Standard operating procedure

Medical Emergencies Procedure

How to recognise and respond to any medical emergency or deteriorating patient in the clinic, from first signs through ambulance handover and recovery.

For Aesthetic ClinicRef BS-AES-SOP-004See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
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What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Emergency equipment and medicines
  • 6. Procedure
  • 7. After the event
  • 8. Quick reference - recognise and act
  • 9. Records
  • 10. Related documents
  • 11. Review and version control
  • 12. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 17 (Good governance)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 20 (Duty of candour)
  • Care Quality Commission (Registration) Regulations 2009 - Regulations 16 to 18 (Notification of death, injury and other incidents)
  • Care Quality Commission Fundamental Standards - Safe
  • Health and Safety at Work etc. Act 1974
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
  • Resuscitation Council UK - Adult Basic Life Support and Quality Standards for Cardiopulmonary Resuscitation
  • Resuscitation Council UK - Emergency Treatment of Anaphylaxis (Guidelines)

Who it applies to

All clinical and non-clinical staff present at [Clinic Name] when a patient, visitor or member of staff becomes acutely unwell, including practitioners, reception and support staff, and anyone acting as first responder.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

ABCDE
A step-by-step way of checking a very unwell person - Airway, Breathing, Circulation, Disability and Exposure - dealing with the most dangerous problem first.
Accident and emergency department (A&E)
The hospital department that treats people with serious or life-threatening injuries and illnesses.
Adrenaline (epinephrine)
The emergency medicine injected into a muscle to treat a severe allergic reaction (anaphylaxis).
Adverse event
Any unexpected or unwanted occurrence linked to a treatment that harms, or could harm, a patient.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Automated External Defibrillator (AED)
A portable device that checks the heart's rhythm and, if needed, gives a controlled electric shock to restart it.
AVPU
A quick scale for how awake someone is - Alert, responds to Voice, responds to Pain, or Unresponsive.
Bag-Valve-Mask (BVM)
A hand-squeezed device with a mask used to push air into the lungs of someone who is not breathing properly.
Basic Life Support (BLS)
The first-aid keeping someone's airway open and their breathing and circulation going, including CPR, without specialist equipment.
Botulinum toxin
A prescription-only medicine injected to relax muscles, commonly used in aesthetic treatments to soften lines.
Cardiac arrest
When the heart suddenly stops pumping blood, so the person collapses and stops breathing normally.
Cardiopulmonary resuscitation (CPR)
Chest compressions, usually combined with rescue breaths, given to keep blood and oxygen moving when the heart has stopped.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Care Quality Commission (Registration) Regulations 2009
The rules that set out which serious incidents, such as a death or major injury, a provider must formally report to the regulator.
Contemporaneous
Written down at the time, or as soon as possible after, the event being recorded.
Controlled drug
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Data Protection Act 2018
The UK law, alongside the UK GDPR, that governs how organisations handle people's personal information.
Dermal filler
A gel, usually based on hyaluronic acid, injected under the skin to smooth lines or add volume.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
General practitioner (GP)
A family doctor who provides everyday medical care in the community.
Guedel (oropharyngeal) airway
A curved plastic tube placed in the mouth by trained staff to help keep an unconscious person's airway open.
Health and Safety at Work etc. Act 1974
The main UK law requiring employers to protect the health and safety of staff and others affected by their work.
Health and Safety Executive (HSE)
The national body responsible for workplace health and safety, to which certain serious incidents must be reported.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the standards a care provider must meet to be registered with the Care Quality Commission.
Hyaluronidase
An emergency medicine that dissolves hyaluronic-acid dermal filler, used when filler blocks a blood vessel.
Hypoglycaemia
An abnormally low blood-sugar level, which can cause confusion, sweating, drowsiness and collapse.
Intramuscular (IM)
An injection given directly into a muscle.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Prescription-only medicine (POM)
A medicine that may lawfully be supplied only on the instruction of an appropriate prescriber.
Recovery position
Lying an unconscious but breathing person on their side so the airway stays clear and any fluid can drain.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
The law requiring certain workplace injuries, diseases and dangerous events to be reported to the Health and Safety Executive.
Resuscitation Council UK
The professional body that sets the UK guidelines for CPR and the emergency treatment of anaphylaxis.
SBAR
A structured way to hand over information clearly - Situation, Background, Assessment, Recommendation.
Seizure
A sudden burst of abnormal electrical activity in the brain, often causing collapse and uncontrolled movements.
Standard Operating Procedure (SOP)
A written, step-by-step instruction setting out exactly how staff must carry out a particular task.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Vascular occlusion
A blockage of a blood vessel - in aesthetics, usually caused by dermal filler - which is an emergency because it can cut off the blood supply to skin or tissue.
Vasovagal (faint)
A common, usually brief faint caused by a sudden drop in heart rate and blood pressure.

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