Hello there.

Gary Klugiewicz here.

I just completed three weeks of training with Aurora Health Care. We spend time formulating a plan for responding to institutional emergencies. It really doesn’t matter what type of institution that you work in – be it a hospital, a jail, a school, or a business. you need a plan. The First Responder Philosophy provides that plan for responding to all types of emergencies.

Ryan Weber, one of Aurora Health Care’s Loss Prevention Trainers, shares an overview of this First Responder Philosophy in this video link. We call this overview an elevator speech – a summary of a concept that could be shared with your boss on during a elevator ride. Ryan does a great job. Check it out. Posted below is a text summary of the major points covered in this First Responder Philosophy. Let me know what you think in the comments section.

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First Responder Philosophy — the proper way for Healthcare Professionals to respond to emergency situations.

Activity Response Cues

1. Arrive (On the scene) (Become aware of the emergency)

2. Assess (the situation) (Determine type of emergency)

3. Alarm (is given) (Notify control center / get back up responding, if needed)

4. Evaluate (the situation) (Are there any hidden dangers?)

5. Enter (the emergency site) (When you have enough back up and it’s appropriate to do so)

6. Stabilize (subject/scene) (Restrain subject, if appropriate)

7. Initial Medical Assessment (Remember that you need to stabilize the subject(s) before
proceeding to this step)

A. Determine Obvious Signs of Life (yes / semi-conscious / no)

B. Check BAC’s (Breathing / Airway / Circulation)

C. Perform a Body Check (severe bleeding / gross deformities)

D. Treatment to Level of Training (activate the Emergency Medical System (E.M.S.), if appropriate).

E. Continue to Monitor the Subject (stay close / watch closely).

8. Long Term monitoring (Does the subject have “special needs” that require additional care / supervision)
(Medical / Mental / Security)

9. Communication (What do you have, what type of assistance is needed, who is responding, who is bringing in the emergency
equipment, when you have enough assistance on the scene, when the emergency is over, etc.)

10. Documentation / debriefing (Detailed reports on what led up to the emergency, what occurred during the emergency, and how the staff followed
up after emergency as well as the findings of the investigation that followed, and remember: If the staff
doesn’t discuss and evaluate their response they will keep making the same mistakes.