Best Results Organizing

Last time, we talked about the importance of being able to communicate vital medical information to first responders when we’re on the road. Having that Yellow Dot on the car means that even if you (or your passengers) are unable to communicate, paramedics will know where to look – in the glove box! – for information that will save precious time and ensure the correct treatment.

But what about when you’re not mobile? What if you (or Grandma or someone else with serious health issues) get ill at home and emergency services are called. What if you (or they) can’t explain medical history to first responders. As we discussed last time, it’s never comfortable to talk about these things, but thinking about them in the present can make the future a bit less stressful.

“Downtown Hospital Ambulance” by sponki25 is licensed under CC BY 2.0

Certainly, you can (and should) keep careful medical records and have them available so that loved ones and medical professionals can help you in an emergency, as we discussed in Paper Doll on the Smead Podcast: How To Get Organized When You Have a Chronic Illness. But having a tidy binder or a medical file doesn’t help you if the paramedics don’t know where to find it.

VIAL OF LIFE

The Vial of Life, where “LIFE” stands for Lifesaving Information for Emergencies, is a program that enables you to collect all of your essential medical information, keep it accessible to first responders, and includes an attention-getting flag so it can’t be overlooked. As with the Yellow Dot Program, the Vial of Life is designed to speak for patients when they are unable to speak for themselves. Vial of Life is most commonly used by senior citizens, but anyone with medical conditions that could trigger an inability to communicate (such diabetes, epilepsy, heart disease, etc.) could benefit from participating.

The elements of the Vial of Life kit are also similar to those of the Yellow Dot. You’ll need:

• a sticker or decal, usually placed on the front of the refrigerator, to alert first responders that there’s a container in or on the fridge
• a labeled vial, much like a medicine bottle, kept in the front of the fridge; recently, the literal vial has been replaced in many communities by a zip-lock plastic bag or plastic/vinyl pouch attached to the front of the refrigerator)
• medical information forms, folded and rolled into the vial (or placed flat in a bag or pouch), containing vital medical information

The materials are typically free, and the forms can usually be downloaded from the web and printed.

First responders throughout the US and Canada have been trained to look for a decal or sticker at the entrances to homes and/or on the front of the fridge.

Public Service Announcement: The less clutter on the fridge – the fewer year-old wedding invitations and expired oil change coupons – the easier it will be for first responders to see the Vial of Life decal.

HOW TO PARTICIPATE

There are a variety of regional and agency options for obtaining your Vial of Life kit. Google “Vial of Life” and your community name; if your local hospital, pharmacy, or community groups aren’t offering resources, the most straightforward way is directly through VialOfLife.com.

Go to VialOfLife.com.

Order UV-coated vinyl decals for your home online or by calling 888-931-1010. (You can purchase bulk order kits for your organization.) Alternatively, you can print your own stickers directly from the Vial of Life site onto adhesive-backed paper.

Create an online account. Provide your email address and create a password, and then give your name, mailing address, and phone number(s). You’ll be asked whether you want to participate in the First Responders Program, which gives medical personnel remote access to your information during an emergency.

NOTE: You don’t have to become a member, but if you do, you can update your information online as your prescriptions and medical situations change. If you choose not to become a member, any time you want to update your medical or personal information, you can print multiple copies of a blank form to fill in by hand, or return to the site to re-enter everything and print a typed copy. (View the site’s privacy policy here.)

Log in with the credentials you just created.

Create a new Vial of Life. Once you log in, you’ll be prompted to create a new vial. You’ll be asked for four types of basic information:

• Basic information

First, re-enter your full name and contact information. I’m not sure why this information can’t be directly imported from your account creation, but I suspect it’s to allow one person – a wife, for example – to create one family account and then create separate vials for herself, her spouse, and perhaps a grandparent or other person residing in the home, all without creating additional accounts.

You’ll also enter your gender, height, weight, hair color, blood type, and religion (much as you’d fill out in any hospital admittance form). There’s a section for adding whether you use a pacemaker or defibrillator (and a space for inputting the model number) or hearing aids, and for noting hearing impairment.

The next section asks about vision, whether you wear glasses and/or contact lenses, if you are blind in either eye or if either eye is artificial, and what your native language is. (Paper Doll would like to note that all of this information is useful, but it’s perhaps not entirely well organized. Harrumph.)

• Medical history

This section has two essay-style boxes. The first asks if you have any identifying marks, ostensibly to better identify who the patient actually is. The second asks, broadly, for all the conditions for which you’ve been treated in the past. (Again, Paper Doll isn’t in love with the organizational system here, and would prefer if the official program had a series of prompting checkboxes to ensure that users don’t forget any vital health events.)

• Current medical information

This section asks for your doctors’ contact information, the conditions for which you’re currently being treated and your current medications. The form does not ask for dosages, but I suggest you list both dosages and the frequency with which you take these meds. Where the form asks whether you have any medication allergies, if you are allergic to latex, I encourage you to list that, too.

The current medical information section has spaces for information regarding your last hospitalization and your medical insurance policy information. There are sections for noting whether you have a living will and whether you are an organ donor (and to whom medical professionals should speak regarding each issue).

• Emergency contact

The form has spaces for the name and contacting information for your emergency contact and what their relationship is to you.

I should note, another great unofficial program is listing your emergency contacts in your cell phone as ICE (in case of emergency). My phone, for example, lists “ICE Paper Mommy (and her contact info).”

Take a moment to add one or two of your emergency contacts to your cell phone directory. Just type ICE in the last name section and the person’s entire name (and perhaps their relationship to you) in the first name section. This way, if first responders check the I’s in your contact list, they’ll see ICE right away.

Once you fill out the form, you can save it (if you have created an account) and print the form. If you choose to save, the system will return you to a screen giving you the options to edit, print, or delete the vial you have saved.

THE NEXT STEPS

Put your Vial of Life together.

As I mentioned, some versions of the Vial of Life use an actual vial, but the Vial of Life Project recommends maintaining all of your information in a zip-lock bag. (If you get a kit from a community organization, you may be given a branded vinyl pouch.) Fold or roll the form (so it fits) and add any other pertinent information, including a DNR (Do Not Resuscitate) form, a recent photo of yourself, a recent EKG, your living will, and anything else you think might be pertinent.

Affix a Vial of Life decal to the baggie or vial.

Store your Vial of Life so it’s visible!

If you’re using a vial/bottle, place it in a very visible space on a high shelf. Don’t hide it among the eggs and soy sauce packets!

If you opt for the baggie, attach it to the front of the fridge. The Vial Of Life Project recommends doing so with tape, which probably won’t be aesthetically pleasing, so you might want to use a magnetized clip, such as those used for chip bags or for attaching papers to your filing cabinet. (The vinyl pouches tend to be magnetic.)

Attach the baggie or pouch near eye-level so it can be spotted quickly. (Your local first responders may have specific recommendations, such as to attach it to the top left side of the front of the fridge. Call your local firehouse to ask what they prefer.)

Affix a Vial of Life decal to your front door or in a highly visible front window (much like you’d affix a security company decal).

HISTORY OF VIAL OF LIFE and OTHER OPTIONS

The origin of the Vial of Life isn’t well-documented. We know that someone started putting vital information into medicine bottles and attached them to the interior of the fridge in a visible manner. Word spread over the years, and various community programs started offering advice on how to create a vial. Eventually, the Sacramento chapter of the American Red Cross handed off their resources to Vital-Link, Inc., one of the early “I’ve-fallen-and-I-can’t-get-up” medical alert companies.

For twenty years, the Vial of Life Project has operated as a 501(c)(3) non-profit and supplies free Vial of Life kits and decals/stickers to individuals and partner organizations, including senior citizen groups and community centers, pharmacies and hospitals, government agencies, towns and cities, Red Cross chapters, and various volunteer groups. (The American Senior Safety Agency, a medical alert company, covers the cost of the decals.)

The Vial of Life Project isn’t the only game in town. It’s founder specifically left the Vial of Life name in the public domain so that the program could be duplicated and used by other agencies and organizations. Although it’s the best-known, and costs nothing for individuals, there are a variety of alternative options, such as the File of Life.

StoreSmart, the same company that offers unofficial Yellow Dot stickers and envelopes, sells vinyl, magnetic-backed, closed-sided medical information pouches suitable for displaying at your home or office. They also sell window/door stickers and have free, downloadable medical information forms.

Whether you order the official Vial of Life, get a branded kit from your local hospital, pharmacy, or community group, purchase an alternative, or make your own, consider using the Vial of Life and encouraging your loved ones to do the same

Be healthy, be safe, and be organized.