Ambulatory Emergency Initiative
In January 2018 the following policies/protocols will be integrated and released:
- UW Health Clinical Policy: Emergency Response Teams
- Ambulatory Clinic Code Blue and Medical Response Appendix
- Delegation Protocol: Medical Emergency Care-Adult/Pediatric-Ambulatory
- UW Health Clinical Policy: Maintaining and Securing the Emergency Response Carts, Defibrillators, and AED’s
With implementation of the new policies/protocols, the following will be standardized across legacy UWHC and UWMF sites:
- Emergency Carts
- Emergency Supplies
- Emergency Medications
- Standardized Forms
- Documentation within Health Link for emergency events (for patients with MRN)
Timeline for changes and training:
- November-January: Anticipated eLearning (will cover new policies, delegation protocol, standardized supplies and medications)
- December-February: UWHC sites: New emergency carts will be delivered to sites (educators will assist with delivery and set up)
- MF sites: Standardize to new standard supplies/meds (educator to assist)
- January-May: On-site emergency training (for applicable sites) with Ambulatory Educators (mock codes)
Sites that do annual Nova StatStrip Blood Glucose meter training-will do at this time as well. Glucose meter trainers for each building will still be needed.
What to Expect
Future notification of Ambulatory Emergency Standardization Training eLearning will be in an upcoming Ambulatory Communication and will be due January 5, 2018. This is mandatory education for most ambulatory employees. Release date expected around 11/20/17.
Educators will be scheduling mock code training at applicable ambulatory sites-these dates will then be entered into LDS for employees to sign up at specified time intervals. Stay tuned for future communication when sign up is ready. Staff can sign up at different locations as needed (using LDS). This is mandatory education for most employees. Providers are urged to participate in training-however, do not need to sign up in LDS. Please be sure they know the mock code times for your site so they can come as available.
*Please be understanding of float staff working in your clinics on dates of mock codes, they too need to attend these sessions.
Educators will be scheduling time at sites to either exchange cart (HC) or update cart (MF). They will email managers directly to set up in December/January.
UWHC managers - you will see the expense of the new emergency cart charged to your cost center in the month of November (if you have a cart in your clinic). At some sites the cost went to the facility cost center (East, West, and U-Station).
UWMF managers - you will see an expense for additional items for your cart. This will be charged to your cost center in November or December.
Both UWHC and UWMF sites - you will get an email from education asking you to purchase some supplies that will be needed to standardize your cart. This needs to be done because of the new standardized supply list. Once you order (when notified by educator with details) the items will be delivered to Clinical Staff Education. Educator will then bring to your site when updating your cart.
Ambulatory Emergency Policies
UW Health Clinical Policy 5.1.16: Emergency Response Teams (Adult and Pediatric)
Ambulatory Clinic (On-Site and Off-Site) Code Blue and Medical Response Processes
UW Health Clinical Policy 5.1.15: Maintaining and Securing the Emergency Response Carts, Defibrillators, and Automated External Defibrillators (AED)
Medical Emergency Care - Adult/Pediatric - Ambulatory
BLS Emergency Cart Medications
BLS Emergency Cart Supplies
UW Health Emergency Response Form
Emergency Cart and AED Audits
Emergency Event Documentation
UW Health Emergency Response Form
Ambulatory Emergency Education
LDS: Ambulatory Emergency Standardization Training