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Handling Dental Clinic Emergencies

We have a new process for emergencies in our clinical areas for those instances where the person needs to go directly to the Emergency Department.

Emergencies Protocol

Flowchart: Emergencies protocol

  1. Student or staff member notifies Attending Faculty of Emergency
  2. Supervising faculty member assesses how serious the emergency is.
    • Minor emergency situation:
      • Problem resolved, and incident reported to the Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.
    • Moderate Emergency (e.g., Diastolic > 120mm, etc):
      • Call ED 225-6341 to alert them a pt will be transported by the ADTC RN, Then Call Admissions,Discharge, Transfer Center (ADTC) at Shands. 258-9094.
      • Be prepared to provide patient/victim specific report to the ADTC charge nurse (RN) when you call, and then again when the RN arrives.
      • Problem resolved, and incident reported to the Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.
    • Serious emergency situation:
      • If CODE BLUE emergency:
        • Faculty remains with victim, directs someone to Call CODE BLUE TEAM, another to get AED, Medical Emergency Kit, Emergecy Oxygen, and Crash Cart, begins basic life support CPR
        • Call CODE BLUE Team (5-66)
        • Tell operator the location of the CODE BLUE is in the “DENTAL TOWER”
        • Send two people to be posted and remain, at both the floor of occurrence and the first floor elevator doors to direct CODE BLUE Team.
        • Emergency treatment of victim transferred to CODE BLUE TEAM, and victim transported out of UFCD to SHANDS. Incident reported to Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.
        • If not a CODE BLUE emergency:
          • Call Oral Surgery Emergency Number (9-413-1143)
          • After the series of beeps use the numeric paging process, and enter the 4-digit room location (e.g., 0217, for the Undergrad Operative Clinic in room D2-17)
          • Send student or staff to meet OS responder at elevator on 1st floor, (if in 1st floor clinic at OMFS oak doors).
          • Send another person to get medical emergency kit, emergency oxygen, AED, and Crash Cart.
          • Oral Surgery First Responder Asssessment:
            • Moderate emergency
              • Call ED 225-6341 to alert them a pt will be transported by the ADTC RN, Then Call Admissions,Discharge, Transfer Center (ADTC) at Shands. 258-9094.
              • Be prepared to provide patient/victim specific report to the ADTC charge nurse (RN) when you call, and then again when the RN arrives.
              • Problem resolved, and incident reported to the Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.
            • Serious emergency: non-Code Blue
              • Emergency victim transferred to SHANDS ED, incident reported to Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.
            • Serious emergency: Code Blue
              • Call CODE BLUE Team (5-66)
              • Tell operator the location of the CODE BLUE is in the “DENTAL TOWER”
              • Send two people to be posted and remain, at both the floor of occurrence and the first floor elevator doors to direct CODE BLUE Team.
              • Emergency treatment of victim transferred to CODE BLUE TEAM, and victim transported out of UFCD to SHANDS. Incident reported to Associate Dean for Clinical Affairs (COF completed), and appropriate entries have been made into the patient record as applies.

Medical Emergencies involving the ADTC Transfer to ED Process

  1. Dental provider determines the medical risk involved with treating the patient’s dental need is too great to proceed with care at this appointment.
  2. Does patient’s risk require transfer to Shands ED?
    • If yes: Is patient willing to be transferred to Shands ED?
      • If patient is willing to be transferred to Shands ED:
        1. Provider completes the SBAR form  that is required for transfer into the ED
        2. Provider completes ADTC Transfer Process Form .
        3. Call ED Charge Nurse @ 225-6341 and inform ED of possible transfer by “SBAR” from Dental by the ADTC.
        4. Call ADTC Charge Nurse at 258-9094 (or supervisor 745-8776). Provide the charge nurse with a report of patient’s name, vital signs, age, chronic health problems, dental clinic contact person/phone #, and equipment need for transportation.
        5. Send someone to meet the charge nurse on the first floor corridor by the main (three car) elevators and lead him/her back to the location of the patient.
        6. Remain with patient until a person of higher emergency skill relieves the provider of this duty (Do not abandon patient).
        7. Document outcomes in the patient record.
        8. Initiate request for medical consult. Complete Clinical Occurrence Form.
      • If patient is not willing to be transferred to Shands ED:
        1. Document in patient record the patient declines transfer to ED.
        2. Initiate request for medical consult. Complete Clinical Occurrence Form.
    • If patient’s risk does not require transfer to Shands ED: Initiate request for medical consult. Complete Clinical Occurrence Form.

ED = Shands Emergency Department
ADTC= Shands Admissions Discharge Transfer Center (aka ADTU Admissions Discharge Transfer Unit)
SBAR= form we are required to “start” for the Shands ADTC Charge Nurse, he/she will need it for transporting to the ED

Emergency Phone Numbers

  • Printable list of emergency phone numbers
  • Team Leaders, Treatment Coordinators, Department Managers and Supervisors with clinical functions: please make sure this list is posted by the phones in the clinics.
Medical Emergency: Oral Surgery
9-413-1143
Enter 4-digit room location after series of beeps
Code Blue Team * “Dental Tower” for location
5-66
Shands Emergency Department (ED)
to alert the Charge Nurse that a dental patient is being “transferred” by the ADTC from our dental clinic to the ED
225-6341
Shands RN from ADTC
for assessment of the patient to be “transferred” to the ED (Be prepared to provide a report)
Charge Nurse: 258-9094
Supervisor: 745-8776
Needle-stick Hotline (SHCC)
866-477-6824

Other Emergencies

Fire
911
Physical Plant Control
273-5560
University Police and Security
392-1111
Shands Operator
5-5-0111
Dental Maintenance
273-8001
Housekeeping
273-9700