Guideline for contacting the ED consultant on call between Midnight and 8am

Objectives

Guidance for contacting the ED consultant overnight.

Scope

Emergency Department staff.

Audience

Emergency Department staff.

Between midnight and 0800, ED consultant on call should be contacted and made aware if:

• The department's 'Escalation policy' has been triggered.
• A trauma call is activated.
• A major incident is declared
• Any child requires prolonged resuscitation or is in cardiac arrest.
• Any patient undergoes emergency intubation / rapid sequence induction (RSI) in the Emergency Department
• Any patient is proceeding to emergency theatre where there are concerns regarding clinical instability, ongoing resuscitation, or risk of deterioration
• Two or more consultants from other specialties are actively involved in the care of a patient in the department.
• To approve and organise a CT scan for an ED patient.
• Difficulties referring to another specialty.
• An administrative issue that has an immediate effect on staffing or the safety of the ED (excluding sick calls from day-shift personnel)

*This does not include a sick call from day shift personnel.