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Emergency Services > 02 Emergency Care Guidelines (20 docs)

02 Emergency Care Guidelines (20 docs)

Free Forms, caregiving, nursing forms, policies, Licensing, Training, Case Management, Home Care, Assisted Living, DD, MI, HCBS

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Documents in 02 Emergency Care Guidelines (20 docs) (21)

This document describes the respiratory system and explains basic steps for direct care satff to follow if someone is choking or if they have an airway obstruction.

Residents should never be left unattended while eating in a dining room. The law requires all direct care staff, (in some states even the dietary aides) to be trained in first aid, which would include training in the Heimlich Maneuver.  Never attempt to do anything you are not trained to do. Airway Obstructions (FBAO)
Explains the basics on how to handle an emergency with a resident who has been diagnosed with Angina, a condition that occurs when the heart muscle doesn't get enough blood. Direct care staff, medication aides, facility managers and administrators.

Angina occurs when the heart muscle doesn't get enough blood and therefore not enough oxygen.  Angina is a warning sign that the resident is at risk of having a heart attack and immediate action is essential. Angina
This document gives residential care facility staff the basics for treating bleeding, wounds and abrasions in an emergency situation.

Internal Bleeding Indicators: 
~Abdominal swelling
~Abnormal pulse
~Bleeding from the ears, nose, mouth, rectum or vagina
~Breathing Difficulties
~Bruises on chest or signs of fractured ribs
~Excessive thirst... Bleeding, Wounds and Abrasions - for community care homes
For higher level care facilities. Develop and maintain an emergency preparedness communication plan that complies with both federal and state laws. Patient care must be well-coordinated within the facility, across health care providers and with state and local public health departments and emergency systems. The plan must include contact information for other hospitals and CAHs; method for sharing information and medical documentation for consumers. CMS Providers Emergency Preparedness by Type
Most states require all direct care staff to have CPR and First Aid training, this document does not replace that training. This document explains the basics of CPR in emergency situations.

You should already know which residents are DNR.
If you don't know, start CPR and send someone to check for DNR and Advance Directives.   If they are DNR you can stop.*
In most cases, once you start CPR you cannot stop. CPR for Adults
Used for care staff training. Explains what procedures to follow in case of diabetic, insulin, and hypoglycemic emergencies.

If the resident is a known diabetic, immediately assist the resident in measuring their blood sugar level, do not poke the finger with the lance, the resident must do that.  You can read the results from the Glucose Monitor, and make note of it.  If the reading is: ... Diabetic, Insulin, and Hypoglycemic Emergencies in Community Based Care
Cover for Section 2 of the Emergency Service Manual on emergency care guidelines. Emergency Care Guidelines Cover
EMS Model Protocols - great example from Nebraska EMS Model Protocols - great example from Nebraska
This document deals with basic procedures care staff can follow in case of injury to the eye.

If chemicals get in the eye(s) check the MSDS information (Material Safety Data Sheet) and follow the safety instructions.  If the eyes get burned, flush out the open eye(s) immediately with water, for at least 10 minutes.  If chemicals are on other parts of the body, it may be necessary for the person to take an immediate shower.  ... Eye Emergencies
Requirements from the federal government regarding resident protection during an emergency or disaster.

Families know how and when they will be notified about evacuation plans, how they can be helpful in an emergency (example, should they come to the facility to assist?) and how/where they can plan to meet their loved ones. Out-of-town family members are given a number they can call for information. Residents who are able to participate in their own evacuation are aware of their roles and responsibilities in the event of a disaster. Federal Emergency Requirements for Resident Protection
Fire Chief's Terrorism Response Fire Chief's Terrorism Response
This First Aid Emergencies information free guide was designed for schools, but is care for all types of facilities. First Aid Emergencies
This document includes contributing factors, signs and symptoms, and basic first aid procedure for care staff and caregivers to follow when a resident may have a possible fracture. Used by Assisted Living Facilities and Residential Care Homes.

A resident can have the symptoms of a fracture, but possibly it could be a dislocation, sprain, or strain.  All possible fractures SHOULD BE TREATED AS IF THEY WERE FRACTURES.  Use the following steps to assess: ... Fractures
Free Safety Information Inservice Material Free Safety Information Inservice Material
This document is designed to help care staff understand the basic major signs of an emergency for residents with heart conditions.

If the resident has a known heart condition such as Angina, check to see if they have an emergency medication such as Nitroglycerin; you can inform the resident that they have a supply in the Med Room (if they do); and assist them with taking it per their request.  Safety Precaution: Be sure to wear gloves when handling nitroglycerine medications, and avoid getting the ointment on your skin. Heart Conditions, Emergency Care
This document describes procedures for care facility staff or caregivers to follow in case a resident is suffering from heat stroke, exhaustion, and/or heat cramps.

Vulnerable populations are very susceptible to heat emergencies.  Sunstroke is very serious and could be life threatening, the mortality (death) rate is high.  The body temperature can reach as much as 105 to 108 degrees or more.  The longer the body temperature remains high, the more likely loss of consciousness, brain damage, coma, shock, convulsions, and even death can occur. Heat Stroke, Exhaustion, and Heat Cramps
This document deals with procedures to follow if a resident is suffering from insect bites, stings, and/or allergies.

There are some people who react severely to spider bites, bee stings or other types of insect bites, and can even die if appropriate treatment is not initiated.  Flea and mosquito bites can cause itching and swelling, however, they are not usually fatal. Approximately 1 in every 200 people is dangerously allergic to venomous stinging insects and therefore at risk for anaphylactic shock. Insect Bites, Stings and Allergies
This document deals with the procedures to follow if a resident is suffering from a nose bleed.

Possible Causes:

High blood pressure is a common cause of nosebleeds as well as injuries.  People with fragile blood vessels can have nosebleeds frequently. Other causes of nosebleed are dried and irritated nasal mucous, cocaine use, tumors, blood disorders, excessive nose blowing, nasal decongestants, anticoagulant overdose, and trauma to the nose.  Doctors say the most common cause of nosebleeds among the young and old alike is still Nose Bleeds
This document deals with the procedures to follow if poisoning is suspected. 

Poisoning causes Acute Gastroenteritis, which is the inflammation of the stomach and intestines. Poisoning can be fatal among the elderly, call 911 and the Poison Control Center for all poison related emergencies.  Find out what was taken and how much if possible.  Do not induce vomiting unless told to do so by the Poison Control Center.  Toxins or bacteria can cause a person to become poisoned. Poisoning
This document deals with procedures to follow if a resident is suffering from a seizure.

Seizures can happen anytime. Seizures can be caused by a specific disease such as Epilepsy, or by insulin shock, head injuries or even high fevers.  They can last for seconds or minutes, 1 to 2 minutes is the average.  The primary goal for staff is to protect the person from harm until full awareness returns. Seizures, Emergency Care Procedures
Care-giving and procedures to follow for a resident who has suffered from a stroke.

A stroke is different than a heart attack.  A stroke occurs when the blood flow to the brain is blocked by a clot, a tumor, or is somehow interrupted long enough to cause brain damage.

All staff should be aware of the most common signs and symptoms, which could include any of the following: ... Stroke, or Cerebral Vascular Accident (CVA)
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