Harbor:Airway management team - Revision history

Bchap23: /* Airway Consult (ED to Anesthesia) */

2025-06-03T00:11:08Z

Airway Consult (ED to Anesthesia)

← Older revision		Revision as of 00:11, 3 June 2025
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	==Airway Consult (ED to Anesthesia)==		==Airway Consult (ED to Anesthesia)==
	* After evaluation of an airway in the ED, you may feel the airway is best handled by anesthesia or taken to the OR (angioedema, mass, ~~epiglottitis~~, etc)		* After evaluation of an airway in the ED, you may feel the airway is best handled by anesthesia or taken to the OR (angioedema, epiglottitis, know stenosis, mass, previously documented difficult airway, etc)
	** Call the anesthesiologist running the board (x65942) and request an airway consult (please do not use the words "airway backup")		** Call the anesthesiologist running the board (x65942) and request an airway consult (please do not use the words "airway backup")
	*** Call the trauma surgeon (x66882) if you feel they need to be taken to the OR emergently and/or potentially need a surgical airway		*** Call the trauma surgeon (x66882) if you feel they need to be taken to the OR emergently and/or potentially need a surgical airway
	** The anesthesiologist will come to the ED to evaluate the airway and discuss a care plan with the ED attending		** The anesthesiologist will come to the ED to evaluate the airway and discuss a care plan with the ED attending
	*** If the patient is stable, you can request the ED resident participates in the intubation attempt, but once you have relinquished management of the airway, it is up to the anesthesiology attending how to optimally manage the airway.		*** If the patient is stable, you can request the ED resident participates in the intubation attempt, but once you have relinquished management of the airway, it is up to the anesthesiology attending how to optimally manage the airway.


	==What Does the Airway Management Team Respond To==		==What Does the Airway Management Team Respond To==

Bchap23 at 00:09, 3 June 2025

2025-06-03T00:09:14Z

← Older revision		Revision as of 00:09, 3 June 2025
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			==Airway Consult (ED to Anesthesia)==
			* After evaluation of an airway in the ED, you may feel the airway is best handled by anesthesia or taken to the OR (angioedema, mass, epiglottitis, etc)
			** Call the anesthesiologist running the board (x65942) and request an airway consult (please do not use the words "airway backup")
			*** Call the trauma surgeon (x66882) if you feel they need to be taken to the OR emergently and/or potentially need a surgical airway
			** The anesthesiologist will come to the ED to evaluate the airway and discuss a care plan with the ED attending
			*** If the patient is stable, you can request the ED resident participates in the intubation attempt, but once you have relinquished management of the airway, it is up to the anesthesiology attending how to optimally manage the airway.


	==What Does the Airway Management Team Respond To==		==What Does the Airway Management Team Respond To==
	The airway management team is responsible FOR THE AIRWAY ONLY and will respond to:		The airway management team is responsible FOR THE AIRWAY ONLY and will respond to:
	#All Airway Management Team Pages		#All Airway Management Team Pages
	#All Code Blues (If already intubated - please check tube placement)		#All Code Blues (If already intubated - please check tube placement)
	#~~All~~ Code Whites		#Code Whites: anesthesia responds to all Code Whites (Pediatrics may reach out to anesthesia directly as well); if someone accidentally calls for the airway management team on a day the ED is on, we will respond but hand off to the anesthesia team when they arrive.
	~~#*Anesthesia primary always~~
	#*ED will ~~also~~ respond when ~~on airway management call~~

	==Airway Coverage Times==		==Airway Coverage Times==

Bchap23: /* Documentation */

2024-06-07T16:14:59Z

Documentation

← Older revision		Revision as of 16:14, 7 June 2024
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	*When you return to the ED:		*When you return to the ED:
	#Search for patient using magnifying glass in top right corner of Firstnet		#Search for patient using magnifying glass in top right corner of Firstnet
	#Click “Ad-Hoc” button at top and complete “ED Procedures” form as usual (This will give you procedure log credit)		#Click “Ad-Hoc” button at top and complete “ED Procedures” form as usual (This will give you procedure log credit)
	#Start a new note		#Start a new note
	#Right-click field at the top that says “Type:”		#Right-click field at the top that says “Type:”
	#Choose “Document Type List” à “Personal”		#Choose “Document Type List” --> “Personal”
	#Choose “Rapid Response/Code Blue Records”		#Choose “Rapid Response/Code Blue Records”
	#If you have not added this Document Type to your personal list, choose “Complete” to see entire list		#If you have not added this Document Type to your personal list, choose “Complete” to see entire list

Andreawu: /* Equipment */

2021-10-21T16:58:05Z

Equipment

← Older revision		Revision as of 16:58, 21 October 2021
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	**BVM/PPE/MAPS - plastic bags to the right of the drawers. There are two bags.		**BVM/PPE/MAPS - plastic bags to the right of the drawers. There are two bags.
	**'''Please replace the ED airway tray with one from the crash cart on the floor where it was used '''		**'''Please replace the ED airway tray with one from the crash cart on the floor where it was used '''
			**Missing or low on equipment such as McGrath blades or batteries - inform the overall charge nurse (more in nursing office)
			**PURPLE SENIOR - use the laminated checklist to stock AT EACH SHIFT CHANGE on on-call days
			**Locks let you know which compartments to check
			**ED pharmacists help with meds BUT SENIORS should double check.
			**TURN OFF McGRATH AFTER USE!
			** Can use new “GlideScope Go” with a MAC 3 & 4 blade, but bring it back. (It’s not part of bag).

	==Keys==		==Keys==

Andreawu: /* Pager Handoff */

2020-11-18T12:41:23Z

Pager Handoff

← Older revision		Revision as of 12:41, 18 November 2020
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	**Drop Off: Purple Senior to OR front desk at 6:50 PM on Wednesday.		**Drop Off: Purple Senior to OR front desk at 6:50 PM on Wednesday.
	**The pager cases for anesthesia (extra - not tied to phones) are in the purple doctor's box clipped to the boxes for the McGrath blades.		**The pager cases for anesthesia (extra - not tied to phones) are in the purple doctor's box clipped to the boxes for the McGrath blades.
			**If pager is broken, need to go to Basement Pager office in arm B251, opens at 715a

	==Equipment==		==Equipment==

Rossdonaldson1: Text replacement - "Harbor:Operations manual" to "Harbor:Main"

2019-01-31T07:27:52Z

Text replacement - "Harbor:Operations manual" to "Harbor:Main"

← Older revision		Revision as of 07:27, 31 January 2019
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	==See Also==		==See Also==
	*[[Harbor:~~Operations manual~~]]		*[[Harbor:Main]]

	==References==		==References==

Rossdonaldson1 at 22:47, 7 January 2019

2019-01-07T22:47:39Z

← Older revision		Revision as of 22:47, 7 January 2019
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	*What Does the Airway Management Team Respond To		==What Does the Airway Management Team Respond To==
	**The airway management team is responsible FOR THE AIRWAY ONLY and will respond to:		The airway management team is responsible FOR THE AIRWAY ONLY and will respond to:
	#All Airway Management Team Pages		#All Airway Management Team Pages
	#All Code Blues (If already intubated - please check tube placement)		#All Code Blues (If already intubated - please check tube placement)
Line 7:		Line 7:
	#*ED will also respond when on airway management call		#*ED will also respond when on airway management call

	~~===~~==Airway Coverage Times~~===~~==		==Airway Coverage Times==
	ED - '''Sunday 7 AM to Wednesday 7 PM'''		ED - '''Sunday 7 AM to Wednesday 7 PM'''
	*Anesthesia - Wednesday 7 PM to Sunday 7 AM		*Anesthesia - Wednesday 7 PM to Sunday 7 AM
	*Whoever has the pager around time of handoff will respond		*Whoever has the pager around time of handoff will respond

	*Who Responds		==Who Responds==
	**Purple Attending, Purple Senior (PGY 3/4) (if available), and ED Pharmacist (if available).		**Purple Attending, Purple Senior (PGY 3/4) (if available), and ED Pharmacist (if available).
	**The Purple Attending may ask the Green Attending or the Peds Attending for assistance at the Purple Attending's discretion.		**The Purple Attending may ask the Green Attending or the Peds Attending for assistance at the Purple Attending's discretion.
	**The Purple Attending may take another senior resident (PGY 3/4) if the Purple Senior is not available.		**The Purple Attending may take another senior resident (PGY 3/4) if the Purple Senior is not available.

	*Pager Handoff		==Pager Handoff==
	**Pick Up: Purple Senior gets from OR front desk at 6:50 AM on Sunday.		**Pick Up: Purple Senior gets from OR front desk at 6:50 AM on Sunday.
	**Drop Off: Purple Senior to OR front desk at 6:50 PM on Wednesday.		**Drop Off: Purple Senior to OR front desk at 6:50 PM on Wednesday.
	**The pager cases for anesthesia (extra - not tied to phones) are in the purple doctor's box clipped to the boxes for the McGrath blades.		**The pager cases for anesthesia (extra - not tied to phones) are in the purple doctor's box clipped to the boxes for the McGrath blades.

	*Equipment		==Equipment==
	**The airway management team bags - purple doc box in the drawers under the pager. There are two bags.		**The airway management team bags - purple doc box in the drawers under the pager. There are two bags.
	**BVM/PPE/MAPS - plastic bags to the right of the drawers. There are two bags.		**BVM/PPE/MAPS - plastic bags to the right of the drawers. There are two bags.
	**'''Please replace the ED airway tray with one from the crash cart on the floor where it was used '''		**'''Please replace the ED airway tray with one from the crash cart on the floor where it was used '''

	*Keys		==Keys==
	**The Purple Attending, Green Attending, Purple Senior, Green Senior and ED Pharmacist have keys to the drawers.		**The Purple Attending, Green Attending, Purple Senior, Green Senior and ED Pharmacist have keys to the drawers.

	*Medications		==Medications==
	**Each bag in top compartment:		*Each bag in top compartment:
	***Rocuronium		**Rocuronium
	***Succinylcholine		**Succinylcholine
	***Etomidate		**Etomidate
	**Pharmacy will check each day.		*Pharmacy will check each day.
	**Residents are also responsible for checking the medications and logging this in the log kept in the drawer for pharmacy.		*Residents are also responsible for checking the medications and logging this in the log kept in the drawer for pharmacy.
	**Replacement of Meds		*Replacement of Meds
	***Return the box to the pharmacist with a patient sticker for new box		**Return the box to the pharmacist with a patient sticker for new box
	***If no pharmacist take used box with a patient sticker to the trauma nurse for new box		**If no pharmacist take used box with a patient sticker to the trauma nurse for new box

	*Restock and Bag Check		==Restock and Bag Check==
	**Whoever uses the bag is responsible for restocking it.		**Whoever uses the bag is responsible for restocking it.
	**The bags will be checked by the Purple Senior as part of the 5S process.		**The bags will be checked by the Purple Senior as part of the 5S process.
Line 47:		Line 47:
	**If zip tie is in place, no need to open		**If zip tie is in place, no need to open

	~~===~~==Documentation~~===~~==		==Documentation==
	*When you return to the ED:		*When you return to the ED:
	#Search for patient using magnifying glass in top right corner of Firstnet		#Search for patient using magnifying glass in top right corner of Firstnet
Line 57:		Line 57:
	#If you have not added this Document Type to your personal list, choose “Complete” to see entire list		#If you have not added this Document Type to your personal list, choose “Complete” to see entire list
	#Use the “.edairwayteam” autotext to add the template		#Use the “.edairwayteam” autotext to add the template


	==See Also==		==See Also==

Rossdonaldson1 at 22:46, 7 January 2019

2019-01-07T22:46:23Z

← Older revision		Revision as of 22:46, 7 January 2019
Line 57:		Line 57:
	#If you have not added this Document Type to your personal list, choose “Complete” to see entire list		#If you have not added this Document Type to your personal list, choose “Complete” to see entire list
	#Use the “.edairwayteam” autotext to add the template		#Use the “.edairwayteam” autotext to add the template


			==See Also==
			*[[Harbor:Operations manual]]

			==References==
			<references/>

			[[Category:Admin]]

Rossdonaldson1: Created page with "*What Does the Airway Management Team Respond To **The airway management team is responsible FOR THE AIRWAY ONLY and will respond to: #All Airway Management Team Pages #All Co..."

2019-01-07T22:45:39Z

Created page with "*What Does the Airway Management Team Respond To **The airway management team is responsible FOR THE AIRWAY ONLY and will respond to: #All Airway Management Team Pages #All Co..."

New page

*What Does the Airway Management Team Respond To
**The airway management team is responsible FOR THE AIRWAY ONLY and will respond to:
#All Airway Management Team Pages
#All Code Blues (If already intubated - please check tube placement)
#All Code Whites
#*Anesthesia primary always
#*ED will also respond when on airway management call

=====Airway Coverage Times=====
ED - '''Sunday 7 AM to Wednesday 7 PM'''
*Anesthesia - Wednesday 7 PM to Sunday 7 AM
*Whoever has the pager around time of handoff will respond

*Who Responds
**Purple Attending, Purple Senior (PGY 3/4) (if available), and ED Pharmacist (if available).
**The Purple Attending may ask the Green Attending or the Peds Attending for assistance at the Purple Attending's discretion.
**The Purple Attending may take another senior resident (PGY 3/4) if the Purple Senior is not available.

*Pager Handoff
**Pick Up: Purple Senior gets from OR front desk at 6:50 AM on Sunday.
**Drop Off: Purple Senior to OR front desk at 6:50 PM on Wednesday.
**The pager cases for anesthesia (extra - not tied to phones) are in the purple doctor's box clipped to the boxes for the McGrath blades.

*Equipment
**The airway management team bags - purple doc box in the drawers under the pager. There are two bags.
**BVM/PPE/MAPS - plastic bags to the right of the drawers. There are two bags.
**'''Please replace the ED airway tray with one from the crash cart on the floor where it was used '''

*Keys
**The Purple Attending, Green Attending, Purple Senior, Green Senior and ED Pharmacist have keys to the drawers.

*Medications
**Each bag in top compartment:
***Rocuronium
***Succinylcholine
***Etomidate
**Pharmacy will check each day.
**Residents are also responsible for checking the medications and logging this in the log kept in the drawer for pharmacy.
**Replacement of Meds
***Return the box to the pharmacist with a patient sticker for new box
***If no pharmacist take used box with a patient sticker to the trauma nurse for new box

*Restock and Bag Check
**Whoever uses the bag is responsible for restocking it.
**The bags will be checked by the Purple Senior as part of the 5S process.
**Zip tie after restocking.
**If zip tie is in place, no need to open

=====Documentation=====
*When you return to the ED:
#Search for patient using magnifying glass in top right corner of Firstnet
#Click “Ad-Hoc” button at top and complete “ED Procedures” form as usual (This will give you procedure log credit)
#Start a new note
#Right-click field at the top that says “Type:”
#Choose “Document Type List” à “Personal”
#Choose “Rapid Response/Code Blue Records”
#If you have not added this Document Type to your personal list, choose “Complete” to see entire list
#Use the “.edairwayteam” autotext to add the template