Anesthesia for Critical Airway: 323-3007
*STAT* Pharmacy: 323-1707
*Make sure attending on-call is aware of change in patient status!*
Who Responds to :
Staff Assist:
the red button
page goes out to the nurse’s ASCOMs on that floor, Resident ASCOMS on ALL floors (8,10,11,12), and Respiratory team
Medical Emergency:
the blue button
all the above PLUS: PICU team and STAT team (possibly ED charge nurse, nursing supervisor as well)
Rapid Response:
If an operator calls rapid response on the overhead pager, only the STAT team attends. And if STAT team is out on a call, the PICU charge nurse attends
If the rapid response on your own floors, then you should ABSOLUTELY attend those
*Pressing the buttons on the Roncos in each room will send instantaneous pages to all the required staff members, so make sure to use them!*
Make sure patient has a patent airway
Support:
Oxygenation, ventilation, work of breathing
Circulation
delayed capillary refill, hypotension, tachycardia, mental status
(*however they can be variable on each floor)
•Ativan
•Diastat (phasing out)
•IN Versed
•Lorazepam
•Diphenhydramine
•Epinephrine
•Hydrocortisone
•Naloxone
•Flumazenil
Sizes:
Red: Max flow 9L
Yellow: Max flow 10L
Purple: Max flow 25L
Adult: 50-60L
‘Y’ in or combine multiple HFNC systems
Conventus
There are no actual staff assist buttons in Conventus. In Conventus, call "7911" to notify the operator that there is a medical emergency.
The operator will overhead an emergency call with the location
STAT team will hear this and head over. If they are unavailable, PICU charge will head over with another STAT RT
*Don't use "7911" in the hospital, and instead use the Roncos on the wall. Otherwise you may end up with a 4-5 minute delay before STAT team is notified*