Tool D: Emergency Management

Tool D looks at adequacy of guidelines, procedures, supplies, equipment, medicines, and training for managing both blood-borne pathogen exposure and medical emergencies post-exposure prophylaxis (PEP).  It examines:

  • Staff knowledge on procedure and reporting of emergencies
  • Availability and accessibility of PEP medicines
  • Medical emergencies:
  • Training in emergency procedures, including anaphylaxis management and resuscitation
  • Availability and management of emergency medical supplies
  • Availability of emergency bag/tray/trolley/ cupboard
  • Availability and functionality of stethoscope and sphygmomanometer
  • Availability of glucometer and strips
  • Inventory list of all emergency supplies

Tool D requires physical examination/verification of the availability of medical supplies, equipment, medicines, and materials for emergency management; questioning senior staff about training; and examining the contents of the emergency bag/tray/trolley/cupboard.  A good practice is to identify the person responsible at the site for maintaining emergency supplies and complete Tool D together with that person. When reviewing items on the emergency trolley, check for expiry dates of each item and cross-check with the emergency supply log. Where items are out-of-stock, look for evidence that this has been reported and whether any remedial actions have been taken, as part the SOP,