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Emergency Response

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Created on October 23, 2025

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Ambulatory Education

Emergency Response

Start

Created by: Quynh Luu, RN - Ambulatory Education Coordinator In partnership with: Gilberto Vega, RN - Ambulatory Education Coordinator Oluwakemi (Kemi) Orogbemi, RN - Ambulatory Education Coordinator

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LEVEL 1: Introduction

SBAR

Situation - what's going on.Background - patient's history. Assessment - assessment of signs and symptoms (include recent set of vital signs). Recommendation - recommendation on what patient needs.

Use for escalation of care

Medical Emergency (IMT) Team

This Team responds when there is a medical emergency called via *9999.
Comprised of House Supervisor (RN), Security, and Respiratory Therapist.
Patient's Primary Care Staff prepares to give SBAR to House Supervisor.

EC CODE TEAM

This Team responds when there is an code called.
Comprised of Physician, Nurses, Respiratory Therapist, Security, and House Supervisor (RN).

Patient's Primary Care Staff prepares to give report using SBAR to ER code team.
Patient's provider to give SBAR to ER provider.
Will come with a stretcher, oxygen, and emergency medications

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Choose the role that best describes you:

LEVEL 2: Crash Cart

Crash Cart

Identify locations for different items on the crash cart, and help get rid of the monsters!

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Find the correct answer

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Find the correct answer

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In addition to the crash cart, a vital sign machine is essential to obtain the most recent and accurate patient vital signs. These values are critical to share during handoff and when reporting to the IMT/EC code team to support rapid assessment and decision-making.

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Wheelchair: is helpful for patient transport, but not a priority during an acute event. When the Medical Emegergy (IMT) is activated, security will arrive with a wheelchair if needed. When the EC code team is activated, a stretcher will be available to transfer patient if needed. AED: is not required if a crash cart is present. Crash carts are equipped with a Zoll monitor/defibrillator, so a separate AED is unnecessary. Nothing: Additional equipment beyond the crash cart is still needed to support patient assessment and communication during the response.

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Find the correct answer

4/5

Find the correct answer

5/5

Find the correct answer

LEVEL 3: Emergency

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When you call *9999

These are the questions to expect from the operator:

Emergency Operator

What is your campus?
What is your building?
What is your floor?
What is your room number?
Description of location:
What is your name?
What is your call back extension?

What is your medical emergency?

Code Team
Medical Emergency (IMT)
Dr.Pyro
Code Pink
De-escalation Team

Medical Emergency (IMT):Is the person alert and awake?

Yes/No

Is the person breathing?

Yes/No
Summary:

Code Team:

No further questions

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Scenario 1: A provider rushes past and urgently says, "Call a code for Room 10 now - he's not responsive!" The provider disappears into the room. You don't know if the patient is breathing or not - and you don't have time to check.

Yes! You call the EC Code Team because you are unsure if the patient is awake or breathing.

Since you are unsure if the patient is awake or breathing, it would be better to request for more support from the EC Code Team.

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Scenario 2: A nurse quickly tells you, "The patient in Room 12 is having a seizure and it has already been 3 minutes. We don't have any medications for seizure here. Can you call *9999?"

Yes! You call the EC Code Team because patient additional medication and support might be needed to stop the prolonged seizure. The EC code team is comprised of a physician, respiratory therapist, house supervisor, and security.This team comes with an ER provider along with emergency medications.

Since patient may need additional medication and support to stop the prolonged seizure, it would be better to call the EC Code Team. This team comes with an ER provider along with emergency medications but IMT team does not.

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Scenario 3: The provider who is evaluating your patient in room 5, came out of the room and said "Her labs do not look good and she's more tired than usual. She is stable for now but I can't send her home like this. She needs to be transfered to the ER."

Yes! Since patient is stable but not safe to go home, the House Supervisor from the Medical Emergency (IMT) Team can take patient to the ER for further evaluation.

Since patient is currently stable and not in distress, calling the Medical Emergency (IMT) Team first would be ideal. The House Supervisor can determine if more support is needed.

LEVEL 4: SBAR

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Choose the role that best describes you:

Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

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S/B: A: R:

Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

1/2

S/B: A: R:

Scenario continued

You are the MA who is pulling 5-month old Amy Smith back to clinic to get vital signs. The vital signs are: HR 160, BP 82/48, RR 60, O2 Saturation 90% on room air, Temperature 99.7F axillary. Patient did not cry or move much during vitals.You decide to report this to patient's nurse.

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S/B: A: R:

Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

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S/B: A: R:

Scenario continued

You are the MA who is pulling 5-month old Amy Smith back to clinic to get vital signs. The vital signs are: HR 160, BP 82/48, RR 60, O2 Saturation 90% on room air, Temperature 99.7F axillary. Patient did not cry or move much during vitals.You decide to report this to patient's nurse.

2/3

S/B: A: R:

Scenario continued

You are the nurse assessing Amy. You notice that patient is lethargic, having moderate subcostal retractions with coarse lungs sound and with nasal congestion. Your clinic does not have respiratory medications except what is in the crashcart. You stay with the patient and ask your co-worker to call the patient's doctor and *9999 for the EC code team. Meanwhile, you decide to suction the patient.

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S/B: A: R:

LEVEL 5: Final

Congratulations!

You have completed the Emergency Response game! Remember this dolphin to attest that you have completed this game!

Start over

LEVEL 1: Introduction

SBAR

Situation - what's going on.Background - patient's history. Assessment - assessment of signs and symptoms (include recent set of vital signs). Recommendation - recommendation on what patient needs.

Use for escalation of care

LEVEL 2: Reaction Cart

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Reaction Cart

Identify locations for different items on the reaction cart, and help get rid of the monsters!

1/5

Find the correct answer

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3/5

Find the correct answer

4/5

Find the correct answer

5/5

Find the correct answer

LEVEL 3: Emergency

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LEVEL 4: SBAR

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Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

1/1

S/B: A: R:

Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

1/2

S/B: A: R:

Scenario continued

You are the MA who is pulling 5-month old Amy Smith back to clinic to get vital signs. The vital signs are: HR 160, BP 82/48, RR 60, O2 Saturation 90% on room air, Temperature 99.7F axillary. Patient did not cry or move much during vitals.You decide to report this to patient's nurse.

2/2

S/B: A: R:

Scenario

8 AM: A parent is checking in for her 5-month old child's 9 AM appointment. During check in, parent said to the front desk staff "My baby, Amy Smith, has been breathing funny and is more tired than usual. Can you let the doctor know to see my baby quickly?"

1/3

S/B: A: R:

Scenario continued

You are the MA who is pulling 5-month old Amy Smith back to clinic to get vital signs. The vital signs are: HR 160, BP 82/48, RR 60, O2 Saturation 90% on room air, Temperature 99.7F axillary. Patient did not cry or move much during vitals.You decide to report this to patient's nurse.

2/3

S/B: A: R:

Scenario continued

You are the nurse assessing Amy. You notice that patient is lethargic, having moderate subcostal retractions with coarse lungs sound and with nasal congestion. Your clinic does not have respiratory medications except what is in the crashcart. You stay with the patient and ask your co-worker to call the patient's doctor and *9999 for the EC code team. Meanwhile, you decide to suction the patient.

3/3

S/B: A: R:

LEVEL 5: Final

Congratulations!

You have completed the Emergency Response game! Remember this dolphin to attest that you have completed this game!