Class Notes 20091104 - Chapters 13 and 14

Post date: Nov 05, 2009 12:28:3 AM

Chapter 13

Types of communication

Radio Communication

• • Base stations

  • two-way radios that are at a fixed site suck as a hospital or a dispatch center

  • mobile radios

  • are two-way radios that are used or affixed in a vehicle. Most are actually mounted in vehicles

  • portable radios

  • hand held units 1-5 watts

  • repeaters

  • amplifies and re-transmits transmissions from hand held units or mobile radios

  • cell phones

Radio Medical Report

• 1. Unit identification and level of provider

  2. Estimated time of arrival

  3. Patient's age and sex

  4. Chief complaint

  5. Brief, pertinent history of the present illness

  6. Major past illnesses

  7. Mental status

  8. Baseline vital signs

  9. Pertinent findings of the physical exam

  10. Emergency medical care given

  11. Response to emergency medical care

  12. Contact medical direction if required or if you have questions

The Verbal Report

• • Chief complaint

  • History that was not given previously

  • Additional treatment given en route

  • Additional vital signs taken en route

Interpersonal Communication

• • Use language the patient can understand

  • Be honest

  • Use the patient's proper name

  • Listen

Chapter 14

Pre-hospital Care Report (Run Report)

Serves as:

• • Patient Care Record

  • Legal Document

  • Administrative Purposes

  • Education and Research

  • Billing information

  • Statiistics

  • Quality Improvement

Elements of the Prehospital Care Report

• • Data Elements

• • Patient Data

    • Patients name, address, date of birth, age, sex

    • Billing and insurance information (in many jurisdictions)

    • Nature of the call

    • Mechanisms of injury

    • Location where the patient was found

    • Treatment administered before arrival of the EMT (by bystanders, First Responders,)

    • Signs and symptoms, baseline and subsequent vital signs

    • SAMPLE history

    • Care administered and the effect that the care had on the patient (e.g., improved, no change)

    • Changes in condition throughout the call

  • Check Boxes

  • Narrative

    • Include both objective and pertinent subjective information

    • Include pertinent negatives

    • Avoid radio codes and nonstandard abbreviations

    • Write legibly and use correct spelling

    • Use medical terminology correctly

    • If it's not written down, you didn't do it

  • Confidentiality

  • Patient Refusals

  • Falsification

  • Correction of Errors

  • Special Situations

    • Multiple-Casualty Incidents

    • Special Situation Reports

  • Alternative Methods

    • SOAP

      • Subjective

      • Objective

      • Assessment

      • Plan