First Aid Traige Area @ Concert

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broken stretcher

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So next weekend I will be the lead EMT in a first aid room at the annual concert on the local college campus we cover... This is a large concert held every year and all the students usually get very drunk so this first aid room ends up being where all the security and roaming EMS crews will walk the intoxs. So my question is... with all the ICS stuff in mind, do I need to write a chart on every single kid that comes through the first aid room under my crews care or only on the ones that get transported? Usually most of these end up being released with a friend, some end up transported.
 
Coming from event experience, it is very much about the facility AND event manager's policies. When I work volleyball tournaments as an AT, obviously we get injuries left and right. However, we only write "incident reports" when there is the potential for insurance to be involved, or at the Pt request. So, this would include 911 transports, but also includes referrals. I strongly suggest you talk to your boss, and your boss's boss, and get that figured out before you get on scene. No need for a PCR, even the ones I do are far from a PCR, but it is still a document that can be used for insurance purposes, and any legal action.
 
We record any person we come into contact with in some shape or form. Intoxicated people need to be assessed and not treated like "they're just drunk" because when you send the one that is a little tipsy but fell and cracked the back of their head on the pavement home with their friends and they don't wake up the next morning a lawyer's gonna be looking for the chart since he interacted with EMS.

If they've got a complaint they have to be AMAd. If we're just giving an OTC med that they're going to administer themselves or a bandaid or something we just write their name, phone number and what we did on a sign in type sheet then have them sign it and send them on their merry way.
 
Just to clarify, is this a contract job or are you being staged by a city or company? Again, you need to get clarification policies. You are not necessarily EMS there.
 
I tried to edit it but I was too late. Rather than 'if they've got a complaint they need to be AMAd' I want to change it to if they've got a complaint even if it is "just drunk" take the time to assess them. A good assessment only takes a couple of minutes to make sure they haven't whacked their head or been in a fight they aren't telling you about.
 
Hm comment didn 't post

Ditto Robb.
OP, what do your legal and medical control-approved protocols call for?

Even if not for clinical records, you need to show workload for future support, or to make sure each pt has been seen and went somewhere and not fallen off a cot or staggered away.
 
Get the contact info of everyone you treat, write down what you did, get them to sign a description of what happened. If you recommend ambulance transport and they decline have them sign.
 
I run a small side company that provides medical event staffing. In addition to that, we have a partnership with a local IFT company to provide an ambulance and/or transport when needed. My company policy is that every patient contact is document. That does not mean every patient contact is charted.

For example with a patient that we treat and/or assess then release, we will document name, DOB, chief complaint, and treatment. All patient's being transported receive a full patient care report. We will also create a full patient care report (with refusal) for patient's that we recommend transport to but refuse.
 
This is NOT a thinly disguised snark, but a question.

Do you have your own protocols or standardized procedures subscribed by a licensed medical director? Or do you stick to local EMSA regs and hope that will do it, since they meet those criteria, even though you will have no medical director to defend or supervise your care?
 
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