Ambulance Module by pgE9afW

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									Ambulance Module
     Operations
     Reporting
   Record Keeping
       EMT Roles - Driver

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

Responsible for medical supplies
• Back boards
• Oxygen
• Splints
• Jump Bag
• Bandages, etc..
         EMT Roles - other

• Paperwork
• Radio reporting
• Verbal to ER staff
      EMT Roles - on-scene

• Patient Contact
• Scene Manager

  THESE ARE 2 DISTINCT ROLES
               Driving

• CODE 2      Non Emergency
            (normal driving)

• CODE 3      Emergency
  (operating as an emergency vehicle)
         Code 3 driving

     MUST BE ABLE TO JUSTIFY!


Valid reasons = ABC problems
• Airway Obstruction
• Respiratory Distress
• Shock
           Code 3 driving

Decision to Operate CODE 3

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

Operating Code 3 - EMERGENCY

• Exempt from most traffic regulations
• 10 MPH over the posted speed limit
• Beware intersections
You are NEVER exempt from
      operating safely


 You can be charged with a crime
     if you operate unsafely
            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
        Freeway Response

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

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

• Be composed

• Be prepared before you start

• Be structured - same format every time
             Radio Report

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

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

•   Patient name
•   C/C
•   Expanded C/C
•   LOC if altered
•   Vital signs
•   Treatment given
           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
       Documentation rules

• If you did not write it down, you did
  not do it.
• Incomplete paperwork equals
  incomplete care.
• Sloppy paperwork equals sloppy care.
     Scene Safety and Personal
            Protection
•   Prepare yourself when dispatched
•   Inspect surroundings
•   Mark the scene
•   Check vehicle stability
•   Take proper night time precautions
      Communicable Diseases
• Transmitted from one person to another

• Minimize risk with proper protection

• Immunizations
     Routes of Transmission

•   Direct
•   Vector-borne
•   Vehicle (indirect)
•   Airborne
             Common Terms

•   Exposure
•   Universal precautions
•   Body Substance Isolation (BSI)
•   Exposure Control Plan
Body Substance Isolation (BSI)

•   Hand washing
•   Gloves
•   Eye protection
•   Mask
•   Gowns
            Immunizations

• Recommended:
  –   Tetanus-diphtheria boosters (every 10 years)
  –   Measles, mumps, rubella (MMR)
  –   Influenza vaccine (yearly)
  –   Hepatitis B vaccine
             Duty to Act

• Cannot deny care to a patient with a
  suspected communicable disease

• Abandonment / breach of duty /
  negligence
    Diseases of Special Concern
• HIV infection
• Hepatitis (A, B, C, D, E)
• Meningitis
• Tuberculosis
• MRSA (Methicillin Resistant Staphylococcus
  aureus)
• VRE (Vanocomycin-resistant Enterococci)
             General Post Exposure
                 Management

• See a doctor immediately
• Ryan White law




  December 6, 1971 – April 8, 1990
       Clinical & Ride-a-longs

•   Arrive in proper uniform
•   Arrive a few minutes early
•   Ask questions
•   Remember your scope of practice
•   Patient information is confidential
               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
               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
            Paperwork

• Field Evaluation Form
• Patient Summary Sheet
• Notebook to take notes (when
  appropriate)
Thank You for Coming

       The END

								
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