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SOP: On-Call & Escalation Matrix

On-call and escalation contacts with response targets.

SOP: On-Call & Escalation Matrix

Know who to call and in what order for clinical, facilities, IT, and leadership issues.

Escalation order

  • Clinical: Charge Nurse → RCC → DON → Medical Director
  • Facilities: Maintenance Tech → Facilities Manager → Executive Director
  • IT/eMAR: Super User → IT Support → Vendor

Response times

  • Emergencies: immediate
  • Urgent: within 30 minutes
  • Routine: within 24 hours

Download: Escalation Matrix (PDF)

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