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Ambulance Module

Ambulance Module

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Ambulance Module

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  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 2Non Emergency (normal driving) • CODE 3Emergency (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