(精选)The Management of Violence and Aggression教学课件.pptVIP

Blood in an Emergency O negative emergency blood is kept in the blood fridge in Blood bank. Send a runner or porter to collect. If no-one is BARs trained ask a member of the lab staff to release the blood. If the patient has a valid group and save sample ‘group specific blood’ should be requested and can be ready in 5 mins – phone blood bank. If a new sample is sent group specific blood will take approx 10 - 20 mins. NB group specific or O neg blood does carry of small risk of causing reactions if a patient has developed red cell antibodies. Fully crossmatched compatible blood which is safe will be available in approx 30-40 minutes. If the patient is likely to require a significant amount of blood – approx one blood volume then the ‘Massive Haemorrhage policy’ should be triggered by calling the blood bank – see algorithm on next slide. Massive Blood Loss Algorithm Acute oncology service (AOS) Dr Dan Patterson Consultant Medical Oncologist ‘Acute oncology’ The management of patients who develop severe complications following chemotherapy or as a consequence of their previously diagnosed cancer, as well as the management of patients who present as emergencies with previously undiagnosed cancer. WSH Acute Oncology Service Chemo pts: dedicated phone no. for advice (24/7) AOS available to see patients Mon-Fri 9-5 Out of hours: Addenbrookes Onc SpR/Cons on call Daily cancer patient email alerts Assessment beds on Macmillan Day Unit Commenced Sept 2011 – ran by CNS Consultant Please use the pink book for emergency treatment guidelines and contact numbers Basic Fire Precautions Please Note: Staff MUST undertake a face to face classroom session with the Trust Fire Safety Advisor every alternate year In your place of work You should ensure you are familiar with: How to raise the alarm The location of break-glass call points Means of escape routes Evacuation procedure fire assembly point Location of first aid fire fighting equipment Fire prevention D