emergency action plan for school nurses

Clinical Crisis Response and Triage Protocol

Document Control

• Document ID: [__________]
• Version: [__________]
• Effective Date: [__________]
• Review Cycle: [__________]

1. Purpose & Scope

This protocol establishes the standardized response framework for the [School Name] nursing staff to manage acute medical emergencies. This procedure applies to all clinical staff, administrative personnel, and first responders operating within [School Name] facilities.

2. Prerequisites

• Emergency Kit: Fully stocked [__________] trauma bag and AED (Automated External Defibrillator).
• Access: Validated keycard/access code for [__________] entrance and communication hub.
• Documentation: Active [__________] Electronic Health Record (EHR) access and paper-based backup logs.
• Communication: Functional [__________] radio channel or internal emergency line.

3. Roles & Responsibilities (RACI)

4. Step-by-Step Procedure

Phase 1: Assessment and Triage

• Assess scene safety; ensure no further risk to self or bystanders.
• Determine level of consciousness using the [__________] scale.
• Initiate the [__________] protocol if the patient is unresponsive.
• Assign a bystander to call [__________] (Emergency Services) immediately.

Phase 2: Stabilization and Intervention

• Deploy AED/Oxygen/Epinephrine/Narcan as indicated by clinical assessment.
• Record time of intervention in the [__________] logbook.
• Maintain clear airway and monitor [] vitals every [] minutes.
• Utilize [__________] communication device to request secondary support.

Phase 3: Handover and Documentation

• Prepare patient summary for EMS arrival, including [__________] known allergies and current medications.
• Verify identity of EMS personnel and provide [__________] briefing.
• Secure patient medical records and lock the [__________] clinical station.
• Complete incident report form [] within [] hours of the event.

5. Quality Assurance, Pro-Tips, and Pitfalls

• Quality Assurance: Conduct a debriefing session within 24 hours of any "Code Blue" event to identify workflow bottlenecks.
• Pro-Tip: Keep a "Go-Bag" at the nursing station desk with spare batteries for the AED and a pre-printed list of student emergency contacts.
• Common Pitfall: Failing to delegate crowd control. Always designate a staff member to keep hallways clear for EMS access; do not attempt this yourself.

6. FAQs

Q: What is the primary communication channel during a medical lockdown? A: All clinical emergencies must be communicated via the [] radio channel or the dedicated emergency landline at extension [].

Q: When should I notify the parent/guardian? A: Notify the parent/guardian immediately after the patient has been stabilized or once the patient has been transferred to EMS care, per [State/Local] regulations.

Q: Where is the secondary emergency supply cache located? A: The secondary cache is located in [] near the [] exit.