide.pdf|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.

Revision as of 00:15, 31 August 2019