BLS-D / ALS and in-hospital cardiac arrest protocol

Anaesthetic Safety

KEIT DAY HOSPITAL

BLS-D / ALS and in-hospital cardiac arrest protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

Applicable to all clinical and patient care areas within the facility.

3. Responsibilities

• First responder: immediate activation of the emergency response system and initiation of basic life-support measures.
• Emergency team: advanced management in accordance with the ALS algorithm.
• Clinical Directorate: maintenance of emergency carts and defibrillators, and provision of staff training.

4. Operating Procedure

• Promptly recognize cardiac arrest or critical clinical deterioration and activate the emergency team.
• Initiate BLS and use the defibrillator as soon as it becomes available, in accordance with the applicable algorithm.
• Continue with ALS interventions performed by trained personnel, ensuring airway management, vascular access, medication administration and monitoring.
• Document intervention times, cardiac rhythms, shocks delivered, medications administered and the patient’s response.
• Conduct an event debriefing and analyze any identified organizational issues.

5. KEIT Operational Standards

• Emergency carts and defibrillators are subject to scheduled and documented inspections.
• Clinical personnel participate in periodic BLS-D and in-hospital emergency response training.

6. Records and Documentation

• Emergency cart inspection register.
• Cardiac arrest report.
• Debriefing record.

7. Review and Updates

Updates in accordance with the latest resuscitation algorithms and the organization’s training plan.

8. Related Attachments and Forms

• Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
• Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.

9. Final Approval