Emergency Response Procedures for Urgent Care Centers

1. Initial Response Protocol

Code Blue (Cardiac/Respiratory Arrest)

• Immediately activate emergency response system
• Designate team roles:
  • Team Leader (physician/senior provider)
  • Primary RN
  • Secondary RN/MA (recorder)
  • Runner/equipment manager
• Begin CPR if indicated
• Retrieve emergency cart/AED

Critical Equipment Locations

• Emergency cart location: ________________
• AED location: ________________
• Airway management supplies: ________________
• Emergency medications: ________________

2. Staff Responsibilities

Provider

• Assess patient and direct care
• Determine need for additional resources
• Communicate with EMS
• Document clinical decisions

Primary RN

• Assist with direct patient care
• Administer medications as ordered
• Monitor vital signs
• Establish IV access

Secondary RN/MA

• Document interventions and timing
• Track medication administration
• Communicate with family members
• Prepare transfer documents

3. Emergency Transfer Protocol

EMS Activation

• Call 911 immediately for:
  • Cardiac arrest
  • Severe trauma
  • Stroke symptoms
  • Acute MI
  • Severe respiratory distress

Transfer Documentation

• Patient demographics
• Vital signs timeline
• Interventions performed
• Medications administered
• Copies of ECGs/imaging

4. Post-Event Procedures

Documentation Requirements

• Complete incident report
• Update patient chart
• Document transfer details
• Record equipment/medication usage

Quality Review

• Schedule debrief meeting
• Review response timeline
• Identify improvement areas
• Restock supplies

5. Training Requirements

Staff Certifications

• BLS certification required
• ACLS certification for providers
• Annual emergency response training
• Quarterly mock codes