The document outlines the emergency response procedure for a patient experiencing a heart attack from their arrival at the emergency room through diagnosis and treatment. An ER nurse performs an initial triage and examination of the patient, then an ER physician makes an initial diagnosis and orders tests. If a major heart issue is confirmed, the cardiologist is contacted and the patient is prepared for potential surgery or other treatments in the catheterization laboratory to reopen blocked arteries and restore blood flow to the heart.

1. EMERGENCY RESPONSE PROSEDURE SIPOC
Supplier Input Process Output Customer
Emergency room
(ER)
ER Nurse
Triage inspection
classification
Anamnesis, Inspection sheet
Patient
ER physician Initial diagnosis Medical chart and order
Medical order Take electrocardiogram Electrocardiogram report Nurse, patient
ER physician Diagnosis
Major diagnosis confirms,
deliver prescription
Patient
ER physician Pharmacy Prescription MEDICINE Deliver medicine Taking medicine Patient
Emergency room ER physician Contact cardiologist Complete contacting Cardiac physician
Cardiovascular department
Emergency room Cardiologist ER nurse
Cardiologist illustration
Operation preparation
Complete illustration and inform
consent
Setting down pre-operation
preparation
Patient, Families
Emergency room ER nurse
Transfer to catheterization
laboratory
Arrive at catheterization
laboratory
Patient
Cardiovascular
department
Technician Cardiologist
Pre-operation preparation
Diagnosis of coronary
Start surgery
Confirm coronary infarct related
artery
Patient
Cardiologist Explanation Appropriate communication Patient family
Cardiologist Balloon inflation Myocardial reperfusion Patient