Wearsafe and Android Wear work together several ways. Everyone can receive notifications from the App on their Android Watch. For subscribers, you can also check your active network, send alerts, and see whether you have an active alert from your watch.
To use your Android Watch with Wearsafe, you must install the Wearsafe Watch App in the on your Android Watch. You can also customize your watch face to include a Wearsafe complication. The Wearsafe complication shows your alert status on your watch face, and tapping will start the countdown to send an alert.