Emergency Plan for Critical Patient Management

Emergency Plan for Critical Patient Management

In our daily study, work and life, sometimes some unanticipated accidents may occur, and in order to prevent things from getting worse, we are usually asked to prepare an emergency plan beforehand. Do you know what kind of `emergency plan can actually help us? The following is my carefully organized emergency plan for the management of critically ill patients, welcome to learn and reference, I hope it will help you.

I. Purpose

Through the implementation of this plan, to provide patients with fast, safe and effective diagnosis and treatment services, and to improve the success rate of the rescue of critically ill patients, for this reason, the treatment of critically ill patients, the development of standardized emergency measures.

Second, the requirements

1. Outpatient, emergency, wards should be well coordinated, make full use of hospital resources, if necessary, report to the competent departments and hospital leadership; timely consultation or various checks, to achieve rapid and effective, coordinated and orderly.

2. Ensure that all kinds of medical equipment is in good condition and ready for use, and make clear the channels and processes for borrowing equipment.

3. The results of all inspections are implemented in a timely manner, properly preserved and carefully analyzed.

4. Timely consultation with higher-level physicians, and carefully documented in the medical record, the medical record reflects the changes in the condition of the patient in a timely manner, the important diagnostic and treatment process; proper storage of the medical record, including outpatient emergency medical records.

5. Strictly grasp the indications, pay attention to the principles of medication, drug contraindications, adverse reactions, the application of expensive or self-financed drugs should be informed before the family.

6. Pay attention to communicate with patients and their families, so that doctors and patients to establish a good relationship of coordination and cooperation, in order to facilitate the rescue treatment of patients.

Third, the reporting process

1. The physician on duty in the reception of critical patients, to quickly arrive at the patient's side to ask about the history and physical examination, to make a preliminary diagnosis, and quickly complete the vital signs of the measurement and recording. Physicians quickly issued medical advice to the nurse to implement, the condition of the emergency can be first oral medical advice by the nurse to review the implementation of the resuscitation immediately after the end of the fact to make up the record. As soon as possible after the emergency treatment, complete the admission record, the first medical record, the rescue record and other information. And to inform the patient's family in detail about the condition, preliminary diagnosis, treatment program and the degree of risk, etc., listen to the patient's family on the rescue treatment, to obtain their cooperation.

2. Hemorrhage, shock or cardiopulmonary insufficiency, such as on-duty physician processing difficulties, should be immediately emergency rescue at the same time, quickly report to the undergraduate higher doctors to the scene to participate in the rescue. If the supervising physician still has difficulty in dealing with the situation, he/she should quickly report to the chief of the department, who should immediately mobilize the staff of the department and contact with the relevant departments to participate in the rescue. In case of emergency, the consultation can be verbal or telephone, but should be according to the fact that the consultation record.

3. In the event of a medical dispute or the possibility of a medical dispute sign, the physician on duty medicine quickly reported to the superior physician and department director to deal with the scene, do a good job of medical records and other paperwork, listen to the patient and his family's views and requirements. Then the organization of the relevant personnel to discuss, write a written report to the Medical Department.

Process of dealing with patients with acute and critical illnesses

1. The outpatient duty physician encountered patients with acute and critical illnesses, in giving the necessary preliminary treatment at the same time, notify the on-duty physician in the ward, the on-duty physician according to the patient's condition, consult a superior physician to decide whether or not to enter the hospital. If the patient does not have sufficient financial ability, after consulting the hospital (daytime for the medical department, outpatient department, the night for the hospital general duty) in order to save lives, can be given to the rescue treatment, including hospitalization surgery.

2. Transferred patients, should be from the source department to obtain adequate medical information to understand the condition and diagnosis and treatment. And clear patient accounts, pay attention to the family mentality, vigilance has been potential medical strife.

3. Immediately complete the first medical record, transfer to the record, within 8 hours to complete the inpatient medical record, clear the physician in charge, do a good job of supervision, the resident at any time to check the rounds of the patient, the emergence of changes in the condition of the record at any time. The attending physician of the day, deputy chief physician timely checkups, organizing treatment and rescue, and timely report to the supervising physician or department director. The day in time or night shift when the whole department to discuss, seriously make a good record.

4. The day shift physician to the night shift physician and listen to the physician written and bedside shift, and make a good record of the shift. The physician on duty and listening to the physician should carefully check the patient, grasp the condition.

5. In the future, the resident physician at least 2 times a day to check the room, at least 1 time a day to record the course of the disease. Attending physician daily checkups, within 3 days of the department director or deputy director of the physician checkups, medical records should be a timely response to changes in the condition of the important diagnostic and treatment process, such as higher-level checkups, consultations, and other content, and proper and safe storage of medical records.

6. If necessary, notify the medical department or hospital leadership, in order to deploy medical equipment, organization of hospital-wide consultations, outside the hospital expert consultation. For potential medical disputes, serious non-payment of fees, etc., should be reported to the hospital in a timely manner, and submit written materials.

7. Ensure that all kinds of medical and emergency equipment is in good condition and ready for use. The company has a lot of experience in the field of medical equipment. If you need to cooperate with other departments and divisions, you should ask the medical department to coordinate if necessary, and avoid exposing the internal differences of the hospital to the patient.

8. Track important lab results in a timely manner and keep them appropriately.

9. Pay attention to the principles of medication, drug contraindications, adverse drug reactions, the application of expensive drugs, self-financed drugs should be informed to the patient or family.

10. Do a good job of informed consent, to the patient's family or his client to explain the condition.