Ambulance
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Transcript

  • 1. Ambulance Module Operations Reporting Record Keeping
  • 2. EMT Roles - Driver
    • Responsible for mechanical check
    • Tires
    • Gas level
    • Oil
    • brakes, etc..
  • 3. EMT Roles - Attendant
    • Responsible for medical supplies
    • Back boards
    • Oxygen
    • Splints
    • Bandages, etc..
  • 4. EMT Roles - other
    • Paperwork
    • Radio reporting
    • Verbal to ER staff
  • 5. EMT Roles - on-scene
    • Patient Contact
    • Scene Manager
    • THESE ARE 2 DISTINCT ROLES
  • 6. Driving
    • CODE 2 Non Emergency
    • (normal driving)
    • CODE 3 Emergency
    • (operating as an emergency vehicle)
  • 7. Code 3 driving
    • MUST BE ABLE TO JUSTIFY!
    • Valid reasons = ABC problems
    • Airway Obstruction
    • Respiratory Distress
    • Shock
  • 8. Code 3 driving
    • Decision to Operate CODE 3
    • Dispatch decides initially
    • You decide how to transport to Hospital (ABC problem?)
  • 9. Code 3 driving
    • Operating Code 3 - EMERGENCY
    • Exempt from most traffic regulations
    • 10 MPH over the posted speed limit
    • Beware intersections
  • 10. You are NEVER exempt from operating safely You can be charged with a crime if you operate unsafely
  • 11. Responding
    • Always use maps - BEFORE you begin to move!
    • The attendant should help with the response.
    • Make eye contact with other drivers and STILL DON”T TRUST THEM
  • 12. Freeway Response
    • No Light bar
    • Forward steady red and Rear flashers only (think CHP)
    • Can use all lights once parked (safety)
  • 13. Scene Approach
    • VIOLENT? Approach slow and silent
    • Consider Staging 1-2 blocks away
    • Beware dead ends and long alleys
    • Park as a TACTIC, not as if you were shopping
  • 14. Radio requests
    • Composed
    • Brief
    • Be specific what you want
    • State purpose of request
  • 15. Radio reports
    • Be composed
    • Be prepared before you start
    • Be structured - same format every time
  • 16. Radio Report
    • Unit to Base
    • Location
    • Age - sex - weight
    • Chief Complaint (C/C)
    • Expanded Chief Complaint
    • Level of consciousness (LOC)
  • 17. Radio Report
    • Pupils & Skin signs
    • Vital signs
    • Past Medical History (PMH)
    • Physical Exam (PE)
    • Treatment given (RX)
    • Destination
    • Estimated Time of Arrival (ETA)
  • 18. Verbal Reports
    • Patient name
    • C/C
    • Expanded C/C
    • LOC if altered
    • Vital signs
    • Treatment given
  • 19. Documentation
    • EMS Form - Run Sheet - Patient Chart
    • It is a legal document, same as a will, trust deed, arrest record, etc
    • It is a reflection of the care you provide
  • 20. Documentation rules
    • If you did not write it down, you did not do it.
    • Incomplete paperwork equals incomplete care.
    • Sloppy paperwork equals sloppy care.
  • 21. Scene Safety and Personal Protection
    • Prepare yourself when dispatched
    • Inspect surroundings
    • Mark the scene
    • Check vehicle stability
    • Take proper night time precautions
  • 22. Communicable Diseases
    • Transmitted from one person to another
    • Minimize risk with proper protection
    • Immunizations
  • 23. Routes of Transmission
    • Direct
    • Vector-borne
    • Vehicle (indirect)
    • Airborne
  • 24. Common Terms
    • Exposure
    • Universal precautions
    • Body Substance Isolation (BSI)
    • Exposure Control Plan
  • 25. Body Substance Isolation (BSI)
    • Hand washing
    • Gloves
    • Eye protection
    • Mask
    • Gowns
  • 26. Immunizations
    • Recommended:
      • Tetanus-diphtheria boosters (every 10 years)
      • Measles, mumps, rubella (MMR)
      • Influenza vaccine (yearly)
      • Hepatitis B vaccine
  • 27. Duty to Act
    • Cannot deny care to a patient with a suspected communicable disease
    • Abandonment / breach of duty / negligence
  • 28. Diseases of Special Concern
    • HIV infection
    • Hepatitis
    • Meningitis
    • Tuberculosis
  • 29. General Post Exposure Management
    • See a doctor immediately
    • Ryan White law
  • 30. Clinical & Ride-a-longs
    • Arrive in proper uniform
    • Arrive a few minutes early
    • Ask questions
    • Remember your scope of practice
    • Patient information is confidential
  • 31. Sign Ups
    • If you sign up for a clinical or schedule a ride-a-long you are expected to be there.
    • If you have to reschedule you will lose your priority
  • 32. Sign ups
    • If you fail to show up for a field experience the will be a penalty (50 points)
    • Bring lunch money or a sack lunch
  • 33. Paperwork
    • Field Evaluation Form
    • Patient Summary Sheet
    • Notebook to take notes (when appropriate)
  • 34. Thank You for Coming The END