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Post by Admin on May 23, 2016 15:47:16 GMT
Here is the next grouping to determine the meet minimum standards for.
Operations
10) Communication Equipment
11) Area Familiarity
a. Geography
b. Hospital Capabilities
12) Crew Resource Management
13) Non-Diagnostic Equipment Use
Patient Assessment
14) History Taking
15) Physical Assessment
16) Diagnostic Equipment
17) Differential Diagnosis
Decision Making
18) Under Stress
a. Therapeutic Interventions
19) Not Under Stress
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Post by Kordalski on May 24, 2016 14:30:53 GMT
For the comm equipment lets ensure the intern can switch to all hospital channels and the encrypted channels.
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Post by Admin on May 25, 2016 23:01:20 GMT
I agree with your sentiment and that will certainly be included in the updated Task Book for the new process. That will be the next phase of the project starting in July.
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Post by Gruver on May 25, 2016 23:54:59 GMT
- Communications we need to include that the intern carries a radio at all times and on the correct channel. We hear too many times dispatch trying to contact a unit multiple times with no success.
- Stressful decision making, I think, should have a standard of being able to do med math both quickly and efficiently. It looks unprofessional and looses patient/family confidence when they have their paramedic being visibly nervous with algebra calculations.
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Post by Coston on May 26, 2016 14:22:15 GMT
-Communications also needs to have use of non verbal functions of the radio such as en route and at patient. Units are still marking en route from gym or away from MCT when there is a button on their radio to prevent unnecessary radio traffic.
I also believe the intern should have an understanding of all the hospitals in the NOVA region and their capabilities. I believe the current task book only ask for them to know 3 of the closest trauma, stroke and STEMI centers.
-I think the academy does a decent job of going over med math during the intern work shops. To reduce stress and visible nervousness, maybe add where the intern can find already calculated weight based drug doses and the various tools to verify. (laminated cheat sheet in ALS bag, Broselow tape, ect.)
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Post by Admin on Jun 2, 2016 13:46:22 GMT
Here are the Minimum Standards for 10-19
Operations
10) Communication Equipment
• Carries radio at all times when out of station
• Utilizes radio in appropriate manner for communication
• Use proper terminology and language on radio
• Carries secondary communication device (personal or unit cell phone)
• Properly uses MDT when riding as the OIC
11) Area Familiarity
* Utilizes GPS or Street books when needed
• Knows closes hospitals and capabilities
* Demonstrates knowledge of main and secondary route to hospital
* Participates in District/Battalion familiarization exercises
12a) Crew Resource Management (Onscene Management Patient Care)
• Directs crew in management of patient
• Uses Closed Loop Communication
• Recognizes need for additional resources when appropriate
12b ) Crew Resource Management (Onscene Management Non- Patient Care)
• Demonstrates knowledge of assigned role (OIC, Driver, Engine Medic)
• Demonstrates knowledge of other personnel assigned roles
• Recognize need for additional resources to mitigate circumstances including outside agencies (i.e. gas company for gas leak)
13) Non-Diagnostic Equipment Use
Patient Assessment
14) History Taking
• Uses SAMPLE/OPQRST and other pneumonic in protocol
• Asks appropriate follow up questions
• Utilizes appraise sources of information ( i.e.. file of life, family, med alert bracelet)
15) Physical Assessment
• Obtains General Impression/ABC’s
• Checks PMS/Skin Color Temp
• Listens to initial lung sounds
• Uses crew resource management to complete physical assessment
16) Diagnostic Equipment
• Uses manual equipment when appropriate (i.e. initial or confirming mechanical BP)
• Uses mechanical or automated equipment when appropriate
• Correctly places EKG leads and interpret EKG/12EKG
• Correctly uses and interprets EtCo2, SpO2 when needed
• Correctly uses Glucometer/Thermometer/ or other diagnostic equipment
17) Differential Diagnosis
• Determines Sick or Not Sick
• Develops accurate treatment plan based on patient condition
• Initiates treatment plan in timely manner based on patient condition
• Recognizes changes in patient condition in timely manner
Decision Making
18) Under Stress
• Maintains composure
• Maintains situational awareness
• demonstrates good use of crew resource management
• processes input from other personnel in decision making
• Makes correct differential diagnosis
19) Not Under Stress
• Maintains composure
• Maintains situational awareness
• demonstrates good use of crew resource management
• processes input from other personnel in decision making
• Makes correct differential diagnosis
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