EPA 4D.1: Manage Medical Emergencies
SCOPE OF WORK: This activity includes performing evaluation and diagnosis, initiating management, and seeking help, when necessary. Early recognition and intervention provide the greatest chance for optimal outcomes in patient care. This often calls for simultaneously recognizing need and initiating a call for assistance.
Domains of Competence
- Person-Centered Care
- Critical Thinking and Decision Making
- Team Based Care
- Biomedical Science Application
- Self-Assessment
Knowledge
- How to prevent medical emergencies from occurring in the dental setting
- Signs and symptoms of a decompensating patient and various medical emergencies
- Components of an emergency drug kit
- How to manage common medical emergencies that may arise during dental treatment
- Essential information to obtain during a medical emergency
- Steps and strategies for ensuring patient safety when responding to medical emergency, including basic life support
- Team roles and responsibilities during medical emergency including ISBAR framework
Skills
- Demonstrate ability to identify and use findings from patieint's general and oral health history and physical examination to determine if patient could be at higher risk for medical emergency in the dental office
- Recognize signs and symptoms when a patient is having a medical emergency/decompensating patient
- Apply basic life support skills/principles to a simulated medical code (BLS training)
- Demonstrates ability to work within a team and lead as needed during a medical emergency
- Demonstrate knowledge of how and when to use the medical emergency armamentarium (e.g., oxygen, defibrillator, emergency drug kit)
- Properly document the sequence of events of a medical emergency in the electronic patient record (Epic Wisdom)
| Manage Medical Emergencies |
Meets Expectations of the Graduate
|
Progressing
|
Below Expectations
|
Critical Error
|
|---|---|---|---|---|
| Recognize Adverse Event | Recognizes signs/symptoms of adverse event and promptly ensures initial patient safety | Recognizes signs/symptoms of adverse event but slow to assure patient safety | Difficulty recognizing adverse event and fails to take timely action to ensure patient safety | Fails to recognize medical emergency resulting in patient harm |
| Management of Medical Emergency | Promptly and correctly assesses situation and initiates initial treatment to manage the medical emergency | Correctly assesses the situation, but is not confident in initiating initial treatment to manage the medical emergency or needs to improve clinical skills | Incorrectly assesses the situation or/and does not know how to initiate treatment to manage the medical emergency | Incorrectly assesses the situation or fails to initiate initial treatment (e.g., apply oxygen if indicated) to manage the medical emergency, resulting in patient harm |
| Team Collaboration and Communication | Promptly communicates to the appropriate resource(s) as needed and includes the elements of the ISBAR framework | Promptly communicates to the appropriate resource(s) as needed but may omit a couple of elements of the ISBAR, leading to the need for clarification | Communication is not timely, may initially be to the wrong resource, or many key elements of the ISBAR may be omitted, leading to inefficiencies or delay in patient care | Fails to communicate in a timely manner or to the wrong resource, or tries to render treatment that is beyond their skill set, resulting in an adverse patient outcome |