ER flowchart for medstudent

1. Royal Brisbane and Women’s Hospital
MEDICAL EMERGENCY & CODE BLUE RESPONSE FLOWCHART FOR MAIN CLINICAL BUILDINGS
Yes
NO
Neonatal Patient
Does
patient meet the
Medical Emergency Call
Criteria?
Does
patient still meet
the Medical Emergency
Call Criteria?
No
Yes
No
Yes
Yes
No
Yes
CAT 1 Caesarean
Section Identified
Maternity Patient Non-clinical areas in main
buildings
Non-clinical areas in main
buildings
DEM Staff activate internal
response team
DEM Team response and
review patient
DEM Team contact QAS
Patient transported to DEM
Patient requires urgent
medical assistance
Is the patient
responsive and breathing
normally?
Is there
immediate threat to life
of mother or foetus?
Is the patient
responsive and breathing
normally?
• Call for Help (64333)
• Commence Resuscitation
Does the Treating Team
Review the Patient?
Does patient
meet the Medical Emergency
Call Criteria?
Is the patient
tracking in the ‘YELLOW’
on the Observation
Chart?
Contact the Treating Team and
request a Medical Review
Ongoing management as per Rx Team
Call ‘333’ and state:
• Type of Emergency,
• Exact Location, and
• Treating Team.
Note: areas outside the main clinical buildings, which
are not connected to the RBWH PABX system, can
contact DEM on 3636 7354.
Cardiopulmonary Arrest
• Call for help
• Commence BLS
DEM staff triage the call and notify switchboard
of Clinical Emergency
Switchboard sends out page to required Emergency
Response Team (as per DEM directions)
Emergency Response and Treating Team
attend and manage the event
Revised management plan developed and implemented
Patient Care Areas Non-Patient Areas
Yes
NO
YES
NO
No
No
Yes
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HMMU Oct’11 1347_jk
Copyright Royal Brisbane and Women's Hospital, Brisbane, Queensland. Reprinted by permission of RBWH, 9 April 2015.