Emergency procedures are necessary to ensure safety of all patients and staff during situations of medical and non-medical emergencies. Every medical and technical staff member share in providing safety to all. The detailed medical emergency procedures provide step by step written instructions, so all staff members are prepared to implement basic first aid measures until other medical emergency assistance arrive.
The Written Emergency Plan Requirements:
- Describe the mechanism(s) and specific phone contact information for emergency personnel, facility director and other sleep facility staff.
- It should describe the location of any special phones, alarms, call buttons, and/remote door access information.
- Provide and outline specific responsibilities for medical and each technical staff member:
- Indicate the step by step basic first aid measures that is to occur during the emergency.
- When more than one technician is scheduled, indicate the role of each technician.
- If only one technician is present, define how ER personnel gain access to the facility remotely to prevent staff from leaving the patient.
- Written Medical and Non-medical emergency plan(s).
- Hospital-based emergency procedures if required to implement code team procedures.
- Policy addressing Emergency equipment used, access, use and maintenance of Automated External Defibrillator, (AED) or access to Emergency Response Team.
- Policy addressing conducting and documenting emergency drills annually; minimally a cardiopulmonary drill within the sleep lab.
Cardiopulmonary emergencies may include the following:
- Cardiac arrest
- Ventricular Tachycardia > than 10 seconds
- Ventricular Fibrillation
- Apnea greater than 2 minutes
- Changes in cardiac rhythm
- Persistent bigeminy or trigemini
- Atrial Flutter or fibrillation
- Tachycardia or bradycardia
Neurological Emergencies may include the following:
- Specifically, seizures,
- Other examples of neurological emergencies include:
- loss of consciousness, changes in speech, weakness in limbs or face, severe or unrelenting headache (signs of cerebrovascular event (CVA)—stroke).
Psychiatric emergencies may include the following:
- Specifically, suicide ideation,
- Other examples may include homicidal ideation, hallucinations, acute psychosis, acute mania, any life-threatening behavior directed to harm self or others.
Environmental-Non-medical emergencies may include the following:
- Local weather threats, (earthquakes, floods, hurricanes, tornadoes),
- Bomb threats,
- Workplace or any threat of violence (potential for assault or inappropriate behavior during testing—for discussion) and;
- Belligerent patient.
All necessary emergency equipment as required by the facility’s emergency plan is to be accessible and properly functioning. A policy is required addressing the maintenance, use and training of emergency equipment.
- Automated External Defibrillator
- Medical emergency while on HSAT –instruction to call for emergency assistance (i.e. 911)