2222 clinical emergency bleep SOP

This Standard Operating Procedure is to give purpose and understanding on how to use the BlueSky Bleep Device, which is our Clinical 2222 Emergency Bleep System (ie: Cardiac Arrest / News Calls etc). This document is also supported by the Digital Bleep Protocol and Business Continuity Plan – Loss of Communications.

These devices will be operated as a Baton Bleep Device which means that this device is handed over to and carried by the next person who is assigned that duty role, of those roles that have be identified as requiring to attend Emergency incidents.

A member of staff will dial 2222 for an Emergency Call which will be answered by the Switchboard Operator.

The Switchboard Operator will activate the Mobile Bleep Devices in the Emergency Group required:

Frimley Park Hospital Heatherwood Hospital Wexham Park Hospital
Adult crash Adult crash Adult crash
Adult trauma   Adult trauma
Anaesthetic emergency   Anaesthetic emergency
Cath lab emergency   Cath lab emergency
Massive haemorrhage   Massive haemorrhage
Neonatal emergency   Neonatal emergency
NEWS call   NEWS call
Obstetric emergency   Obstetric emergency
Obstetric maternal cardiac arrest   Obstetric maternal cardiac arrest
Paediatric trauma   Paediatric trauma
Stroke call    

The BlueSky Bleep Device will be sent a notification it will make an alerting sound, and a voice message will state what the Emergency is and where the Bleep Holder needs to attend.

Each BlueSky bleep device is to be used in the operation as a baton bleep device.

At the start of your On Call Shift as part of the handover the BlueSky Device will be handed in line with the transfer of the role that is being undertaken. It is the responsibility of the on-coming role holder to ensure that they have had transfer of the emergency bleep device; if the bleep has become lost then this needs to be raised to the Trust Operations Centre and out of hours to the Hospital Bronze Commander for the site.

Only use the Bleep Device which has been allocated to your Job Role; this is due to the devices being specifically configured for the individual role holders therefore it is imperative that you have the right device for the role(s) you are undertaken as part of the trust’s emergency response.
As part of the handover process you must check that the battery is charged; if you do not have sufficient charge in the device you are accountable to make sure that you get the battery swapped out and put on charge. (see Appendix A).

Spare batteries and chargers are at the following locations:

Wexham

  • AMU
  • Operations Centre
  • Theatres
  • Surgery
  • ICU
  • Maternity

Frimley

  • AMU
  • Operations Centre
  • Theatres
  • Surgery
  • ICU
  • Maternity

Heatherwood

  • Theatres
  • Parkside

The Clinical Emergency Bleep will activate when you need to attend a designated incident or when the device is being tested.

Acknowledge all Notifications that activate on the device, there are two ways that the device will show a notification:

Notification 1 (locked screen)

Click on Message Received in the notification box.

Phone with test message at top and red popup banner reading message received

(Acknowledging the notifications silences that notification, all NON acknowledgements will be followed up – refer to - Digital Bleep Protocol).
Once you have clicked Message Received, the message fully opens (Audio message will also be received).

Device with test message header with message text below and a yellow audio playback bar with a play button

You can click the play button to listen to the message again.

Notification 2 (open screen)

The device will send a short notification for you to acknowledge, this notification also requires you to click ‘Message Received’.

Sometimes the ‘Message Received’ is not shown this is because the device defaults to a ‘brief’ short notification which looks like this:

Device homescreen with a notification popup at top reading test BlueSky wireless and the first few characters of the full message

The device needs to show the ‘detailed’ short notification (see Appendix B for how to set up the device for this notification)

Short ‘detailed’ notification received:

Click on Message Received in the notification box (Acknowledging the notifications silences that notification, all NON acknowledgements will be followed up – refer to – Digital Bleep Protocol).

Device with notification popup at top including brief message details and the words message received at bottom

Once you have clicked Message Received, the message fully opens.

Device with message contents including a yellow audio playback bar with play button

You can click the play button to listen to the message again.

Attendance at emergency calls is mandatory unless you are already engaged at another clinical emergency. If this is the case, please communicate with your senior colleagues who can plan human resources available accordingly.

  • Check the battery is charged.
  • Delete received messages. (see Appendix C)
  • At shift handover – hand over the Bleep Device to the person who will be the next On Call.

If you discover a fault on your device, please report as follows:

In hours

Call the IT Service desk on 2468

Out of Hours

Call the Hospital Bronze for your site:

  • WPH / HWD - 07787 276396 or 07787 276393
  • FPH – 0300 6133479 or 07775 065834

In the event of the Loss of Information and Communication Technology please refer to:

  • Loss of Communications – Digital Bleeps Business Continuity Plan

Charging
  • Connect the USB cable to the USB power adapter

  • Plug the USB cable into the devices multipurpose jack

Diagram showing charging cable being plugged in

Changing the battery
  • Remove the back cover and pull-out battery and swap it for a pre-charged one

Diagram showing battery being added or removed battery has 'samsung' label at top towards top of device

By default, Samsung devices only show discrete minimal notifications which can be easily missed. This guide explains how to make the notifications more obvious using the settings built into the device.
Below are screenshots of the two different display modes for a notification on a Samsung phone to compare the difference.

Homescreen showing popup notification at top with single line message preview
Figure 1. The “Brief” display mode for notification of message.
Device showing three line pop up banner with more detail visible and a red icon
Figure 2 The “Detailed” display mode for notification of a message
How to change settings
Phone app menu showing settings icon
Open the apps list then select settings
Android settings menu showing notifications option
Select notifications
Notification settings showing notification pop up style options for brief and detailed
Select detailed
Notifications settings showing further options with notifications lock screen highlighted
Scroll down to bottom of the screen to the heading Looking for something else.
Select Notifications (Lock screen).
Settings showing an on off toggle the option for icons only vs details, and at the bottom a heading notifications to show with alert and silent notifications set
Ensure the notifications are enabled and set to show details. Make sure that notifications is set to Alert and silent notifications.

Android app menu
Select BlueSky communicator app
List of alert messages in BlueSky app with one selected shown by larger text
Select the correct message
A sinlge alert open with dustbin button at top right
Select dustbin icon to delete message (or swipe left)