Security Issues Suicidal or agitated patient; ask for a security 1 to 1; search and stand-by (Referred to as a Code 1) Code Gray– agitated person Code Red Fire – Code Yellow Trauma –Hospital-Only Code Blue- Cardiac/Respiratory Arrest Amber Alert Infant/Child Abduction – Rapid Response Team- Activate Rapid Response Team Code Silver- Weapon/Hostage Code 5 Shelter in Place Code Triage Disaster Response (Phase 1: Alert or Planning – Phase 2: Activate) Registration staff/process Physician work stations (Max of 2 providers to the East or West stations to give nurses a place to work) Document time that patient was initially seen, this is used to calculate the Door to Doc time. This is performed by clicking the Provider “Initial Exam” button in Epic. Medical Decision Making your best defense – Critical care time unstable patient, lifesaving intervention – see TeamHealth guidelines Transition, Rapid Rule out (Outpatient Admission/Order sets: observation for Chest pain), Pneumonia, Sepsis, Procedural sedation, Transfusion and procedure consent forms, Code Neuro, tPA, Alcohol Withdrawal, Heparin, DKA, PCA, and Transfusion, Remember to document for procedures! outs” “Time Location and use of referral and on-call lists for local physicians Admission process After speaking with the admitting physician (usually Franciscan Inpatient Team) place an order for to Hospital Bed request”. Place “ED transition orders as soon as you have time or immediately if Charge Nurse asks you to write them. Med/Surg, Med-Tele, PCU, ICU, All new onset afib go to PCU All beds in hospital are Tele-capable Currently patients on NTG drips go to PCU
Security Issues Suicidal or agitated patient; ask for a security 1 to 1; search and stand-by (Referred to as a Code 1) Code Gray– agitated person Code Red – Fire Code Yellow –Hospital-Only Trauma Code Blue- Cardiac/Respiratory Arrest Amber Alert – Infant/Child Abduction Rapid Response Team- Activate Rapid Response Team Code Silver- Weapon/Hostage Code 5 Shelter in Place Code Triage – Disaster Response (Phase 1: Alert or Planning Phase 2: Activate) Registration staff/process Physician work stations (Max of 2 providers to the East or West stations to give nurses a place to work) Document time that patient was initially seen, this is used to calculate the Door to Doc time. This is performed by clicking the “Initial Provider Exam” button in Epic. Medical Decision Making – your best defense Critical care time – unstable patient, lifesaving intervention see TeamHealth guidelines Admission/Order sets: Transition, Rapid Rule out (Outpatient observation for Chest pain), Pneumonia, Sepsis, Procedural sedation, Transfusion and procedure consent forms, Code Neuro, tPA, Alcohol Withdrawal, Heparin, DKA, PCA, and Transfusion, Remember to document “Time outs” for procedures! Location and use of referral and on-call lists for local physicians Admission process After speaking with the admitting physician (usually Franciscan Inpatient Team) place an order for “ED to Hospital Bed request”. Place transition orders as soon as you have time or immediately if Charge Nurse asks you to write them. Med/Surg, Med-Tele, PCU, ICU, All new onset afib go to PCU All beds in hospital are Tele-capable Currently patients on NTG drips go to PCU