Advanced Education in General Dentistry

Medical Emergency Response Protocol

For Immediate Life-threatening Emergencies or Behavioral Incidents:

  1. During Normal Business Hours (Mon-Fri 8:00AM – 5:00 PM; Tue, Wed and Thurs (C-3 Clinic) 5:00PM – 7:00 PM:

    (1) Use a clinic phone to call Campus Police by dialing 711 (DO NOT dial 9 first). Campus Police will call for an ambulance if needed, and/or send officers to assist.

    (2) Always follow a call to campus police with a page of the School of Dentistry Emergency response page (see Protocol for Dental School Emergency Response Team Paging /Response described below)

  2. When there is no nurse coverage in the evening or no nurse available during the daytime, attending faculty will manage the incident:
    1. Use clinic phones to call 711 (campus police will call for an ambulance or come to assist as needed).
    2. Report the incident to a Dental School nurse verbally or by email at the earliest opportunity.

Protocol for Dental School Emergency Response Team (ERT) Paging / Response:

  1. Press the button labeled “Emergency” on a clinic wall phone pre-programmed to page the ERT
    1. From a non-clinic phone within the building, page using the number 9-410-389-1324
  2. After triple beep tone, enter the nearest room/quad # where the emergency is occurring (ground or lower level, and large areas without a clear room number like reception rooms, follow pink emergency response signs near area phones).
  3. Emergency responders will report to the area received on the pager and provide treatment if available. If no response within 5 minutes page again to rule out pager malfunction, and always refer to attending faculty for guidance. It may be that all emergency responders are otherwise engaged.

Before Responders Arrive:

  1. If bodily fluids present and/or victim is coughing, don the appropriate PPE where available
  2. first responder will act as “captain” and direct interventions until a more qualified or experienced individual arrives to take over that role.
    1. Position victim so as to protect from further injury on the floor or in a dental chair.
    2. If campus police have been called to send an ambulance, designate a person to alert the guard in the atrium lobby, and to assist the EMTs to the location of the emergency.
    3. Bring, or have someone bring the Emergency Cart/Oxygen tank into the room/quad (located outside clinic prep area or in some side hallways off main corridors).
      1. Start oxygen with a nasal cannula for oxygen support at 2-4 L/min, or with a non-rebreather mask, or if the patient is distressed due to shortness of breath, at 10- 15L/min (make sure bag attached to the non-rebreather mask inflates).
      2. Provide treatment if trained; Do not wait for emergency responders, if basic life support is needed (See basic CPR instructions from the AHA in the front of white emergency binders on top of red Emergency Cart if necessary).

Using the Emergency Response Team for Non-Life-Threatening Emergencies:

  • Page the Dental School Emergency Response Team only, not campus police

For A Glucometer Test or Blood Pressure Verification on an Asymptomatic Patient:

  • Members of the Emergency response team can be paged individually at pager numbers listed below. Nurses are to be paged before the Doctor.

Members of the Emergency Response Team include, but are not limited to the following individuals who will be alerted when the emergency pager number 9-410-389-1324 is activated:

Personal Pager # Phone # Room
1. RN II (Oral Surgery Nurse) (9-410-389-1334) 6-4026 1326
2. RN II (Infection Control Nurse) (9-410-389-1298) 6-6344 4317
3. LPN (Dental School Nurse) (9-410-389-1331) 6-7496 2318
4. Dr. Idzik-Starr (9-410-389-1332) 6-4010 OMS
5. Dr. Leventer (9-410-389-0729) 6-2470 3217