Our rapid resuscitation protocol are called Triggers. Triggers are initiated for patients with unstable vital signs or marked nursing concern. Team 1 and Team 2 attendings will alternate seeing trigger patients throughout the shift. Trigger patients are expected to be seen by attending physician immediately on arrival. EM2 and EM3 will also be responsible for immediate assessment of trigger patients with the attending.
There are 3 levels of response
Triggers
Rapid Assessment
Priority Assessment
The response and mechanisms for activation varies for each level. Please see information on Important Information link on the Dashboard.
Rapid Assessment are those patients who do not meet vital sign trigger criteria, and are not a Trauma activation, STEMI or stroke. For these patients, the attending and EM3 resident are to respond. The trigger resident DOES NOT HAVE TO RESPOND. The EM3 and attending can choose the appropriate junior resident to sign up for the patient.
1) Triggers are going to be still called OVERHEAD and via Secure Chat messages
2) Rapid Assessments are going to be messaged through Secure Chat and are going to be called overhead.
3) Priority Assessment are not called overhead. These patients are indicated with a blue arrow in the "Priority/Rapid/Trigger" column in Epic.
IT IS ABSOLUTELY VITAL THAT YOU SIGN INTO YOUR ROLE IN EPIC. This will ensure these notifications come through.
Any systems or processes issues that arises should be flagged as "Process Improvement Flag". Any technical issues can be flagged as "Dashboard Feedback".
This is the page list according to the type of trigger: