lesson 1 responding to a medical office emergency chapter 43: assisting with medical emergencies and...
TRANSCRIPT
Lesson 1
Responding to a Medical Office Emergency
Chapter 43: Assisting with Medical Emergencies and Emergency Preparedness
© 2009 Pearson Education
Define and spell the terms to learn for this chapter.
List the steps of a primary assessment.
© 2009 Pearson Education
Lesson Objectives
Upon completion of this lesson, students should be able to …
© 2007 Pearson Education
MEDA116 – First Aid and CPR
Introduction
The physician must be notified immediately regarding all medical office emergencies.
Sometimes you may need to call 911. MA’s should not perform procedures outside of
their scope of practice.
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MEDA116 – First Aid and CPR
Emergency Resources
There are several options available• During normal office hours minor emergencies may
be handled in the office.• Freestanding clinics or urgent care centers provide
emergency care during & after hours, although they do not usually offer critical care intervention.
• Hospitals usually have 24-hr emergency departments open 7 days a week.
• Critical care centers have specialty-trained physician, surgeons, anesthesiologists, & other critical care staff on duty at all times.
The Emergency Medical Services (EMS) System
Established to provide• prehospital care• safe and prompt transportation to an emergency
facility.
EMS providers• recognize medical conditions• initiate basic life support• Referred to as “first responders”
Information First Responders Obtain
Patient’s complaint Patient’s immediate and overall history Medications taken and allergies Care administered so far
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MEDA116 – First Aid and CPR
What entails the role of the EMS?
Provide on-the-scene intervention & treatment Prepare the patient with injuries, trauma, or
illness for transport. Transport the pt to the emergency facility. Once
the patient is safely delivered to the receiving facility, the patient’s care is passed to medical personnel at that facility.
© 2007 Pearson Education
MEDA116 – First Aid and CPR
Some EMS duties
May Intubate (inserting a tube into the trachea as an emergency airway
Start an IV (intravenous line) Carry ample oxygen supplies Carry an assortment of emergency medications Licensed to perform other invasive procedures
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MEDA116 – First Aid and CPR
Specialized Resources
The MA will occasionally need to consult with specialists in various areas.
Legal and Ethical Responsibilities of an MA What is in the scope of your practice? How do you know?
Critical Thinking Question
Does your scope of practice change in an emergency situation?
Critical Thinking Question
Does your scope of practice change in an emergency situation?
Insert Figure 1-6 from PCMA 2e
Insert Figure 1-6 from PCMA 2e
The Good Samaritan Law
What is the Good Samaritan Law? How does it protect you as an MA?
The American Heart Associationis a great site to visit to
learn more about these laws.
Good Samaritan Laws
State laws that help to protect a health care professional from liability while giving emergency care to an accident victim.
Laws in place to encourage bystanders to offer aid in emergency situations without fear of being prosecuted for unintentional injury or death.
No one is required to give aid in the event of an emergency. Critical Thinking
QuestionDoes the Good
Samaritan Law protect an MA in the office?
Critical Thinking Question
Does the Good Samaritan Law protect an MA in the office?
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MEDA116 – First Aid and CPR
Good Samaritan Laws
Health care professionals have a commitment to render care to a patient according to the scope of his or her license, certification, or training.
Must remain with the patient until relieved by another health care professional with equal or higher level of training.
Be aware of the laws in your state and remember the standard of care needs to be met according to your license, certification, or training.
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MEDA116 – First Aid and CPR
Guidelines for Providing Emergency Care
Must stay up to date on the emergency plans of the office, facility, and community which requires reviewing on a regular basis.
Consider the American Red Cross (ARC) for major or catastrophic events.
Local law enforcement & emergency management agencies aid after catastrophic events.
Standard policy is to treat the least serious first so that they may help in rescue attempts.
© 2007 Pearson Education
MEDA116 – First Aid and CPR
Type of Emergency Situations
3 types• Telephone:
►Most common►Pt or someone else calls for the pt during the
emergency• Happens near the office & someone brings the pt to
the office:►Such as a car accident or train accident
• Occurs in the office:►Such as cardiac arrest
The Chain of Survival
Early Access Early CPR Early Defibrillation Early Advanced Care
Critical Thinking Question
How do each of these insure a better chance of
survival?
Critical Thinking Question
How do each of these insure a better chance of
survival?
Medical Assistant’s Emergency Response
Determine the patient’s name, approximate age, and gender• Always ask the patient’s
name first– Patient’s response helps
determine how the patient’s mind and body are functioning
Primary AssessmentCritical Thinking
QuestionWhat if the patient
cannot or will not tell you his name?
Critical Thinking Question
What if the patient cannot or will not tell
you his name?
Medical Assistant’s Emergency ResponsePrimary Assessment
Determine the patient’s need for intervention• A pt who cannot be aroused or who cannot
stay awake deserves serious concern
Medical Assistant’s Emergency ResponsePrimary Assessment Obtain a history of
the event
Insert Figure 12-2 fromPCMA 2e
Medical Assistant’s Emergency ResponsePrimary Assessment Gather medication
information
Insert Figure 53-4 fromPCMA 2e
Critical Thinking Question
What if the patient cannot remember his or her medications or has
too many to list?
Critical Thinking Question
What if the patient cannot remember his or her medications or has
too many to list?
Medical Assistant’s Emergency ResponsePrimary Assessment
Determine patient’s allergies
Medical Assistant’s Emergency Response
Take the vital signs
Primary Assessment
Insert Figure 33-13from PCMA 1e p. 606
Office Emergency Crash Kit
Insert Figure 43-2 from PCMA 2eInsert Figure 43-2 from PCMA 2e
Items in a Crash Kit
Emergency medications Intubation equipment Needles and syringes Assorted small instruments
Items in a Crash Kit Resuscitator Heart monitor-defibrillator Oxygen supply Airways Suction devices
The Medical Assistant and the Crash Kit The medical assistant should do routine checks
of emergency supplies in the crash cart. These include:• Restocking• Replacing expired medications• Replacing used items• Replacing/charging batteries in certain itemsCritical Thinking
QuestionWhat happens when the batteries in crash
cart items are not recharged?
Critical Thinking Question
What happens when the batteries in crash
cart items are not recharged?
Questions?