Emergency Protocol

SOLAIRE
Objective

To provide an immediate response procedure in

cases of emergencies involving employees, guests,
and contractual employees of Solaire Resort Casino.

Scope

Start from receiving the notice of incident up to ER

Conduction/clinic management.
 Medical Emergency Protocol

Medical
Consultation MD and SON assists patient
Process to Solaire Clinic

START
MD instructs SON
SON alerts Clinic
NO and Ambulance
team
Is Ambulance team
Guest dials 0 (Service First Responder (ERT)
condition prepares the
Center) assesses patient and
life- ambulance for ER
Service Center alerts informs responding team
threatening Conduction
Control Room and Clinic YES
Control Room alerts ERT ?
Control Room alerts Duty
Manager
ERT, MD, SON and Duty Ambulance team transports
Manager respond to the to San Juan de Dios or
injured patient Hospital of Choice (with
waiver) accompanied by
Legends: SON when necessary;

SON Solaire Organic RN Medical Charges:

MD A1 Medical Doctor
OHN A1 Occupational Health RN Solaire liability no
ERT Emergency Response Team charges Ambulance team, MD,
(Security Ambassador) Non Solaire liability- and SON submit Incident
Note: SON informs medical Report
For unruly patients, a member of
the Security Team shall accompany
charges END a) MD and Ambulance
submit to A1 Clinic
patient and SON during the Manager and Clinic
conduction. Coordinator
ERT will remain in the floors at all b) SON submit to Solaire
times. HR
Note: standard medical response time applies
 MEDICAL EMERGENCY PROTOCOL

DETAILED PROCEDURES:

A. ALERT DISSEMINATION
After receiving emergency alert (Service Center), the following steps shall occur:

1. Service Center alerts Control Room immediately (provide details briefly)

2. Simultaneously, Service Center alerts Clinic while Control Room alerts ERT
3. Control Room alerts Duty Manager
4. Responding Team proceeds immediately to the injured patient
B. ERT FIRST RESPONDER
1. Assess condition, takes and records vital signs
2. Relay information whether the case is emergency or non-emergency to
responding team
3. Administer first aid measures as necessary while responding team is on its way
to the scene
 MEDICAL EMERGENCY PROTOCOL

DETAILED PROCEDURES:

C. PATIENT STATUS
Emergency
1. MD informs SON to alert Clinic and Ambulance team
2. Ambulance team prepares for ER Conduction
3. Ambulance team transports patient to San Juan De Dios or Hospital of choice
(with waiver ER Conduction must be to the nearest hospital facility)
4. SON accompanies patient when necessary (when patient has no companion).
Solaire security accompanies patient and SON when patient is unruly.
5. Ambulance team, MD and SON submits consolidated Incident Report to Solaire
HR, Clinic Manager and Clinic Coordinator immediately
6. If non-Solaire liability, charges will be informed by SON to the
patient/companion. Charge slip to be acknowledged by the patient/companion.
Non-Emergency
1. Responding team assists patient to Solaire clinic
2. Medical Consultation process flow
3. If non-Solaire liability, charges will be informed by SON (patient/companion).
Charge slip to be acknowledged by the patient/companion.
NOTE: Standard medical response time applies on a case-to-case basis.
 Protocol in
Attending Guest
Sick Call
 In-house Guest Sick Call
Protocol

SON and OHN/MD

dispense medicine (with
waiver) and/or provide
reassurance.
END SON issues charge slip
START for the consultation and
treatment

Guest calls 0 (Service NO

Center)
Service Center informs
guest charges on clinic Medical Team
services Medical Team (SON, Does it YES
require recommends
Service Center alerts OHN/MD, ERT) responds
Clinic Visit Solaire clinic
Control Room and Clinic to guest sick call
? consult
Control Room alerts ERT
Control Room alerts Duty
Manager
ERT, Duty Manager, SON,
and OHN respond to sick
call
If patient requests for MD SON explains
consult, MD visits
NO Does
waiver
guestroom. MD follows Guest signs patient
triaging protocol. waiver agree ?
* If Solaire liability, MD must
visit guest for consult .
YES

Medical Charges: Medical Team

Medical assist guest to go
Solaire liability no
Consultation down to Solaire
charges Process clinic
Non Solaire liability-
SON informs medical
charges
 GUEST SICK CALL

DETAILED PROCEDURES:
A. ALERT DISSEMINATION
After receiving guest sick call (Service Center), the following steps shall occur:

1. Service Center informs medical charges for clinic services and treatment
2. Service Center alerts Control Room immediately (provide details briefly)
3. Simultaneously, Service Center alerts Clinic while Control Room alerts ERT
4. Control Room alerts Duty Manager
5. Responding Team proceeds immediately to the patient
6. If patient requests for MD consult, MD visits the guestroom. MD to follow triaging
protocol. Triaging means prioritizing patient care (critical over non-critical).
7. If Solaire liability, MD must visit the guestroom (ex. Suspected food poisoning, fall
due to slippery floor, etc.)
B. RESPONDING TEAM
1. Assesses patient, takes vital signs, demographic data and chief
2. Administer first aid measures and treatment as necessary. Responding team to
consider MD consult as needed.
 GUEST SICK CALL

DETAILED PROCEDURES:
B. PATIENT STATUS
Clinic visit required
1. Medical team assists patient to Solaire clinic via wheelchair
2. Proceed with Medical Consultation process flow
3. Signed waiver for the following:

a. Waiver for medicine dispensing

b. Waiver for refusal of treatment or
c. Waiver for refusal of hospital conduction

4. If the guest requires ER Conduction, Duty Manager informs nearest relative. SON
accompanies guest if the guest is alone.
5. SON issues charge slip which will be acknowledged by the guest
6. Records on Healthmetrics

* If patient does not agree, SON explains waiver to be signed by the guest
 GUEST SICK CALL

DETAILED PROCEDURES:
B. PATIENT STATUS

Clinic visit not required

1. Medical team provides treatment and reassurance
2. Signed waiver for the following:

a. Waiver for medicine dispensing

b. Waiver for refusal of treatment or
c. Waiver for refusal of hospital conduction

3. If the guest requires ER Conduction, Duty Manager informs nearest relative. SON
accompanies guest if the guest is alone
4. When the condition is alleged Solaires liability, no charges will be incurred.
Otherwise, SON issues charge slip which will be acknowledged by the guest
SON issues charge slip which will be acknowledged by the guest
5. Records on Healthmetrics (after consult)
 Walk-in Guest Sick Call
Protocol

START

Guest comes in
accompanied by ERT
If the guest comes in the Medical
Clinic staff assesses patient,
clinic without ERT escort, Consultation
takes and records
SON alerts Control Room
demographic data, vital Process
and provide SA.
signs, time in and chief
Clinic informs guest of
complaint on Healthmetrics
the charges on clinic
services

Medical Charges:

Solaire liability no
charges
Non Solaire liability-
SON informs medical
charges
 WALK-IN GUEST CONSULT

DETAILED PROCEDURES:

1. Guest must be accompanied by Security Ambassador. In cases when guest

comes in alone, SON alerts Control Room and requests for Security Ambassador
in the clinic.
2. Medical Consultation process flow.
3. Signed waiver for the following:

a. Waiver for medicine dispensing

b. Waiver for refusal of treatment or
c. Waiver for refusal of hospital conduction

3. If the guest requires ER Conduction, Clinic informs nearest relative. SON

accompanies guest if the guest is alone.
4. When the condition is alleged Solaires liability, no charges will be incurred.
Otherwise, SON issues charge slip which will be acknowledged by the guest
5. Records on Healthmetrics
WAIVER FORM