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Ambulance Module PowerPoint Presentation

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Published on : Mar 14, 2014
Views : 1203 | Downloads : 0

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Slide 1 -

Ambulance Module Operations Reporting Record Keeping

Slide 2 -

EMT Roles - Driver Responsible for mechanical check Tires Gas level Oil brakes, etc..

Slide 3 -

EMT Roles - Attendant Responsible for medical supplies Back boards Oxygen Splints Bandages, etc..

Slide 4 -

EMT Roles - other Paperwork Radio reporting Verbal to ER staff

Slide 5 -

EMT Roles - on-scene Patient Contact Scene Manager THESE ARE 2 DISTINCT ROLES

Slide 6 -

Driving CODE 2 Non Emergency (normal driving) CODE 3 Emergency (operating as an emergency vehicle)

Slide 7 -

Code 3 driving MUST BE ABLE TO JUSTIFY! Valid reasons = ABC problems Airway Obstruction Respiratory Distress Shock

Slide 8 -

Code 3 driving Decision to Operate CODE 3 Dispatch decides initially You decide how to transport to Hospital (ABC problem?)

Slide 9 -

Code 3 driving Operating Code 3 - EMERGENCY Exempt from most traffic regulations 10 MPH over the posted speed limit Beware intersections

Slide 10 -

You are NEVER exempt from operating safely You can be charged with a crime if you operate unsafely

Slide 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

Slide 12 -

Freeway Response No Light bar Forward steady red and Rear flashers only (think CHP) Can use all lights once parked (safety)

Slide 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

Slide 14 -

Radio requests Composed Brief Be specific what you want State purpose of request

Slide 15 -

Radio reports Be composed Be prepared before you start Be structured - same format every time

Slide 16 -

Radio Report Unit to Base Location Age - sex - weight Chief Complaint (C/C) Expanded Chief Complaint Level of consciousness (LOC)

Slide 17 -

Radio Report Pupils & Skin signs Vital signs Past Medical History (PMH) Physical Exam (PE) Treatment given (RX) Destination Estimated Time of Arrival (ETA)

Slide 18 -

Verbal Reports Patient name C/C Expanded C/C LOC if altered Vital signs Treatment given

Slide 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

Slide 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.

Slide 21 -

Scene Safety and Personal Protection Prepare yourself when dispatched Inspect surroundings Mark the scene Check vehicle stability Take proper night time precautions

Slide 22 -

Communicable Diseases Transmitted from one person to another Minimize risk with proper protection Immunizations

Slide 23 -

Routes of Transmission Direct Vector-borne Vehicle (indirect) Airborne

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Common Terms Exposure Universal precautions Body Substance Isolation (BSI) Exposure Control Plan

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Body Substance Isolation (BSI) Hand washing Gloves Eye protection Mask Gowns

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Immunizations Recommended: Tetanus-diphtheria boosters (every 10 years) Measles, mumps, rubella (MMR) Influenza vaccine (yearly) Hepatitis B vaccine

Slide 27 -

Duty to Act Cannot deny care to a patient with a suspected communicable disease Abandonment / breach of duty / negligence

Slide 28 -

Diseases of Special Concern HIV infection Hepatitis Meningitis Tuberculosis

Slide 29 -

General Post Exposure Management See a doctor immediately Ryan White law

Slide 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

Slide 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

Slide 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

Slide 33 -

Paperwork Field Evaluation Form Patient Summary Sheet Notebook to take notes (when appropriate)

Slide 34 -

Thank You for Coming The END

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