Progress Industries Standard Procedures Subject: Section: Cross Ref: Approved by: Effective date: Review date: Modified date: Medical Emergency Procedures G: Procedures – Health G: Policies – Health Dan Skokan, President & CEO October 2, 1983 3-86, 11-89, 9-91, 8-92, 2-94, 3-94, 7-98, 8-99, 5-00, 3-02, 5-03, 2-04, 5-04, 6-05, 10-08, 3-11, 3-12, 3-13, 1-14 6-06, 6-07, 7-11 If a person has been seriously injured, has a seizure or is found unconscious, the following procedures should be followed: 1. Make sure the scene is safe. If the scene is deemed unsafe, stay at a safe distance and call your local EMS (911). Do not go near the victim, stay a safe distance away from the victim. 2. If the scene appears safe, check the victim and the surroundings. If the victim does not respond to you in any way, assume the victim is unconscious. 3. Call local EMS (911) for situations that must be dealt with only by trained and equipped people. (Examples: unconsciousness, trouble breathing, severe bleeding, vomiting blood, poisoning, head or neck injuries, fires, explosions, downed electrical wires, car accidents.) As the bystander, you should start the process of checking the scene and the victim, calling local EMS (911), and caring for the victim(s). Basic first aid care should be given to the victim until help arrives. 4. Check for level of consciousness. If the person is unconscious, check for breathing, pulse, and severe bleeding. If the victim is not breathing, the victim’s life is threatened. Place your head near the victim’s mouth and nose. (Look, Listen and Feel) for five seconds to check for breathing. If the person is not breathing, position the victim on his back supporting head and neck. Tilt the head back and lift the chin. Look, Listen, and Feel for breathing for five seconds. If not breathing, give two breaths and check for a pulse. If a pulse is noted, continue rescue breathing. If there is no pulse or breath, start CPR (Cardiopulmonary Resuscitation). 5. If a person is choking and he is conscious and coughing, let him cough until the object comes up. If the person stops coughing, speaking or breathing, give the person the Heimlich Maneuver. Repeat these thrusts until the object is forced out or the person becomes unconscious. Lower the victim to the floor and call EMS (911). Continue to give five abdominal thrusts and do a mouth finger sweep and attempt to give two breaths. If the breath doesn’t go in, continue process. Once you are able to get air in, continue to check for pulse. If the person is not breathing, give rescue breathing. If no pulse, start CPR. 6. Once the EMS (911) persons have arrived, the treatment and care will be taken over by them. A General Event Report (GER) is to be completed and forwarded to applicable staff for review. The Manager and Program Manager will be notified of the incident that has occurred. The parent or guardian will be notified. The incident will need to be documented in the persons served logs or nurses notes. If a person is injured while working, follow the same protocol as listed above. In addition, a Worker’s Compensation will need to be completed within 24 hours. This needs to be turned into the Human Resources Department within 48 hours of injury. EMERGENCY NUMBERS: 1. Emergencies (Ambulance and Fire) 911 2. Newton Clinic 3. Skiff Medical Center 4. Iowa Methodist Medical Center 5. Iowa Methodist Occupational Clinics 6. Iowa Methodist Neighborhood Clinics 641-792-2112 641-792-1273 515-241-6423 515-241-2020 or 515-262-7619 515-262-8525