1 Roles and responsibilities of adult/paediatric cardiac arrest bleep holders: QMC/City Campus
2 Who should attend a 2222 cardiac arrest call? There are 2 types of responders to adult/paediatric cardiac arrest calls - MANDAORY and NON-MANDATORY Mandatory responders Adult team QMC and City Medical Registrar CCU Nurse F1 F2 Paediatric team - QMC PCCU Registrar Paediatric Med Registrar Paediatric SHO PCCU nurse PHUD nurse Paediatric team - City Neonatal Registrar Neonatal SHO Anaesthetics (8am-8pm) Resuscitation Officer (8am-4pm)
3 If you are a mandatory responder you need to attend as soon as practically possible - if it is not safe to do so, then you are required to attempt to immediately arrange for someone else to take over the critical work you are doing, or to attend in your place. However, you should not attend the call if doing so leaves the patient you are currently with at immediate risk of death or injury. Non Mandatory responders In addition, there may also a response from some Non-mandatory 2222 cardiac arrest bleep holders. These include: Site Matron PCCOT (QMC) night PCCU bed manager (QMC) Resuscitation Officers Theatre co-ordinator Anaesthetics ITU Critical Care A&E People carrying bleeps to respond to specific locations ie. South corridor at City campus. If you are a non-mandatory responder then you should judge whether or not it is sensible to attend - depending on the urgency of whatever work you are currently undertaking. Non-mandatory responders can be specifically requested (via 2222) by the arrest team once the situation has been assessed. At this point the non-mandatory responder should follow the guidelines for attendance of a mandatory responder. This booklet outlines your responsibilities as a cardiac arrest bleep holder. Please ensure you are familiar with it and adhere to the processes described. There will be future developments to help improve the day to day function of the team, but if anyone has any suggestion/ideas they wish to share, please
4 Responsibilities of ALL 2222 bleep holders Ensure the bleep is in good working order Is it on? Is the volume on High? Does the battery need changing? Any problems with the bleep please report to Switchboard (QMC) or Helpdesk (City Campus) , and out of hours. Respond promptly to the test calls if you are busy, ask a member of staff to respond on your behalf giving your name, job title, the bleep number and confirming the test call has been received. Test calls should be received by 11.30am and 9pm. If you have not received a test call by this time, please call switch to see if test call has been activated as if they have, it may indicate a problem with your bleep. Respond immediately to a real call cardiac arrest/medical emergency. Hand bleep over to the next shift, making sure they are aware of their responsibilities as listed above. DO NOT LEAVE BLEEPS ON WARDS OR IN OFFICES FOR THE NEXT SHIFT. THEY MUST BE HANDED OVER IN PERSON. Please note bleeps are site specific. DO NOT press buttons as you may delete the programming. Red clip indicates 2222 mandatory adult/paed team if your bleep doesn t have one but you think it should, please let switchboard/helpdesk know as it will no longer receive 2222 calls. If your bleep has a yellow clip it means that it is a spare that has been obtained as there may have been a problem with the
5 original. These will have been issued overnight whilst waiting for the day team to resolve the problem with the original bleep. If you are handed over a bleep with a yellow clip on, please take it to Switchboard/Helpdesk ASAP for it to be swapped. If an unexpected call comes through ie. Fire/security/neonatal, or a static sound with no clear voice command is heard please report to switchboard immediately by dialling Ensure an NCAA audit form has been completed for every call attended, detailing the events that has taken place these can be found in the red Emergency Trolley folder. As a 2222 responder it is vital that your annual resuscitation training is up to date. Even as an ALS provider, you still need to attend an annual update of either an AHLS (CCU) or an MLS.