Standard operating procedure

Deteriorating Patient & Resuscitation Procedure

Recognising, escalating and managing the acutely unwell or arrested patient in an independent clinic, including track-and-trigger early-warning scoring and safe transfer to acute hospital care.

For Private Healthcare ClinicRef BS-PH-SOP-005See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

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. Recognition of the deteriorating patient
  • 4. Responsibilities
  • 5. Equipment
  • 6. Procedure
  • 7. Transfer and handover to emergency hospital care
  • 8. Records
  • 9. Related documents
  • 10. Review and version control
  • 11. 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)
  • Resuscitation Council UK - Guidelines (Adult Basic Life Support and Adult Advanced Life Support) and Quality Standards for cardiopulmonary resuscitation practice and training
  • National Institute for Health and Care Excellence (NICE) Clinical Guideline CG50 - Acutely ill adults in hospital: recognising and responding to deterioration
  • National Institute for Health and Care Excellence (NICE) Guideline NG51 - Suspected sepsis: recognition, diagnosis and early management
  • Royal College of Physicians - National Early Warning Score 2 (NEWS2)

Who it applies to

All clinical and clinical support staff at [Organisation Name], including those involved in the assessment, monitoring, escalation, resuscitation and transfer of patients who become acutely unwell on the premises.

Glossary

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

ABCDE assessment
A structured way of checking a seriously ill patient in order - Airway, Breathing, Circulation, Disability and Exposure - treating the most dangerous problems first.
ACVPU
A quick scale for checking how awake a patient is: Alert, new Confusion, responds to Voice, responds to Pain, or Unresponsive.
Adrenaline
An emergency medicine given to treat a severe allergic reaction and used during resuscitation.
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, delivers an electric shock to restart a normal heartbeat.
Bag-valve-mask
A hand-squeezed device with a mask used to push air or oxygen into the lungs of a patient who is not breathing properly.
Cardiac arrest
When the heart suddenly stops pumping blood, so the person becomes unresponsive and stops breathing normally.
Cardiopulmonary resuscitation (CPR)
Emergency chest compressions and rescue breaths used 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.
Contemporaneous record
Notes written at the time of the event, or as soon as possible afterwards, so they are accurate and reliable.
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR)
A recorded decision that CPR should not be attempted if a particular patient's heart stops; it does not affect any other care they receive.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Emergency Care and Treatment Plan
A document recording a patient's wishes and clinical recommendations for emergency care, such as a ReSPECT form.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
Good governance
Having clear systems, oversight and records in place so a service runs safely and can show how it meets its legal duties.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that providers of regulated care must meet, enforced by the Care Quality Commission.
Hypoglycaemia
An abnormally low level of sugar in the blood, which can make a person unwell and needs prompt treatment.
National Early Warning Score 2 (NEWS2)
A standard scoring tool that adds up a patient's vital signs to flag early how unwell they are and how urgently to respond.
National Institute for Health and Care Excellence (NICE)
The national body that produces evidence-based guidance on treatments and good clinical practice.
Notifiable event
An incident a provider is legally required to report to the regulator, such as a death or serious injury.
Oxygen saturation (SpO2)
A measure of how much oxygen the blood is carrying, shown as a percentage and read using a pulse oximeter.
Personal protective equipment (PPE)
Items such as gloves, aprons and masks worn to protect against harm or infection.
Pulse oximeter
A small clip-on device, usually placed on a finger, that measures oxygen saturation and pulse rate.
Recovery position
A safe position on the side for an unconscious person who is breathing, helping to keep the airway clear.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Regulation 12 (Safe care and treatment)
The rule requiring care and treatment to be provided in a safe way, including assessing and managing risks to patients.
Regulation 17 (Good governance)
The rule requiring providers to have effective systems to monitor, assess and improve the quality and safety of their service.
ReSPECT form
A widely used type of Emergency Care and Treatment Plan that records a patient's preferences and clinical recommendations for emergencies.
Resuscitation Council UK
The UK body that sets the recognised guidelines and training standards for cardiopulmonary resuscitation.
Resuscitation trolley
A mobile trolley (sometimes a grab-bag) holding the equipment and medicines needed to respond to a medical emergency.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Royal College of Physicians
The professional body for doctors that developed and maintains the National Early Warning Score 2.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
SBAR
A clear handover format - Situation, Background, Assessment, Recommendation - used to pass on patient information quickly and safely.
Sepsis
A life-threatening reaction to an infection in which the body damages its own tissues and organs; it is a time-critical emergency.
Standard Operating Procedure (SOP)
A written, step-by-step procedure describing how a particular task should be carried out consistently and safely.
Statement of Purpose
A required document describing who a service is, what it does and where, shared with the regulator.
Systolic blood pressure
The higher of the two blood pressure numbers, measuring the pressure in the arteries when the heart beats.
Track-and-trigger system
A monitoring method that tracks a patient's vital signs and triggers a set response when they reach a worrying level.
Venous access
Placing a thin tube into a vein so fluids or medicines can be given directly into the bloodstream.
what3words
A location system that names every three-metre square on the map with three words, used to give the emergency services a precise address.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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