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Ambulance Module. Operations Reporting Record Keeping. EMT Roles - Driver. Responsible for mechanical check Tires Gas level Oil brakes, etc. EMT Roles - Attendant. Responsible for medical supplies Back boards Oxygen Splints Bandages, etc. EMT Roles - other. Paperwork
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Ambulance Module Operations Reporting Record Keeping
EMT Roles - Driver Responsible for mechanical check • Tires • Gas level • Oil • brakes, etc..
EMT Roles - Attendant Responsible for medical supplies • Back boards • Oxygen • Splints • Bandages, etc..
EMT Roles - other • Paperwork • Radio reporting • Verbal to ER staff
EMT Roles - on-scene • Patient Contact • Scene Manager THESE ARE 2 DISTINCT ROLES
Driving • CODE 2Non Emergency (normal driving) • CODE 3Emergency (operating as an emergency vehicle)
Code 3 driving MUST BE ABLE TO JUSTIFY! Valid reasons = ABC problems • Airway Obstruction • Respiratory Distress • Shock
Code 3 driving Decision to Operate CODE 3 • Dispatch decides initially • You decide how to transport to Hospital (ABC problem?)
Code 3 driving Operating Code 3 - EMERGENCY • Exempt from most traffic regulations • 10 MPH over the posted speed limit • Beware intersections
You are NEVER exempt from operating safely You can be charged with a crime if you operate unsafely
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
Freeway Response • No Light bar • Forward steady red and Rear flashers only (think CHP) • Can use all lights once parked (safety)
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
Radio requests • Composed • Brief • Be specific what you want • State purpose of request
Radio reports • Be composed • Be prepared before you start • Be structured - same format every time
Radio Report • Unit to Base • Location • Age - sex - weight • Chief Complaint (C/C) • Expanded Chief Complaint • Level of consciousness (LOC)
Radio Report • Pupils & Skin signs • Vital signs • Past Medical History (PMH) • Physical Exam (PE) • Treatment given (RX) • Destination • Estimated Time of Arrival (ETA)
Verbal Reports • Patient name • C/C • Expanded C/C • LOC if altered • Vital signs • Treatment given
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
Documentation rules • If you did not write it down, you did not do it. • Incomplete paperwork equals incomplete care. • Sloppy paperwork equals sloppy care.
Scene Safety and Personal Protection Prepare yourself when dispatched Inspect surroundings Mark the scene Check vehicle stability Take proper night time precautions
Communicable Diseases Transmitted from one person to another Minimize risk with proper protection Immunizations
Routes of Transmission Direct Vector-borne Vehicle (indirect) Airborne
Common Terms Exposure Universal precautions Body Substance Isolation (BSI) Exposure Control Plan
Body Substance Isolation (BSI) Hand washing Gloves Eye protection Mask Gowns
Immunizations Recommended: Tetanus-diphtheria boosters (every 10 years) Measles, mumps, rubella (MMR) Influenza vaccine (yearly) Hepatitis B vaccine
Duty to Act Cannot deny care to a patient with a suspected communicable disease Abandonment / breach of duty / negligence
Diseases of Special Concern HIV infection Hepatitis Meningitis Tuberculosis
General Post Exposure Management See a doctor immediately Ryan White law
Clinical & Ride-a-longs • Arrive in proper uniform • Arrive a few minutes early • Ask questions • Remember your scope of practice • Patient information is confidential
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
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
Paperwork • Field Evaluation Form • Patient Summary Sheet • Notebook to take notes (when appropriate)
Thank You for Coming The END