Emergency Action Plan for Medical Emergencies

Standard Operating Procedure: Medical Emergency Response (MER-001)

1. Document Control Block

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2. Executive Summary & Scope

This SOP defines the standardized response framework for on-site medical emergencies at Template Registry facilities. It establishes a clinical-grade protocol to stabilize individuals, coordinate with Emergency Medical Services (EMS), and mitigate operational liability. This document adheres to OSHA 29 CFR 1910.151 (Medical Services and First Aid) and local public health standards. Scope excludes internal clinical surgical interventions; it is strictly limited to initial stabilization and trauma management until professional EMS arrival.

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3. Prerequisites & Tool Requirements

• Safety PPE: Nitrile gloves (minimum 5 mil), CPR face shields/barrier masks.
• Equipment: Automated External Defibrillator (AED) units, wall-mounted First Aid Kits (ANSI/ISEA Z308.1-2021 compliant).
• Software/Access: Emergency Notification System (ENS) terminal, Facility Map (marked with exits and AED locations).
• Certifications: Designated Floor Wardens must hold current AHA/Red Cross BLS and First Aid certification.

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4. Roles & Responsibilities (RACI Matrix)

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5. Step-by-Step Operational Procedure

Phase 1: Initial Assessment & Triage

• Ensure personal scene safety before approaching victim.
• Determine responsiveness (shout and tap).
• Activate ENS/911 immediately if victim is unresponsive or shows signs of cardiac distress.

Phase 2: Stabilization

• Deploy AED immediately if the victim is unresponsive and not breathing.
• Administer CPR as per BLS guidelines (30:2 compression-to-breath ratio).
• Control severe bleeding using direct pressure and sterile pressure dressings.
• Do not move the victim unless they are in an environment of imminent physical danger.

Phase 3: EMS Coordination

• Assign a specific staff member to meet EMS at the primary building entrance.
• Provide EMS with a concise briefing: Nature of injury, time of onset, and interventions performed.
• Unlock all relevant ingress/egress points to facilitate stretcher mobility.

Phase 4: Documentation & Reporting

• Capture witness statements while the event is fresh.
• Complete the Medical Incident Report Form (Internal Ref: TR-HR-602).
• Submit report to the Chief Operations Architect within 12 hours of incident conclusion.

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6. Quality Assurance & Verification Criteria

• Response Benchmark: EMS must be notified within 90 seconds of incident discovery.
• Equipment Audit: Monthly physical verification of AED battery status and kit expiration dates.
• Operational Tolerance: Zero-tolerance policy for non-functional AEDs; any unit failing self-test must be flagged for replacement within 4 hours.
• Verification: Semi-annual simulated drills must yield a <3-minute "Time-to-First-Shock" metric.

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7. Practical Troubleshooting Scenarios

Scenario A: AED Reports "Shock Not Advised"

• Corrective Action: Do not interrupt chest compressions. Continue CPR immediately until the victim shows signs of life or EMS assumes control. The device may be functioning correctly; the victim’s rhythm simply does not require electrical intervention.

Scenario B: Patient Refusal of Care

• Corrective Action: If a conscious, competent adult refuses aid, do not force treatment. Document the refusal clearly, attempt to get a witness signature, and notify EMS of the refusal upon their arrival. If the patient is incapacitated, implied consent applies.

Scenario C: Emergency Access Blocked

• Corrective Action: Deploy secondary security personnel to override electronic locks via the Master Facility Override. If power failure occurs, initiate Manual Bypass Protocol (Ref: SEC-OPS-04) to force egress/ingress points.