What do you say in a patch to the hospital?

[ah2388]

Im still a student but this is how I give mine...we use cell phones for the most part for example:

Me:Hi this is Adam on medic 8 for a patient report.

Physician:Go ahead

Me:We are coming to you guys with a 57 yo male who called us today for chest pain. Patient presented sitting upright in a chair with mild DB. Pt has hx of MI, and received a double bypass 2 years ago. Pt VS are.....hes on 4L NC, weve given 4x Baby Aspirin, 3x NTG spray, 2mg MS and have an IV established. 12 lead shows elevation in leads xxxxxx without a BBB, weve faxed it to you all. We are approx 12 minutes out, and we arent requesting anything at this time. Any Questions?

Physician: xxxxx

Me: Clear

 

[Akulahawk]

That whole mess is complicated by the fact that 911 EMS is handled by fire departments here, so they're typically the only ones calling in. Meanwhile, there are many private ambulance companies who do ALS IFTs (like where I work), who almost never need to call unless something terrible happened en route. It seems like most MICNs have no idea how the ALS IFT thing works either (and to be fair, I still don't really know how it works) so every time I have to call in I have to explain myself as to why I can't just get standing orders from the sending doc, who the hell I even am, why I'm calling them in particular, etc. It's really just a nightmare.

About the ALS-IFT thing, here in Sacramento, if an ambulance entity can enter into an agreement with the EMS agency to go to entirely off-line medical direction for non-911/scene calls. What does that mean operationally? The protocol book has delineated points where a medic MUST call a base hospital for the OK to proceed beyond that certain point in a given protocol. Thus, you have "on-line" medical control, and there's a couple different versions of how/where you can have OLMC. Off-line means you don't have to contact any medical control, and the entire manual is open to the paramedic to use.

 

[1badassEMT-I]

Amazing pretty much everybody is the same.

WV we report to Regional Commands Centers not directly to the hospital RC report us coming in to the hospital. They also give us our orders from the MCP which is the ER doctor if we request orders to administer a med that a MCP must approve. Here is how I give my report:

Regional Command General 643

Wait for response from RC

I always ask how copy?

I give my Name and Cert number what hospital we are in route to and ETA.

Pt. age and CC
History meds and allergies
Pt condition at this time VITALS, my treatments (IV, O2, Monitor, and meds I have already administer per protocol)
Ask for meds if I need additional meds the are MCP approved
Update time to hospital.
Clear the radio.

 

[1badassEMT-I]

About the ALS-IFT thing, here in Sacramento, if an ambulance entity can enter into an agreement with the EMS agency to go to entirely off-line medical direction for non-911/scene calls. What does that mean operationally? The protocol book has delineated points where a medic MUST call a base hospital for the OK to proceed beyond that certain point in a given protocol. Thus, you have "on-line" medical control, and there's a couple different versions of how/where you can have OLMC. Off-line means you don't have to contact any medical control, and the entire manual is open to the paramedic to use.

You should look at our protocols......in WV.....I can give morephine but am not allowed to push Zofran.....I get give you something for the pain but cant give you something to keep from getting sick from it....GO figure that!

 

[Akulahawk]

You should look at our protocols......in WV.....I can give morphine but am not allowed to push Zofran.....I get give you something for the pain but cant give you something to keep from getting sick from it....GO figure that!

Sometimes, they just don't make much sense unless you've been around a long time. Then things often really don't make sense. Perhaps they've not had much experience with I's giving anti-emetics or perhaps they've seen a couple goofs with it so they want some positive control over the process.

At least you have the option of anti-emetics... The best I could do is Benadry... if I can get an order for it. :wacko:

 

[1badassEMT-I]

Sometimes, they just don't make much sense unless you've been around a long time. Then things often really don't make sense. Perhaps they've not had much experience with I's giving anti-emetics or perhaps they've seen a couple goofs with it so they want some positive control over the process.

At least you have the option of anti-emetics... The best I could do is Benadry... if I can get an order for it. :wacko:

I been in this for 22 years several states but WV makes no sense when it comes to protocols of this nature....