4)Communications
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4)Communications

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4)Communications Presentation Transcript

  • 1. Communications
  • 2. Communications
    • Communication System
      • CNS of EMS
      • Coordinates ALL essential activities between:
        • Scene
        • Ambulance
        • Hospital
      • Connection to medical direction
      • Notifies receiving hospital of impending arrival
  • 3. System Components
    • Base Station
      • Radio located at a stationary spot
        • Public Safety Center, Hospital, Hilltop
      • Provides hub for communication through EMS
  • 4. System Components
    • Mobile Two-Way Radio (transmitter/receivers)
      • Radios contained within vehicles
      • Mobile transmitter
      • Broadcast at lower power than base stations (typically 20-50 watts)
  • 5. System Components
    • Portable Radios (transmitter/receiver)
      • Handheld device
      • Typical power output of 1-5 Watts
      • Limited range
  • 6. Repeater Systems
    • Repeater Systems
      • Receive radio signal from a low power radio on a certain frequency
      • Rebroadcasts same signal at a higher power on another frequency
      • Relay signals to dispatch center, base, hospital
      • Place on high ground/buildings
  • 7. Other Components
    • Digital Radio Equipment
    • Cell Phones
  • 8. System Maintenance
    • Checked periodically by a technician
    • As technology changes more tools become available
      • i.e. Cell phones
    • EMS system must provide a back up for contact of on-line medical control in case the main fails
  • 9. FCC
    • Federal Communications Commission (FCC)
      • Government agency
      • Regulates all aspects of radio communications in US
        • Est. technical standards for radio equip
        • Allocates frequencies
        • Licenses and regulates use/repair
  • 10. Communication Center
    • Duties
      • Receives request for emergency assistance
      • Performs triage (determines priority of call)
      • Dispatches appropriate responders
      • Provides pre-arrival instructions to the caller
      • Notifies the hospital of the impending arrival of pt
    • Receiving operator
      • Individual who receives call for assistance
    • Dispatcher
      • Individual who communicates with field personnel
  • 11.  
  • 12. Emergency Medical Dispatch
    • Gives basic 1 st Aid instruction over the phone to the caller
    • Based on US DOT EMS Dispatcher National Standard Curriculum
  • 13. Communications When?
    • When to communicate with dispatch:
      • Call is received
      • Unit responds/ en route
      • Arrival on scene
      • Leaving the scene/ en route hospital
      • Arrival at hospital
      • Clear from hospital
  • 14. Medical Direction
    • EMT’s may need to call for orders/consultation
      • Must be organized, persistent, concise
      • Physician will decide treatment upon your report
        • Be ACCURATE
    • Upon approval/denial of order repeat it back WORD FOR WORD
    • Unclear/inappropriate orders should be questioned
  • 15. Pt Reporting Concepts
    • Radio is on
    • Volume is appropriate
    • Limit background noise
    • Frequency is clear before starting
    • Use and EMS frequency for EMS information
    • Press “press to talk” button and wait 1-2 sec
    • Speak with lips 2-3” away from mike
    • Address the unit being called and follow up with the name/number of unit calling
      • i.e “Unit 310… this is Unit 311….”
    • That unit will signal “go ahead” or “stand by”
    • Speak clearly and slowly
    • Keep communications brief
      • If longer than 30 sec, pause and allow emergency traffic
  • 16. Pt Reporting Concepts Continued
    • Use clear text
    • Avoid codes and meaningless phrases
    • Courtesy is assumed
      • no please/thank you/etc
    • Give the number and then individual digits if number can be confused
    • Airways are public. Scanners are popular. NEVER use a pt name
    • Remain impartial
    • Use “we” instead of “I”
    • Don’t use profanity. FCC is not a fan…
    • Avoid “Yes/No” – Use “affirmative/negative”
    • Indicate a transmission has ended “Over”
    • Avoid offering a diagnosis of pt
  • 17. Radio Pt Reports (en route)
    • Unit #
    • Level of provider reporting
    • ETA
    • Pt age & sex
    • C/C
    • Brief, pertinent Hx of present illness
    • Mental Status
    • Baseline Vital Signs
    • Pertinent findings of physical exam
    • Emergency care given
    • Responses to care
  • 18. Verbal Patient Report (arrival)
    • Summarize info given over radio
      • C/C
      • Hx not given previously
    • Additional treatment given en route
      • Additional vital sign taken en route
    • Prehospital Care Report (PPCR)
  • 19. Interpersonal Communication
    • Make/keep eye contact with pt
    • When practical position yourself at a level lower than the pt
    • Be honest
    • Use language the pt can understand
    • Speak clearly, slowly, distinctly
    • Speak in calm, confident manner
    • Use the pt proper name and ask what they prefer to be called
    • If pt has hearing problems speak clearly with visible lips
    • Allow pt enough time to answer before asking the next question
  • 20. Special Populations
    • Elderly
      • RESPECT
      • Gentle touch
      • Be sensitive to spouse
        • let them ride
      • Do not address pt with just 1 st name unless you have permission
      • Allow adequate time to respond
      • Do not assume they are all hearing impaired
  • 21. Special Populations
    • Children/Peds
      • Doll/security blanket
      • Interact with parent & child
      • Allow parent to accompany child
      • Be honest
      • Approach child on level equal to theirs
  • 22. Special Populations
    • Hearing Impaired
      • React with normal intelligence
      • Look DIRECTLY at pt when talking
      • Write questions
      • Call attention/write explanations to procedures
      • Interpreter
  • 23.  
  • 24. Special Populations
    • Visually Impaired
      • Maintain physical contact
      • Explain in detail what is being done
      • Explain where the pt is being moved
      • Make arrangements for tx of service animal
      • Periodically inform pt of status/activities
  • 25. Special Populations
    • Foreign Language
      • Translator
      • Manuals
      • Visual cues
    • Altered Mental Status
      • Communicate in simple terms
      • Try to confirm what is causing the problem
      • Do not rush pt to respond
      • Reinforce pt
      • Assure pt can understand and try not to insult them
  • 26. Go forth and communicate!