Examples of ‘action cards’ that might be used in a major incident
| Action Card No 45—Medical Co-ordinator in Paediatrics | |
| Job title | Paediatric Consultant or Registrar |
| Base | Paediatric Hospital |
| Report to | Paediatric Hospital Co-ordination Team Leader (Handset 1251) |
| Actions to be completed when incident STANDBY | |
| 1 | Liaise with Paediatric Surgical Co-ordinator to consider if any current or planned activities should be cancelled or postponed |
| 2 | Consider retaining staff if a shift is about to end (until more information is available) |
| Actions to be completed when incident DECLARED | |
| 3 | Go to Level 4 Meeting Room, Paediatric Hospital for status update and collect tabard and handset |
| 4 | Put on the tabard ‘Medic Co-ordinator’ |
| 5 | Collect handset 1253 |
| 6 | Go to Seahorse ward to undertake a paediatric discharge round—identify inpatients who can be treated elsewhere/discharged/transferred |
| 7 | Escalate any difficulties or resource requirements to the Paediatric Co-ordination Team Leader on handset 1251 |
| 8 | Record all your actions and decisions with times on your decision log |
| Actions to be completed when incident STAND DOWN | |
| 9 | Return decision log, tabard and handset to level four meeting room |
| 10 | Participate in hot debrief in level four meeting room |
| Action Card No 23—Paediatric Emergency Department Major (P2) Doctor | |
| Job title | Paediatric Consultant or Registrar |
| Base | PED Majors (P2) |
| Report to | Paediatric Emergency Department Co-ordination Team Leader (Handset 1342) |
| Actions to be completed when incident STANDBY | |
| 1 | Make a plan for all of your patients to leave the Emergency Department (admit or discharge) |
| 2 | Continue seeing new patients as normal |
| Actions to be completed when incident DECLARED | |
| 3 | Go to Emergency Department Seminar Room for status update and collect tabard and handset |
| 4 | Put on the tabard ‘P2 Paediatrics’ |
| 5 | Collect handset 1350 |
| 6 | Assist with the departure of all patients from the Paediatric Emergency department—admit, discharge or send to alternative service |
| 7 | Assess and treat patients in PED Majors |
| 8 | Escalate any difficulties or resource requirements to the Paediatric Co-ordination Team Leader on handset 1342 |
| 9 | Keep incident notes folder updated for each patient with plan and likely destination |
| 10 | Make sure every patient going to the ward has a clear plan and handover summary |
| 11 | Make sure every patient being discharged has a GP letter mentioning that the patient was involved in the major incident |
| 12 | Record all your actions and decisions with times on your decision log |
| Actions to be completed when incident STAND DOWN | |
| 13 | Return decision log, tabard and handset to Emergency Department Seminar Room |
| 14 | Participate in hot debrief in Seminar Room |
| 15 | Return to normal system of seeing patients in the majors area |