Patient Care Report Narrative Template – Procedural By crew All patient care provided Ensures crew follows all agency procedures and protocols. Highest credentialed crew member is at least EMT-Basic NYS (may also be AEMT-I, CC, or P)

RPI Standard Operating Procedures (SOP) for Ambulance 04-04 & Describe Position 04-05 Describe Training Process NY Department of Health Public Health Law Article 30 Defines Emergency Medical Services System and Other Related Requirements 10 NYCRR Part 800 Read multiple, governing EMS and Ambulance Operations 10 NYCRR Part 18 Public Functions Act & EMS Health Insurance Portability and Accountability Act (HIPAA) Privacy Act!

Patient Care Report Narrative Template

You can find it at: RPI Ambulance Standard Operating Procedures (SOPs) NY State Department of Health Public Health Law Article 30 10 NYCRR Part 800 10 NYCRR Part 18 US Government HIPAA

Head To Toe Assessment Narrative Example

When can I start Crew Chief training? “Any person who holds the role of foreman must be duly authorized as R.P.I. Ambulance Crew Chief or must be a valid Crew Chief Trainee with Crew Chief Trainer present. Therefore, each person acting as crew chief must meet the qualifications set out in policy No. “Have a valid NYS EMT-B certification Be a carer Take and pass the written exam for the RPI Ambulance Crew Chief Training Course

“The position of Ambulance Team Leader is the most trusted position in the ambulance team. Becoming an Ambulance Crew Leader entails not only medical qualifications but also a thorough understanding of all operational policies and the ability to effectively lead a crew. The trainee foreman must perform the role of foreman to the best of his ability during training. The training period is a time to gain experience with a qualified crew chief on board. We encourage the trainee foreman to participate in as many drills as possible, as they are a good source of knowledge and training.’

Professionalism Note: You are often the most senior health care provider on the scene, acting in an official capacity. The patient called you for help. You represent RPI Ambulance and RPI. It is very important to maintain a professional appearance and demeanor to ensure the patient is in competent hands.

Crew Member Duties: Complete Ambulance Equipment Checklist. Report any discrepancies or problems to the shift supervisor. Keep the office clean and make sure tasks are completed. Try to fill all vacancies in the crew. Provide training opportunities when time permits. Maintain crew morale. first of all you are a student!

Pdf) Illness And Narrative

Duties during the call: Acknowledge the crew Inform the driver of the appropriate level of response (Priority I or II) Plan the use of assets and equipment en route Radio communications Safety of the scene! Make sure the patient receives adequate care (BLS, ALS, helicopter, etc.)

Duties during the call: Allow other members to train appropriately Select the appropriate hospital destination Make a report via VHF radio on the way to the hospital Transfer the patient to the receiving medical facility with the report Complete the paperwork and verify that the ambulance is ready for the next call Return service as soon as possible faster

“These protocols are not intended as absolute, definitive therapeutic doctrines, but rather as flexible standards to accommodate the complexities of patient management issues presented to emergency medical technicians (EMTs) and advanced emergency medical technicians (AEMTs) in the field. These protocols should be regarded as a model or standard by which all patients should be treated. Because patients do not always conform to the ‘cookbook’ approach, these protocols are no substitute for GOOD CLINICAL JUDGMENT, especially when a situation arises that does not meet these standards.’

1. Ejection or partial ejection from vehicle 2. Death in same cockpit 3. Rescue time greater than 20 minutes 4. Vehicle collision resulting in intrusion 12 inches into cockpit 5. Motorcyclist collision >20 MPH or with driver separation from a motorcycle 6. Falling more than 20 feet 7. Vehicle rollover (vehicle rollover 90 degrees or more) with a passenger without a seat 8. Vehicle colliding with a pedestrian or bicycle at a speed greater than 5 MPH extension

Aacc Guidance Document On Management Of Point Of Care Testing

1. Glasgow Coma Scale is less than or equal to 13 2. Respiratory rate is less than 10 or more than 29 breaths per minute 3. Pulse rate is less than 50 or more than 120 beats per minute 4. Systolic blood pressure is less than 90 mmHg 5. Penetrating injury to the head, neck, trunk, or proximal extremities 6. Two or more suspected proximal long bone fractures 7. Suspected chest injury 8. Suspected spinal cord injury or limb paralysis 9 Amputation (except fingers) 10. Suspected pelvic fracture fracture 11. Open or impressed skull fracture

1. Blood coagulation disorders or patients taking anticoagulant drugs 2. Heart and/or respiratory diseases 3. Insulin-dependent diabetes, cirrhosis or morbid obesity 4. Patients with a weakened immune system (HIV disease, transplant patients and chemotherapy patients ) 5. Age > 55 ABC treatments, immobilization, oxygen, ALS required, rapid transport to trauma center

Indications: Chest pain Contraindications: Pt. has taken aspirin, is allergic to aspirin, or signs of gastrointestinal bleeding Usage: (4) 81mg chewable tablet (children’s aspirin) Nitroglycerin Indications: Chest pain, pt. he prescribed nitroglycerin. Contraindications: Systolic blood pressure < 120 Usage: When prescribed, (1) metered spray or (1) tablet; recheck blood pressure in 2 minutes

Indications: breathing problems caused by diagnosed asthma. Contraindications: Do not advise Usage: If prescribed, (1) oral glucose by metered inhaler. Indications: altered mental status/diabetic symptoms, history of drug-controlled diabetes. Contraindications: loss of consciousness, inability to swallow, head injury. Application: (1) dose of glucose solution

The Job Narrative Report Sample

Indications: respiratory failure and/or hypoperfusion associated with anaphylaxis or severe allergic reaction Contraindications: none Administration: if prescribed, (1) autoinjector If patient does not have an injector and carries one, administer (1) dose Contact medical supervision for permission to administer the injector to the patient. without a prescription or to administer another (2) dose

ABC, Oxygen, History of current illness Cincinnati Pre-hospital Stroke Scale Transportation Decision Travel to a stroke center if the total time to hospital admission (the time since the first onset of symptoms and/or signs of the patient at the time the patient is expected to arrive at the Stroke Center) less than two (2) hours.

Scene Safety, ABCs, Oxygen, Level of Consciousness, ALS Requirements, Current Illness History Assess and treat known conditions such as diabetes, seizures, or stroke. These are just some of the BLS NYS protocols! You need to know your protocols well, you should have received them in EMT class. You can’t look them up on the scene, now it’s time to make sure you know them back and forth!

The member’s call sign is RPI 900 Ambulance Number (922). Receive tones and messages from the Rensselaer County Emergency Communications Center (ECC). Assemble team for day calls. Communicate with members (calls, hockey games, etc.). Communication with RPI DPS (channel 5). Interagency incident and mass incident in New York (Channel 8). County Portables (“800”, MHz): Communication with Rensselaer County ECC (Dispatch). The ambulance call sign is 5939. Only use car numbers above 800 (Duty CC: Car 6). “No blind download” policy.

Dar Documentation Handout

27 Dispatches Calls are assigned a determinant based on their severity: Alpha: BLS II priority Non-urgent (finger lacerations). Bravo: BLS Priority I Emergency (broken leg) but not life threatening. Charlie: ALS and BLS Priority I Possible life threatening or ALS indicated (chest pain). Delta: ALS and BLS Priority I Life-threatening active (unconscious). Echo: ALS and SBL Priority I Cardiac or Respiratory Arrest – SBL, ALS and nearby units.

Switchboard: Expect an RPI ambulance. You will hear tones. Dispatcher: Expect an RPI Ambulance for a (determinant) EMS call for (demographics), (main complaint), at (location). Sending is repeated, timestamp and sender ID are provided. Example: Switchboard: RPI ambulance on hold, for EMS call determined by Charlie, for a 32-year-old male with chest pain, at RPI Student Union, 1401 Sage Avenue, intersection of 15th Street and Burdett Avenue. C, Charlie, the answer. 18:56, dispatcher 14”.

Tons and shipments are accepted via laptop. Log in as a team leader / confirm the call and meet the crew in the garage. If necessary, call members or ask the dispatcher to resend. Confirm the crew when the crew chief and driver respond. 3 Minute Marks: 3 minutes to confirm call, confirm crew and depart or send mutual aid. Night calls: Tones and dispatch are received through handsets and base. Reply from office to manned garage and confirm crew. We are listed as ‘busy’ – we must be on our way within 3 minutes or mutual help will be sent. Field House/Stand-by: Bystanders or EES (900) are notified. Tell 900 you’re on your way. Respond to the indicated position and transfer the patient to the PCF if necessary.

30 Call Communication During a call, the following radio transmissions are made via the 800: Crew Confirmation/Enroute to Post Arrival On-Site En route to hospital (point number, destination, BLS or ALS) Arrival at hospital Return to service. Return to site The host institution will be informed of the patient

Rolling 13 Month Profit & Loss Report

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