Are your Intubations and IVs tracked for QA?

[MMiz]

I'm wondering how many people receive regular reports of some kind tracking how many lines or intubations they successfully placed in the field.

For example, once service I worked for medics would get monthly reports on attempts vs. successes, and those medics who scored less than 80% would receive remedial training on the skill.

Is that the norm?

 

[Fox800]

I'm wondering how many people receive regular reports of some kind tracking how many lines or intubations they successfully placed in the field.

For example, once service I worked for medics would get monthly reports on attempts vs. successes, and those medics who scored less than 80% would receive remedial training on the skill.

Is that the norm?

We don't receive any feedback regarding our statistics. It's unfortunately, really...given a system of our size. Hopefully this will change now that we're using electronic PCR's and it's easier to track.

 

[FF-EMT Diver]

No we don't and I personally have never heard of it.

Although I do try to police myself. If I start missing either of the 2 I grab a manikin or an IV arm board and go to town.

 

[wyoskibum]

Annual Review

I'm wondering how many people receive regular reports of some kind tracking how many lines or intubations they successfully placed in the field.

For example, once service I worked for medics would get monthly reports on attempts vs. successes, and those medics who scored less than 80% would receive remedial training on the skill.

Is that the norm?

Where I work, you get a deduction on your raise if your IV Success rate < 80%

What happens is some of the EMT's & Medic will not attempt an I.V. if they don't think they can get it.

 

[Aidey]

Our ePCR software has the capability to pull up that information, and things like that are looked at when you have your annual re-cert meeting with our MD. We don't get the info monthly, or quarterly, but it would be nice if we did.

 

[Melbourne MICA]

Stats stats and more stats

Are stats a worthwhile form of audit? I'm not so sure. Numbers of IV's - meaningless without context. You get 96 out of 100 lines and miss four on first attempt. The 96 were on well perfused Nannas with angina and abdo pain but the four misses were on super sick time critical pts who needed immediate IV meds etc. Your stats look fabulous but you can't get lines in when they are really needed.

Do they really penalise you financially and send you back to boot camp because your stats have dropped off a bit? Avery punitive system of audit by the sound of it. Do the troops feel the system encourages good performance standards or just applies unnecessary pressures when you don't need them?

Every MICA case sheet is audited by our station chief (team manager) with certain categories going through for second and third tier audit up the clinical audit chain. We don't have a stats review persay. The TM notorises some info on your sheet for you to consider or may even have a chat with you about the case.

We have e-pcr's too (god I hate them - they suck big time) and our organisation is pulling some useful material from them but a lot of fluff and bubble as well.

Our auditors look at the the overall performance of each officer on case by case basis. I guess there is an assumption that as grown up MICA types we are expected to get the bulk of our lines and with some caveats, tubes as well.

MM

 

[boingo]

We maintain an airway registry, all intubations are tracked, along with trending, medications used, # of attempts, etc... The numbers are broken down into categories as well, ped's, trauma, RSI.

 

[MrBrown]

We must record all IV attempts, which is a new requirement as of sometime last year.

Intubation I am not sure about I will ask one of our Intensive Care Paramedics but I do know you must be able to visualise cords within 15 seconds and intubate within 30 both of which are measure from when you began laryngoscopy. You are limited to one retry only and must go up or down a blade and use a bougie if you have not already done so.

Oh and I found out people come after you if you start sticking 14s into people, I only did it onc....twice

 

[somePerson]

Here we use Palm pilots to document all patient info/treatment/everything else in between. I'm sure it keeps all the stats, plus for any code we have to upload our Zoll card in the database (records all audio during the call, rhythms/spo2/etco2/compression effectivness) , and it will get audited.

 

[Ridryder911]

Almost all states should be requiring ALS procedures (such as intubations/IV, etc) for TQI. I don't see how any service that acclaims credibility not do so. If they don't I can assure they have no active medical director.

R/r 911

 

[rhan101277]

We maintain an airway registry, all intubations are tracked, along with trending, medications used, # of attempts, etc... The numbers are broken down into categories as well, ped's, trauma, RSI.

This works is medics are truthful. I hope most are, I know I plan on it when I become one in a month.