7.09 Emergency Medical Procedures – Johnstown

Johnstown ICF will have access to Emergency Medical Services 24 hours a day.

Procedure:

The Fire Department will provide emergency medical care for all individuals and staff:

• When a medical emergency exists, i.e., cessation of breathing, or the individual is unresponsive:
  • CHECK SCENE – safety, access, check for signs of life
  • CALL 9-1-1
  • Provide the Dispatcher with the following information
    • Name
    • Type of emergency
    • Address
    • Apartment number
  • CARE – provide necessary medical care to the level of your training
  • Call the Incident Hotline and the nurse on call

• When the squad arrives, provide them with the following information:
  • Condition and time the individual was found to be having medical problems
  • Vital signs, if taken
  • Activity the individual was involved in prior to the medical emergency
  • Client Emergency report with medication orders (nurse may fax report to hospital)

• If the resident is to be transported to a local hospital:
  • Staff on duty will complete the necessary paperwork
  • When possible, a staff person will accompany the resident to the hospital
  • Staff on duty will notify the Incident Hotline and Nurse on-call.
  • The incident hotline will notify the guardian.

• If an individual/staff person is to be transported to the nearest hospital, the nurse on-call will provide the necessary report including medical information and medications to the hospital directly.
• The incident hotline will complete a notification log for all teams.
• The Program Director and Medical Services Manager will arrange for personnel to complete observations and monitoring at the hospital, when appropriate.

• In the event of the death of an individual:
  • Call 9-1-1
  • Provide the dispatcher with the following information
    • Name
    • Type of emergency
    • Address
    • Apartment number
  • Contact nurse on duty
  • The emergency squad will notify the Police Department
  • The Medical Services Supervisor and Shift Nurse will contact the Medical Director, Executive Director, Designee, Franklin County Case Management, Social Worker, Chaplin, and guardian when appropriate.
  • The Police Department will determine when the body can be removed and will make arrangements for transportation of the body.

• Autopsy:
  • An autopsy may be requested by a family member, legal guardian, Medical Director, or in the event of a death due to unnatural causes, by the Franklin County Coroner
  • When the individual expires at a hospital, the autopsy will be performed by a physician who has no conflict of interest or loyalty to Open Door entities
  • When an individual expires, and an autopsy has been requested, by family, guardian, or legal authorities, it will be performed by the Franklin County Coroner’s office

Signed by:

Rebecca Sharp Porter
Chief Executive Director

Last Revised: