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Transporting the stable patient

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Chapin Rescue Squad
Chapin Rescue Squad

This document provides guidelines for Chapin Area Rescue Squad members on treatment, communication, and documentation procedures. It outlines steps for dispatch response, response to medical emergencies, on-scene assessment and care, transporting patients to the hospital, communicating with ECRNs, arriving at the hospital, documentation, restocking supplies, and concluding responses. The document emphasizes the importance of proper communication, assessment, treatment, documentation, and signatures according to new Medicare guidelines.

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Treatment Communication Documentation Chapin Area Rescue Squad/January 2013/B. McCormick EMT-P
Dispatch • Upon receipt of the dispatch page, one member shall acknowledge the page on MCERN. This only needs to be done once. • After the page has been received, all members available shall switch to Chapin Fire Frequency if it is available, announcing by name or CAR number they are available • If anyone is unable to change radio channels or has a pager, continue to respond to the Rescue Station • Once a significant crew is reached (as determined by the highest trained individual) the CARS will respond to the emergency • If you will be responding to the scene of the medical emergency, attempt to call or notify the CARS members going enroute over the radio.
Response • Notify PAH that 3H11 or 3H99 is enroute via MERCI. • The crew can then begin the size up and assignment of patient care responsibilities. The treating EMT or Paramedic will be the primary patient care provider, unless he/she decides otherwise. • For medical calls, upon arrival the driver will notify PAH of arrival on scene. • For trauma calls, upon arrival the driver will notify PAH of arrival, and switch to Chapin Fire frequency and give a scene size up consisting of: • Number of vehicles involved • Location of patients • Number of patients if known • Best place for FD rig blocking
On Scene • Once on scene one responder will be responsible for obtaining the information on the assessment sheet. • Typically this will be accomplished by the treating EMT or medic asking questions and the scribe making annotations. The scribe can also get the patient’s medications at this time.
Transporting • At this time the driver will notify PAH of transporting to their location or other facility via MERCI. Ensure to tell the telecommunicator if transport will be BLS or ALS and estimated time to arrival (ETA). • Treatment will be based on medical or traumatic injury. For stable patients vitals will be every 15 minutes. • If transporting BLS, you must call PAH ECRN with patient assessment. • The LifePak 15 can be used for all Vitals after the manual baseline VS are taken. • If you are starting transport BLS and will upgrade to ALS, or the patient develops chest pain, prepare to obtain a 12 lead ECG, and have the driver pull over to obtain the ECG.
Calling the ECRN • Use the following format when calling the ECRN for any receiving hospital.
Arrival at the Hospital • Move the patient from the ambulance to ED • The person treating the patient will give report to treating RN. This report will be very similar to the radio report. • The driver will then fill out the EMS re-stock form, and gain RN signature and patient ID sticker from hospital personnel. • The EMT or medic treating will start the ePCR via the iPad. • See iPad training that will be in iPad cases.
****SIGNATURES**** • Medicare has become very particular about signatures in 2013. This will be REQUIRED for Medicare and Medicade payment. • The patient MUST sign if they are CAO to person and place • RN MUST sign for all patients. They then need to print their name. They must also put the RN behind either name. • If the patient cannot sign, and a POA, parent, or guardian signs, they will need to both sign and print. Additionally, they MUST ALSO PUT IN THEIR address!
Going back in service • Upon leaving the hospital, the driver will tell PAH once back in CARS district. • All supplies used will be restocked or refilled. • TURN off the OXYGEN • Change LP batteries if they are below 2 bars
Conclusion • BLS transports may be more common with the change in response of PAH paramedics. • If you have any questions, call medical control sooner than later. • When calling the ECRN with patient report, let them know you are new at it and they will go a little easier on you your first few times. • Thank you all for the work in 2012 and before. We have one of the best BLS agencies in the state, if I do say so myself!

More Related Content

Transporting the stable patient

  • 1. Treatment Communication Documentation Chapin Area Rescue Squad/January 2013/B. McCormick EMT-P
  • 2. Dispatch • Upon receipt of the dispatch page, one member shall acknowledge the page on MCERN. This only needs to be done once. • After the page has been received, all members available shall switch to Chapin Fire Frequency if it is available, announcing by name or CAR number they are available • If anyone is unable to change radio channels or has a pager, continue to respond to the Rescue Station • Once a significant crew is reached (as determined by the highest trained individual) the CARS will respond to the emergency • If you will be responding to the scene of the medical emergency, attempt to call or notify the CARS members going enroute over the radio.
  • 3. Response • Notify PAH that 3H11 or 3H99 is enroute via MERCI. • The crew can then begin the size up and assignment of patient care responsibilities. The treating EMT or Paramedic will be the primary patient care provider, unless he/she decides otherwise. • For medical calls, upon arrival the driver will notify PAH of arrival on scene. • For trauma calls, upon arrival the driver will notify PAH of arrival, and switch to Chapin Fire frequency and give a scene size up consisting of: • Number of vehicles involved • Location of patients • Number of patients if known • Best place for FD rig blocking
  • 4. On Scene • Once on scene one responder will be responsible for obtaining the information on the assessment sheet. • Typically this will be accomplished by the treating EMT or medic asking questions and the scribe making annotations. The scribe can also get the patient’s medications at this time.
  • 5. Transporting • At this time the driver will notify PAH of transporting to their location or other facility via MERCI. Ensure to tell the telecommunicator if transport will be BLS or ALS and estimated time to arrival (ETA). • Treatment will be based on medical or traumatic injury. For stable patients vitals will be every 15 minutes. • If transporting BLS, you must call PAH ECRN with patient assessment. • The LifePak 15 can be used for all Vitals after the manual baseline VS are taken. • If you are starting transport BLS and will upgrade to ALS, or the patient develops chest pain, prepare to obtain a 12 lead ECG, and have the driver pull over to obtain the ECG.
  • 6. Calling the ECRN • Use the following format when calling the ECRN for any receiving hospital.
  • 7. Arrival at the Hospital • Move the patient from the ambulance to ED • The person treating the patient will give report to treating RN. This report will be very similar to the radio report. • The driver will then fill out the EMS re-stock form, and gain RN signature and patient ID sticker from hospital personnel. • The EMT or medic treating will start the ePCR via the iPad. • See iPad training that will be in iPad cases.
  • 8. ****SIGNATURES**** • Medicare has become very particular about signatures in 2013. This will be REQUIRED for Medicare and Medicade payment. • The patient MUST sign if they are CAO to person and place • RN MUST sign for all patients. They then need to print their name. They must also put the RN behind either name. • If the patient cannot sign, and a POA, parent, or guardian signs, they will need to both sign and print. Additionally, they MUST ALSO PUT IN THEIR address!
  • 9. Going back in service • Upon leaving the hospital, the driver will tell PAH once back in CARS district. • All supplies used will be restocked or refilled. • TURN off the OXYGEN • Change LP batteries if they are below 2 bars
  • 10. Conclusion • BLS transports may be more common with the change in response of PAH paramedics. • If you have any questions, call medical control sooner than later. • When calling the ECRN with patient report, let them know you are new at it and they will go a little easier on you your first few times. • Thank you all for the work in 2012 and before. We have one of the best BLS agencies in the state, if I do say so myself!