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43 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Components Communication System |
1. Base Station 2. Mobile Radio 3. Portable Radio 4. Repeaters 5. Cell Phone 6. Telemetry |
Types if devices |
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Principals of Radio Communication |
- Radio On and Volume - Reduce Background Noise - Frequency is clear (Not Busy) - Press Push to talk, wait 1 Sec - Speak lips 2 to 3 inches from Mic - Use unit number and name - If "Stand By" command, wait - Speak slowly and clearly - Keep transmission brief - Use plain english - No phrases, they are implied - Courtesy is assumed - May need to spell out numbers - Every said is public - Use We not I - Use affirmative and negative - Give assessment info not diagnosis - Avoid slang or Abbreviations - Use EMS frequencies for EMS info only |
Radio Protocols |
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Radio Medical Reports |
1. Unit identification and level of provider 2. Estimated time if arrival 3. Patients age and sex 4. Chief complaint 5. Brief, pertinent history present illness 6. Major past illness 7. Mental status 8. Baseline vital signs 9. Pertinent findings physical exam 10. Emergency care given 11. Response to that care 12. Contact made with medical director |
List items in medical report |
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Guide lines when communicating |
• Give info clearly and accurately • After receiving order repeat word for word • If order is unclear ask to repeat, then repeat word fir word • If order appears inappropriate ask Physician |
Avoid misunderstandings |
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Verbal Report |
• Chief complaint
• History not given previously
• Additional treatment en route
• Additional vitals en route |
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Team Communication |
Speak candidly and respectfully |
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Therapeutic Communication |
• Use eye contact
• Be aware if body position and body language
• Use language the patient can understand
• Be honest
• Use patient's proper name
• Listen |
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Pediatric Note |
Come down to child's level
Children sense lies faster than adults |
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Functions Prehospital Care Report |
1. Record patient care
2. Legal document
3. Administrative purpose
4. Education and Research
5. Quality Improvement |
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Elements Prehospital Care Report |
Run data
Patient information |
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NHTSA Minimum Data Set |
Patient • Chief complaint • Mental status • Systolic pressure greater then 6 years old • Skin profusion ( Cap Refill) under 6 years old • Skin color and temperature • Pulse rate • Respiratory rate and effort
Administrative Information • Time of incident report • Time unit notified • Time arrival at patient • Time unit left scene • Time of arrival at destination • Time of transfer of care |
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Patient Information |
• Patients name, address, and phone number
• Patients sex, age, date of birth
• Patients weight
• Patients race and/or ethnicity
• Billing and insurance info |
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Information about entire call May include |
General impression of patient
Narrative of events
Specific sections Prior aid Past medical history Physical exam results Vital signs ECG results Procedures and treatments Medications given Other Info
Transport information |
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Narrative Sections |
Write clearly and concisely
"Paints a picture"
• Include both objective and pertinent subject info
• Include pertinent nagatives
• Avoid radio codes and abbreviations
• Write legibly and use correct spelling
• Use medical terminology correctly
• If it is not written down, you did not do it.
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Legal Issues |
Confidentiality
Patient Refusal Document patients competency Document actions to protect patient Document patient being informed of potential results of choice Perform as much of secondary assessment as possible Contact Medical Director Make sure reads and signs form Note names of witnesses Encourage to seek care Try to make sure responsible family or friend remains
Falsification
Errors Omission Commission
Correction of Errors |
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Special Situations |
Multiple-Casualty Incidents
Special Situation Report Exposure infectious disease Injury self or partner Hazardous scenes alert Referral to Social Services for elderly care Mandatory reports of child abuse |
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Saline Lock |
No bag, for giving medications |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Setting up IV set |
1. Take out and inspect bag Check expiration date See that fluid is clear Squeeze bag for leaks
2. Select the proper administration set
3. Connect the set
4. Make sure flow regulator is closed
5. Remove protective covering and insert spiked end with quick twist
6. Hold bag higher then drip chamber
7. Open the flow regulator and allow fluid to eliminate all air
8. Turn off flow |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Setting up IV set |
1. Take out and inspect bag Check expiration date See that fluid is clear Squeeze bag for leaks
2. Select the proper administration set
3. Connect the set
4. Make sure flow regulator is closed
5. Remove protective covering and insert spiked end with quick twist
6. Hold bag higher then drip chamber
7. Open the flow regulator and allow fluid to eliminate all air
8. Turn off flow |
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Maintaining an IV (Potential Problems) |
1. The constricting band to raise the vein may have been left on
2. The flow regulator may be closed
3. The clamp may closed on the tubing
4. The tubing may kink
5. The tubing may get caught under the patient or the back board |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Setting up IV set |
1. Take out and inspect bag Check expiration date See that fluid is clear Squeeze bag for leaks
2. Select the proper administration set
3. Connect the set
4. Make sure flow regulator is closed
5. Remove protective covering and insert spiked end with quick twist
6. Hold bag higher then drip chamber
7. Open the flow regulator and allow fluid to eliminate all air
8. Turn off flow |
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Maintaining an IV (Potential Problems) |
1. The constricting band to raise the vein may have been left on
2. The flow regulator may be closed
3. The clamp may closed on the tubing
4. The tubing may kink
5. The tubing may get caught under the patient or the back board |
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KVO Rate ? |
"Keep the vein open" or KVO rate, usually around 30 drops per minute in micro drip, 10 drops per minute in macro drip |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Setting up IV set |
1. Take out and inspect bag Check expiration date See that fluid is clear Squeeze bag for leaks
2. Select the proper administration set
3. Connect the set
4. Make sure flow regulator is closed
5. Remove protective covering and insert spiked end with quick twist
6. Hold bag higher then drip chamber
7. Open the flow regulator and allow fluid to eliminate all air
8. Turn off flow |
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Maintaining an IV (Potential Problems) |
1. The constricting band to raise the vein may have been left on
2. The flow regulator may be closed
3. The clamp may closed on the tubing
4. The tubing may kink
5. The tubing may get caught under the patient or the back board |
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KVO Rate ? |
"Keep the vein open" or KVO rate, usually around 30 drops per minute in micro drip, 10 drops per minute in macro drip |
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Infiltrated IV ? |
One where the needle has punctured the vein, exited the other side, or has pulled out if the vein |
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Saline Lock |
No bag, for giving medications |
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Traditional IV Bag |
1. Drip Chamber
2. Flow Regulator
3. Drug or needle port |
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Setting up IV set |
1. Take out and inspect bag Check expiration date See that fluid is clear Squeeze bag for leaks
2. Select the proper administration set
3. Connect the set
4. Make sure flow regulator is closed
5. Remove protective covering and insert spiked end with quick twist
6. Hold bag higher then drip chamber
7. Open the flow regulator and allow fluid to eliminate all air
8. Turn off flow |
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Maintaining an IV (Potential Problems) |
1. The constricting band to raise the vein may have been left on
2. The flow regulator may be closed
3. The clamp may closed on the tubing
4. The tubing may kink
5. The tubing may get caught under the patient or the back board |
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KVO Rate ? |
"Keep the vein open" or KVO rate, usually around 30 drops per minute in micro drip, 10 drops per minute in macro drip |
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Infiltrated IV ? |
One where the needle has punctured the vein, exited the other side, or has pulled out if the vein |
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