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PATIENT SAFETY

Universal Patient Care Protocol

Utilize Broselow® Pediatric Emergency Tape
for all weight-based drug administration.
Verify correct drug and dose prior to
administration.
Prior to flight day, verify presence and
operational condition of all equipment,
medications, and supplies required for
operational readiness.
Following each flight – recheck and verify all
supplies stocked and ready. If unable due
to operation tempo – attempt to call
ahead and have supplies delivered on
arrival.
If class VIII items or patient movement items
are depleted, advise commander and adjust
as necessary to accommodate mission
requirements.
All medication errors, clinical errors, or
adverse outcomes should be reported to the For any patient that does not fit into a
medical director ASAP. guideline (SMOG),
Contact and Consult medical control.
If this is not possible, provide standard
Assume patient’s condition is worse than care within the education, training and
what is presented. Anticipate deterioration scope of the provider, until MTF is
and address aggressively. reached.
Follow appropriate SMOG for patient
treatment. Real-time treatment of the patient
is the responsibility of the flight medic with
the patient.

Pearls:
• Supportive care for all patients includes routine monitoring, IV guideline, O2 /airway support,
and fluid resuscitation (as required) to maintain or approach “normal” vital signs.
• Always check and double-check medications, dosage, condition, indication, potential adverse
reactions, and control measures prior to administration. Record any patient allergies prior to
administration of drugs.
• Check medical supplies and equipment prior to accepting/flying mission. Arrival on scene
without proper equipment will result in inability to provide optimal care, and may result in
adverse outcomes.
• Any medication/clinical errors or other care-associated concerns should be brought to the
attention of the medical officer/director ASAP following the mission or at earliest possible time.

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