silver medical commander
COMMAND
 Take COMMAND of all medical and nursing assets; make key appointments |  |
 Wear the tabard to identify yourself as the SILVER MEDICAL COMMANDER. Remain near SILVER AMBULANCE COMMANDER as much as possible | |
 Precedence for command rests with SILVER AMBULANCE COMMANDER | |
 Start a log of your actions, noting the time for each entry; use a scribe when available |  |
SAFETY
Take responsibility for the safety of doctors and nurses at scene, or more usually is delegated to SAFETY OFFICER (action card 9)COMMUNICATIONS
 LIAISE REGULARLY with SILVER POLICE and FIRE COMMANDERS |  |
 BRIEF doctors and nurses for duty | |
 Information for hospitals is best passed through ambulance GOLD rather than direct | |
 Consider how you will communicate with fixed points at the scene (for example, CCS): radio, mobile phone field telephone or runner may be used | |
 Provide media brief when requested• Ensure any media briefings at scene are with knowledge of SILVER POLICE COMMANDER |  |
ASSESSMENT
 Reassess location and layout of CCS; reconfigure if necessary |  |
 Assess need for additional medical personnel and equipment resources; communicate this to SILVER AMBULANCE COMMANDER | |
 Assess need to rest or relieve staff at scene | |
 Provide staff to assist with triage at point of first contact or at CCS, in liaison with SILVER AMBULANCE COMMANDER |  |
 Allow senior clinicians to use judgment to adjust physiological triage priorities based on anatomy of injury or clinical diagnosis | |
 Determine the use of the EXPECTANT category, in conjunction with silver ambulance commander |  |
TREATMENT
 Establish a casualty clearing station if not already done; appoint a doctor to run CCS when available |  |
 Provide medical and nursing personnel from CCS to move forward for specific tasks. Otherwise concentrate medical personnel at CCS | |
 Aim to achieve best practice standards, but accept compromise when resources are overwhelmed |  |
TRANSPORT
Liaise with SILVER AMBULANCE COMMANDER to identify specific transport needs for individual patients
Provide nursing or medical escorts for individual patients where necessarybronze medical commander
COMMAND
Take orders from the SILVER MEDICAL COMMANDER
Wear the tabard to identify yourself as the BRONZE MEDICAL COMMANDER
Start a log of your actions, noting the time for each entry; use a scribe when availableSAFETY
Safety of all personnel inside the bronze area is a responsibility of the BRONZE FIRE COMMANDER
Staff may be tagged on entering BRONZE area, when hazard is existentCOMMUNICATIONS
LIAISE REGULARLY with BRONZE AMBULANCE, POLICE and FIRE commanders
BRIEF all medical and nursing staff sent forward for specific tasks
UPDATE SILVER MEDICAL COMMANDER regularly
Consider how you will communicate with SILVER MEDICAL COMMANDER, and other BRONZE COMMANDERS: face-to-face, radio, mobile phone, field telephone or runner may be usedASSESSMENT
Assess need for additional medical and/or nursing personnel and equipment resources; liaise with SILVER MEDICAL COMMANDER for resources
Assess need to rest or relieve staff at sceneTRIAGE
Provide staff to assist with triage at point of first contact, in liaison with SILVER MEDICAL COMMANDER
Allow senior clinicians to use judgment to adjust physiological triage priorities based on anatomy of injury or clinical diagnosis
Implement the use of the EXPECTANT category at the discretion of SILVER MEDICAL COMMANDERTREATMENT
Oversee CCS at discretion of SILVER MEDICAL COMMANDER (not appropriate in all incidents); delegate running of CCS to doctor when available
Direct medical and nursing personnel to treat patients at point of first contact when called forward from CCS for specific tasks
Aim to achieve best practice standards, but accept compromise when resources are overwhelmedTRANSPORT
Provide appropriate escort of nurse or doctor to CCS with individual patients (if team called forward to treat patient, it should return to CCS with patient)Related posts:
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