Extreme Emergency Observation Protocol

(Falls, Fire, Medical Collapse, Obvious Immediate Danger)

This protocol applies only to clear, observable emergencies that present an immediate risk of serious harm.

Examples include (not limited to):

• A visible fall with inability to rise
  
  

• Loss of consciousness
  
  

• Fire, smoke, or explosion
  
  

• Severe visible injury
  
  

• Obvious medical collapse
  
  

This protocol does not apply to routine risks, near-falls, wandering, or unsafe behavior unless an emergency has already occurred.

Step 1: Immediate Verbal Acknowledgment (If Client Is Conscious)

The observer may speak once, briefly, and calmly.

Approved phrases (use verbatim)

After a fall:

• “I saw that you fell. Are you able to respond?”
  
  

If no response:

• “I’m here. Can you hear me?”
  
  

If fire or visible danger:

• “I see smoke/fire. I’m here.”
  
  

⚠️ Important rules

• Do NOT give instructions (“stand up,” “move,” “get out”)
  
  

• Do NOT attempt coaching
  
  

• Do NOT repeat phrases excessively
  
  

The purpose is acknowledgment, not intervention.

Step 2: Immediate Notification (No Delay)

The observer must act simultaneously or immediately after Step 1.

Required actions (in order)

1. Contact emergency services (911)
   
   

   • Provide address on file
     
     

   • State: “I am a remote observer viewing a live camera feed”
     
     

   • Describe only what is visible
     
     

2. Contact the designated family emergency contact
   
   

   • Use the fastest method on file (call or text)
     
     

Step 3: What the Observer Says to the Family

Approved family notification script

“This is [Name] with the observation service. During scheduled observation hours, I observed an emergency involving [client name]. Emergency services have been contacted. I will document what was observed and send a written report.”

No speculation. No diagnosis. No reassurance beyond facts.

Step 4: Documentation

The observer documents:

• Time of incident
  
  

• What was visually observed
  
  

• Exact phrases spoken
  
  

• Time emergency services were contacted
  
  

• Time family was notified
  
  

Reports remain descriptive only.

What Observers Must NOT Do (Even in Emergencies)

Observers must never:

• Attempt to coach or direct behavior
  
  

• Provide medical guidance
  
  

• Assess severity (“this looks serious”)
  
  

• Stay on camera “managing” the situation
  
  

• Delay emergency contact to “see what happens”