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Post by Admin on Jul 1, 2016 17:40:34 GMT
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Post by Easton on Jul 1, 2016 19:53:25 GMT
Is there a general guide that EMS training wants with respect to order of priorities for the interns? Do they want equipment, skills, then protocols, or should everything be combined at once...
I'm looking at Tour 1 and I see that protocol review is at the top, yet learning the MRX isn't until further down the list. Should they be getting a firm grip on how the equipment works before application of the protocol?
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Post by Admin on Jul 1, 2016 20:56:52 GMT
So the current idea is that each tour corresponds to the workshop. there is no particular order for what they do first just they are expected to learn what is listed by the end of the first tour
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Post by Easton on Jul 2, 2016 1:22:18 GMT
OK, so what is being taught at the workshop?
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Post by Admin on Jul 2, 2016 2:44:03 GMT
If you look at any of the GO’s listed for ALS providers Internship it lists the topics in the order that we cover.
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Post by Kordalski on Jul 2, 2016 19:31:04 GMT
Task Book modifications beginning at tour one:
Protocol Review: Team Work & Decision Making, When a patient becomes a patient, decision making capacity
*Med Math utilizing our current medications and in general
*Familiarization with patient work area in medic unit
Equipment Familiarization: MRx monitor, Pads, Capnography, 12 lead ECG etc
* Perform first day check on MRx
* Add station orientation and EMS Supply closest
Rest looks good in this area
Under Information Technology
***REMOVE Julian Date this has zero relevance to the intern
Area Familiarization: Rename this to the following: Trauma 1 hospital, Trauma Level 2 hospital (Reston in Fall) Closest ED.
* Name the closest Stroke Capable hospital
* Name the closest Cardiac Capable Hospital
Administrative: Chain of Command: This should only include the preceptor, shift leader, EMS Sup and BC. The other shift leaders do not typically interact or direct the intern to perform any functions
That is what I think in tour one, I have the rest of the task book marked up and will add more next day.
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Post by Kordalski on Jul 2, 2016 21:16:05 GMT
Task Book Tour 2
*Move Equipment Familiarization Patient Compartment to Tour 1 under same Heading
We will need to move the following two to Tour 3
*Equipment Familiarization Backboards
*Equipment Familiarization Splints and Slings
This will keep the program in inline with the topics being discussed at there time up at the academy. This will also make the manual flow better
Move Area Familiarization Receiving Facilities to Tour 1 and add in a review of area hospitals in tour 2
Move station orientation EMS Resupply to tour 1 This is a component that the intern will be filling almost immediately with the oversight of the preceptor
DELELTE: Administrative CHAIN OF COMMAND: This should be covered on first day in the station.
Next will be Tour 3
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Post by Kordalski on Jul 2, 2016 21:25:18 GMT
Task Book Tour 3
Remove: Area Familiarization: The hospital pharmacy should be seen and walked to upon the interns first transport to the hospital. This will also allow the preceptor to discuss how the ED is laid out i.e., Trauma bay(s) at Fairfax, Reston and Stone Spring, Fair Oaks Etc.... Allow I would like to ensure that the preceptor does shown the intern the critical areas of the hospital, so perhaps we thing about creating a preceptor guide?
REMOVE Station Orientation: already covered within the first couple of days at the station.
All else is good with this tour.
Moving onto Tour 4 next
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Post by Kordalski on Jul 2, 2016 21:29:15 GMT
Task Book Tour 4
REMOVE: Station orientation, this will be covered and all stations have a shift member on any shift that does the ordering for the station. This will also be covered within the first couple of days
REMOVE: Information Technology: RADIO This was covered in recruit school and then covered on day one when they are riding the engine.
ADD: Ensure the intern can change and identify the channel his primary ED is on and the Trauma ED
All else looks good for this tour and moving onto Tour 5
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Post by Kordalski on Jul 2, 2016 21:35:26 GMT
Task Book Tour 5 No issue on this tour Moving onto Task Book Tour 6 Area Familiarization: At this point I am not thinking its feasible to walk to L&D at Fairfax, that would have to happen when they drop a patient off and they are still under the gun to return to service depending on the day, master calendar and call volume?  Perhaps we show the intern where to park the unit if it is different from pulling into the bay at the hospital. That's all I have for this tour moving onto Tour 7 |
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Post by Kordalski on Jul 2, 2016 21:45:19 GMT
Task Book Tour 7
Located under Information Technology: * Item number 4, REMOVE this as this will already be covered both by the preceptor and at the academy....At this point it may be good to ask that in a quiz question for them but they get it a lot as it stands now.
Station Orientation Security: THIS IS HIGHLY IMPORTANT AND IS COVERED DAY ONE IN THE FIRE STATION. This should be removed from this tour and placed under Tour 1
Moving onto Task Book Tour 8:
Move Equipment Familiarization Airway Obstruction to Task Book Tour 4. The tours dealing with Airway ect., should contain all airway adjuncts, tools and equipment.
REMOVE: Area Familiarization and what hospitals have which functionalities. This was also already covered in tour 1
REMOVE: Area Familiarization Fireboxes..... A fire box is a learned method during street drills. This has no bearing on an internship and since some of the interns are only there for the internship they will head to their original assignment once completed.
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Post by Kordalski on Jul 2, 2016 21:54:31 GMT
Task Book Tour 9
Move the following box on the sheet to Tour 3 Equipment Familiarization MCI Tools....Again this for the sole purpose of keeping things together and following to make it easier to teach and learn by the intern.
Move: Area Familiarization LVAD patients should fall under the cardiac tour....This would be a perfect time to teach this and I would highly recommend that if a first has an LVAD patient in there area he/she is visited by the crew.
Task Book Tour 10
REMOVE: AREA Familiarization: List 10 and route the closest streets to your station....This appears to be a filler and has no bearing on the intern... Again it will be learned through street drills.......
Vehicle Operations should be moved up to tour 2 or 3 depending on when they are driving. This should be understood before being released as a driver.
Perhaps tour 10 should be a review and practice scenarios given to the intern. I do not think we need filler in a task book
Task Book Tour 11 MOVE: Vehicle Operations Climate Control under Tour 2 or 3 as this is part of learning to drive the unit.
REMOVE: Administrative: BILLING: THIS HAS ABSOLUTELY NOTHING TO DO WITH THE INTERNHIP NOR DO THEY CONTROL WHAT THE PATIENT IS BEING BILLED. THEY NEED TO UNDERSTAND WHERE TO SEND THE PATIENT TO OBTAIN HARDSHIP BILLING REQUESTS BUT NOTHING FURTHER..... |
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Post by Kordalski on Jul 2, 2016 21:57:34 GMT
Task Book Tour 12
Looks good, however perhaps we take advantage of combining a few light tours together and create a tour 12 that encompasses multiple scenarios, at least three adult, three peds and three cardiac, respiratory depending on how the intern is doing.
That's my two cents on the current task book and yes its needs to totally be redone and made to flow in conjunction with what they are learning and there time at the academy.
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Post by Easton on Jul 5, 2016 11:42:54 GMT
Mark, I agree with most of the changes... The one I was looking at being different- Tour 1. I think we should have all unit familiarization in the first week. It would seem that the desired setup is that the intern be a skill tech for the first week, so knowing where everything on the unit is, including the trauma supplies should be included.
I'm not against having them go back through that during week three.
I tried to update and move things around. The formatting is off, so I'll see what I can make happen so we have some drafts to work with.
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Post by Easton on Jul 5, 2016 13:19:39 GMT
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Perhaps we show the intern where to park the unit if it is different from pulling into the bay at the hospital.