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Pull Cord & Pendant Response
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8/21/2018 at 6:26:11 PM GMT
Posts: 1263
Pull Cord & Pendant Response

How are you handling medical emergency pull cord or pendant responses in Independent Living?

  1. Are you deploying nursing team members? If not, what team is responding?
  2. Is the responding team member solely assigned to the role of responder or are other duties also assigned while on duty?
  3. Does the responding individual notify or coordinate with the primary medical provider?
  4. If an incident requires further medical attention and/or evaluation, do you provide these services on-campus? If so, what services are available?


8/22/2018 at 1:13:07 PM GMT
Posts: 1263
Below is what we do for each question asked.

1. We have pull cords installed in all of our IL rooms. Also, they can purchase a pendent that goes to our call system if they choose to do so. Lastly, if they knock their phone of the hook it will send a signal to the system as well as that is another way of getting attention to our call system.
2. During the day, 7 days a week (8:30-5:30) a nurse from our clinic will go out for the call. Afterhours it is a nurse in our health center. This is not the sole duty for either. Also, we have security go as well and most times will be at their apt even before the nurse arrives just to provide comfort or to call 911 if they feel it is that bad.
3. We will not notify the doctor unless it is an emergency or if they have an outside doctor. Most resident see the physicians we have on site 5 days a week.
4. We provide a full assessment, check vitals, and even an EKG if needed. If it is anything more than that they are sent out.

Hope this helps!


8/22/2018 at 1:13:29 PM GMT
Posts: 1263
Good morning
Our current practice is that once an IL resident pushes their PET , a nurse from our health center responds, however, we are in the process of sending our security staff through First Responder Training, which is provided by one of our local colleges, and once they are trained and have passed their exams , we will begin the transition of having them respond first and then they will call nursing for backup if needed. We have continued to run into problems with pulling our nurses away from our most vulnerable residents to respond to what many times ends up being false calls.
Hope this helps


8/22/2018 at 1:15:11 PM GMT
Posts: 1263
1. Our Security team comprises our first responder group. They attempt to contact the resident on their way to the home via telephone. If the call is for medical needs (and not to carry in groceries), they contact the Clinic nurse, who responds during business. After hours, our nursing team responds.
2. As noted above, the responders are assigned to other duties as well.
3. Security incident reports and/or nurse medical reports are compiled for each visit, emergency or otherwise. These are distributed to all concerned areas, including our Medical Director and Clinic NP’s.
4. Some situations can easily be handled in our Ambulatory Care Clinic. However, ALL life threatening situations are sent to the emergency room unless prevented by the resident or family. Even then, we call 911.


8/22/2018 at 2:09:19 PM GMT
Posts: 1263
Are you deploying nursing team members? If not, what team is responding?
- Yes, when it’s needed. When an IL resident activates emergency pull cord, the first response is to call the resident. If the resident is able to answer, we determine if there’s a medical emergency. In those instances, Security and Nursing go immediately to the residence. If the resident does not answer the phone call, Security investigates in person. If there is a medical emergency, Nursing is transported immediately to the residence. Many of the IL alerts are “accidental” where the resident didn’t mean to activate the pull cord or the situation is not medical or urgent

Is the responding team member solely assigned to the role of responder or are other duties also assigned while on duty?
- Other duties are assigned. During 1st and 2nd shift, there are at least 2 security officers on duty; 3rd shift there is one security officer. They have other duties during their shift, but an emergency pull cord alert takes highest precedence. During weekdays, nurses from our on-site Clinic are the first responders for medical emergencies in IL residences. Evenings and weekends, the nurse assigned to Assisted Living is the “House Call” nurse on duty.

Does the responding individual notify or coordinate with the primary medical provider?
- Yes, for any incident (fall, illness, etc.) , the nurse verbally notifies the primary or on call physician or medical provider for the resident.

If an incident requires further medical attention and/or evaluation, do you provide these services on-campus? If so, what services are available?
- For incidents that involve illness such as fever, nausea/vomiting, pain, we are able to admit the resident to our Health Center for observation and support overnight or until the medical provider indicates the resident is safe to return home. For serious medical events, the medical provider will issue orders that the resident be seen in the hospital emergency department. Examples of these situations include cardiac events, evidence of broken bones, non-responsiveness, etc.


8/22/2018 at 2:59:22 PM GMT
Posts: 1263
We currently have our security staff trained in first aid and CPR and they are the first responders. However, residents are asking that a nurse respond to pull cord and pendants.

Would you mind copying me on the responses you get back to the question below? We are struggling with what is the correct answer or standard of practice to the list of questions below.


8/22/2018 at 9:01:58 PM GMT
Posts: 1263
Here are the answers to your questions regarding pendant and pull cord responses:
Are you deploying nursing team members? If not, what team is responding?
Yes. A nurse always responds when a resident presses there pendant or pulls the cord for assistance. This is generally the nurse in charge of the Assisted Living, Healthcare or the Wellness Clinic nurse.
Is the responding team member solely assigned to the role of responder or are other duties also assigned while on duty?
Yes. The responding nurse does have other assigned duties.
Does the responding individual notify or coordinate with the primary medical provider?
The responding nurse will notify the primary medical provider when necessary depending on the circumstances of the incident and time of day.
If an incident requires further medical attention and/or evaluation, do you provide these services on-campus? If so, what services are available?
If the incident requires further medical attention or evaluation, the responding nurse will send the resident to the E.R. or bring them to our healthcare center to be monitored under observation status. The nurse will consult with the physician for recommendations. If a resident remains in their apartment after a visit from the nurse, the Wellness nurse will follow up with a phone call to the resident the next day.
I hope these answers are most helpful. If you have any further questions or need clarification please let me know.


8/22/2018 at 9:28:29 PM GMT
Posts: 1263
We have licensed nursing staff that responds to emergency calls and they then contact 911 if needed or move the resident to our Health Center for observation and contact their primary care physician.


8/27/2018 at 7:29:52 PM GMT
Posts: 1263
Here are our responses:
1. We deploy the Home Care RN first, when she is working and available. If not, the Healthcare Supervisor responds. If a Supervisor is not available, one of our Healthcare nurses respond. We require that anyone who hears our “red” phone ring to answer.
2. Anyone responding from our Healthcare Unit has other duties. If a nurse responds, they have a resident assignment.
3. If the resident needs medical attention that is not urgent, then they are instructed to call their primary MD. For minor injuries such as scrapes, skin tears, etc… the responding nurse will treat and instruct the resident to follow-up either in our clinic with our doctors (if our doctors follow them) or with their outside doctor.
4. If the resident needs care of an urgent nature, we remain with the resident until EMS arrives or if they are safe to be transported by family/friend, we remain with them until transportation can be given.


8/27/2018 at 7:30:45 PM GMT
Posts: 1263
Are you deploying nursing team members? If not, what team is responding? During working hours (M-F 8:30-5:00), first our maintenance supervisor is contacted, then our community nurse, then 911
Is the responding team member solely assigned to the role of responder or are other duties also assigned while on duty? Maintenance supervisor
Does the responding individual notify or coordinate with the primary medical provider? No, only to determine if there is an emergency and if 911 needs to be notified
If an incident requires further medical attention and/or evaluation, do you provide these services on-campus? If so, what services are available? No, we notify 911.


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