Depending on the hospital you work at you may or may not deal with a lot of emergency walk-ins. It is still important that you know how to smoothly manage the situation when it does happen because when it happens you may not have the time to stop and think, you’ll just have to act.
Should destiny determine that it be you who has to walk up front to intake the emergency that has just arrived, I would like you to keep the following in mind:
Asses: “Hello, I’m ___ what’s your name? What’s your pet’s name?”
Absorb the situation and determine the owner’s emotional state. After, acknowledge the owner’s emotional state to demonstrate that you are paying attention and understand how they feel. This step should only take you a maximum of 15 seconds or less to accomplish. 🕸 🦈 Now, assess the pet! There are too many different questions that you can ask and they all depend on what the owner reports the problem is if it is not obvious to you. However, there are levels of emergency that you can generally rely on to get you through the intake if specific questions don’t come to mind. Critical: Obvious emergency/ Dying within minutes (immediate intake)
(Collapsed, not breathing, no pulse, shock, seizing, dyspnea,obtunded) Emergent: Death may occur within hours (can wait 5 - 15 minutes)
(HBC, burns, toxin exposure, anaphylaxis, open fractures, trouble in labor) Urgent: Death may occur within days (can wait 15-45 minutes)
(Unidentified pain but stable, extremity injury, vomiting and diarrhea) Non-Urgent: No risk of immediate death (can wait 1 - 2 hours)
(otitis, small wounds, etc.) For critical and emergent intakes, get verbal consent for IV catheter, and pain control. Finally, head straight to the anesthesia machine where you’ll have your team waiting to execute the code.
If your hospital team has no protocols set as to how a code is to be handled it would be wise to speak to your manager and suggest a simple plan for codes red and yellow.
I'm curious, what has been the most interesting emergency you've taken in? Comment below! 🤔🤔 - 35 minutes ago