Ward emergency management and patient alarm systems protocol

Prevention & Management of Complications

KEIT DAY HOSPITAL

Ward emergency management and patient alarm systems protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

Applicable to all inpatient rooms and postoperative care areas.

3. Responsibilities

• Nurse on duty: first response and activation of the escalation process.
• Ward physician or physician on call: immediate clinical assessment and emergency management.
• Anesthesia/resuscitation team: Anesthesia/resuscitation team: advanced support in the event of clinical instability or cardiac arrest.

4. Operating Procedure

• At every shift, verify the proper functioning of the alarm, communication and monitoring systems installed in patient rooms.
• Respond immediately to every manual or automatic alarm originating from the patient’s room.
• Assess the ABCs, level of consciousness, pain, bleeding, dyspnea or other critical signs and activate escalation according to severity.
• Document the time of the alarm, response time, interventions performed and clinical outcome.
• Analyze critical or repeated alarms to identify opportunities for process improvement.

5. KEIT Operational Standards

• Each KEIT room may be equipped with multiple alarm systems: a bedside call button, a wrist-worn device for the patient and a wrist-worn receiving device for the nurse and physician on duty.
• The ward also uses a smart system with a bed-presence sensor and a room motion sensor. If the patient leaves the bed and no movement is detected within the preset time, an automatic alarm is triggered for suspected fall or syncope.
• Response times and alarm traceability form part of the quality management system.

6. Records and Documentation

• Ward alarm register.
• Reports of clinical events occurring in patient rooms.
• Periodic system functionality checks.

7. Review and Updates

Review through audits of response times and false-positive system alerts.

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