Medical Emergencies

Plano Independent School District

School Health

Medical Emergency Response

Medical Emergency Administrative Guideline

Purpose

The purpose of this procedure is to ensure the high quality care of a student/staff member during a time of medical emergency.

Staff members, including but not limited to administrators, office staff, nurse and teachers who will be able to identify their individual role during a medical emergency.

Procedural Guideline

Medical Emergency in the Clinic

  1. The nurse (and whoever is 1st responder) will determine whether a situation is a medical emergency.
  2. The ______, or whomever the nurse (1st responder) designees, will call 911, the safety and security (______) and the student’s parents.
  3. At least one, if not more, administrator(s) will remain on the scene until he/she is dismissed by the nurse, the student is taken home by parent, or student taken in the ambulance.
  4. If the administrators are off campus, at least one, if not more, counselor(s) will remain on the scene until he/she is dismissed by the nurse, student is taken home by parent, or student taken in the ambulance.
  5. An administrator, or his/her designee, will accompany the ambulance to the hospital if there is not a parent on the scene.
  6. The ______, or his/her designee, will manage the clinic until the nurse is free of the emergency to resume her duties.
  7. The nurse, or her designee, will inform the front office of the outcome of the medical emergency.
  8. The nurse will follow up either that day or the following school day with the student and his/her parents to update the appropriate staff.

Medical Emergency Outside of the Clinic

  1. The discovery person is the 1st responder and may determine whether a situation is a medical emergency and call 911 while sending for the nurse. Anyone can call 911. Do not wait for the nurse to make the call.
  2. A member of the medical response team will send for the AED, if applicable.
  3. The staff member (or their designee) will then call the ______at 2-______so she can call safety and security (______), and the student’s parents, and make 2 copies of the student’s emergency card: one for the paramedics and one for the administrator going to the hospital.
  4. At least one, if not more, administrator(s) will remain on the scene until he/she is dismissed by the nurse, student is taken home by parent, student is taken in the ambulance, or student taken to the clinic.
  5. If the administrators are off campus, at least one, if not more, counselor(s) will remain on the scene until he/she is dismissed by the nurse, student is taken home by parent, student is taken in the ambulance, or student taken to the clinic.
  6. An administrator, or his/her designee, will accompany the ambulance to the hospital if a parent is not on the scene.
  7. The ______or his/her designee will manage the clinic until the nurse is free of the emergency to resume her duties.
  8. The nurse, or her designee, will inform the front office of the outcome of the medical emergency.
  9. The nurse will follow up either that day or the following school day with the student and his/her parents to update the appropriate staff.

Considerations

  1. Call 911 early. Time is of essence. Within 4-6 minutes of collapsing, brain damage can occur due to lack of oxygen.
  2. For every minute that passes without defibrillation—chance of survival diminishes 10%.
  3. Never leave the victim unless you are the only one available to go and call 911.
  4. All students should be removed from the scene, especially if CPR is being performed.
  5. Have your nurse’s phone number on your phone—give as much information as you can—your name, victim’s name, what is wrong, and your location.
  6. Know the address of the school.
  7. Know the AED location.
  8. Know who the members of your medical emergency team.
  9. The ambulance does not charge unless the child is transported. The family pays for the ambulance - not the district.
  10. Don’t stop CPR unless:
  11. Someone relieves you
  12. EMS arrives and takes over
  13. You are too exhausted to continue
  14. Victim has heart rate and has started breathing
  15. Stay Calm.

Medical Officer Signature:

______Date: ______

Physician Signature/PISD Medical Officer

1

© Plano Independent School District 10/29/07

Rvsd. 2013