A. The functions of an Emergency Medical Dispatcher 1. Call taking 2. Alerting and directing response 3. Monitoring and coordinating communications 4. Pre-arrival instructions 5. Maintaining incident record B. Appropriate information to be gathered by the Emergency Medical Dispatcher 1. Caller's name and call-back number a. Enhanced 9-1-1 system 2. Address of event 3. Nature of event 4. Specific event information a. Call screening b. Pre-arrival instructions
C. Role of emergency medical dispatch in a typical EMS event 1. Part of the EMS system team 2. First contact with the EMS system 3. Coordination of response 4. Coordination of communications 5. Provision of pre-arrival instructions to mitigate event prior to arrival of units 6. Incident data collection D. Importance of pre-arrival instructions in a typical EMS event 1. Provides immediate assistance 2. Complements call screening 3. Provides updated information to responding unit(s) 4. May be life sustaining in critical incidents 5. Emotional support for caller/ bystanders/ victim
A. Information that should be verbally reported to medical direction 1. Depends on technology used for transmission 2. May vary with local protocol 3. Based on patient priority 4. Standard format a. Efficient use of communications system b. Assists medical direction c. Assures no significant information is omitted
General procedures for exchange of information 1. Protect privacy of the patient 2. Use proper unit numbers, hospital numbers, proper names, and titles 3. Do not use slang or profanity 4. Use standard formats for transmission 5. Utilize the "echo" procedure when receiving directions from the dispatcher or physician orders 6. Obtain confirmation that message was received
Pt ID includes age sex pmd pertinent medical history Objective includes vitals Plan includes treatments and their effects on patient Allows hospital to anticipate patient and prepare – include eta
Don’t forget vitals Best way is to follow pcr
Pt assess communications
Topics Role and Importance of Communications Phases of Communications Data Collection Technology and Information Exchange Components of an EMS Communications System
Introduction Knowledge of communications plays an important role in your paramedic training. All aspects of prehospital care require effective, efficient communications. Communication is the key link in the chain that results in the best possible patient outcome.
Communication The process of exchanging information between individuals
Basic Communication Model Sender has an idea, or message. Sender encodes message. Sender sends message. Receiver receives message. Receiver decodes message. Receiver gives feedback to sender.
Verbal CommunicationFactors that enhance or impedeeffective communication may be either SEMANTIC (the meaning of words) or TECHNICAL (communications hardware)
Your communication network must consist ofreliable equipment designed to afford clear communication among all agencies within the system.
A radio system is a criticalcomponent of an EMS system. Radio Band—a range of radio frequencies. Radio Frequencies—the number of times per minute a radio wave oscillates. Ultrahigh Frequency (UHF)— radio frequency band from 300 to 3,000 megahertz.
Communication Technology EMS systems use all of today’s various communication technologies. These include traditional forms of radio communication as well as innovations in radio technology and other media.
A Basic Communications System Using Simplex Transmissions
Federal Communications Commission (FCC) The agency that controls all nongovernmental communications in the United States
The FCC: Licenses and allocates radio frequencies. Establishes technical standards. Monitors frequencies to assure appropriate usage. Spot checks base stations and dispatch centers for appropriate licenses and records.
Reporting Procedures One of your most important skills will be gathering essential patient information, organizing it, and relaying it to the medical direction physician.
Standard Reporting Format (1 of 2) Identification of unit and provider Description of scene Patient’s age, sex, and approximate weight Patient’s chief complaint Brief pertinent history (OPQRST)
Standard Reporting Format (2 of 2) Pertinent past medical history (SAMPLE) Pertinent physical exam findings Treatment given so far/ request for orders Estimated time of arrival to the hospital Other pertinent information
Being concise, descriptive,and thoroughare hallmarks of aprofessional.
Elements of Medical Patient Report Paramedic identification Patient identification Subjective data Objective data Plan
Elements of Trauma Patient Report Paramedic identification Patient identification Mechanism of injury Injuries Plan
Summary Role and Importance of Communications Phases of Communications Data Collection Technology and Information Exchange Components of an EMS Communications System
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