SLO EMSA Core Measures Report for 2016
|
|
- Allyson James
- 5 years ago
- Views:
Transcription
1 SLO EMSA Core Measures Report for 2016 The following information represents each of the required Core Measures for 2016 and is presented in one of two formats: (1) A numerical percent (numerator divided by the denominator multiplied by 100 to obtain the percent value) (2) The 90 th percentile of the given numbers in their ascending order. For comparative purposes, this report includes information previously submitted to the State EMS Authority for the 2012 through 2015 reporting periods. In comparing data from previous years with the 2016 data, it should be noted that a number of the indicators have been refined or redefined. In addition changes to the epcr program has allow for more accurate data collection. TRA-1 Scene time for trauma patients Patient population: Patients meeting the physiologic criteria found in the 2011 American College Of Surgeons - Guidelines for Field Triage of Injured Patients (Step 1). The 90 th percentile of the on-scene time measured from time ground ambulance arrives on scene until the time it departs for transport to a trauma center, including those requiring extrication, in minutes and seconds. Year Cases Included 90 th % of the On-scene Time in Minutes 2012 (*) (**) min 2013 (**) min 2014 (***) min :00 min min (*)Time period reviewed: 9 mos. in 2012 representing the first 9 months of the trauma system operational. (**) In 2012 and 2013 Revised Trauma (RTS) of <5 was utilized as a screening indicator. The RTS was omitted in In addition data from 2012 and 2013 may be incomplete or inaccurate as the EMS Agency did not track nor have the capability to obtain RTS or identify patients meeting Step One criteria without a data pull on each element and cross matching for duplicates. (***) In 2014 the epcr vendor added the ability to calculate RTS and the capability of running reports by the individual Trauma Triage Steps 1-4. The ability to report in times minutes and seconds was also added and 2016 data pulls are from Patient Call-In Trauma Alert Step 1, which was a data mapping of trauma patients meeting the physiologic criteria defined by the American College of Surgeons. Challenges: Difficult to do comparison with Stet EMSA changing definitions so frequently
2 TRA-2 Direct transport to a Trauma Center for trauma patients meeting criteria Patient population same as in TRA-1 Patient population transported directly to a trauma center. Reported in a percentage 2012 (*) % % % % % (*) Time period reviewed: 9 mos. of 2012 representing the first 9 months of the trauma system operational patients were diverted to a closer hospital due to arrest enroute, airway management issues, or hemorrhage control. ACS-1 ASA Administration for Chest Pain Measurement Patients over 35 years old treated under SLO County chest pain protocol. Patient population identified above that received ASA from an EMS Provider prior to arriving at the hospital. Reported in a percentage % % % % %
3 Data Challenges: The epcr data search does not pick up ASA administration in the narrative, thus a hand-review of calls was done for cases where the ASA was unable to be queried through the data search but was noted in the narrative. The final numbers were adjusted to include or exclude patients were ASA was self-administered prior to EMS arrival and noted in the narrative, or the patient was noted to be allergic to ASA. The PCR vendor has been asked if the confounders of administration can be added. ACS-2 12 Lead ECG Performance Patients 35 years old or older treated under SLO County chest pain protocol. Patients population identified above who received a 12 lead ECG % % % % % ACS-3 Scene time for Suspected Heart Attack (STEMI only) Population: Patients 35 years or older meeting SLO County STEMI Alert criteria. 90 th percentile of the on-scene time in measured ground ambulance arrived on scene to enroute minutes and seconds Year Cases Included 90 th % of the On-scene Time in Minutes min min 2014 (**) min min min
4 ACS-5 Direct transport to a designated STEMI Center for patients meeting STEMI criteria Patients over 35 years old meeting SLO County STEMI Alert criteria. Patient population identified above who were transported directly to the STEMI Center % % % % % CAR-2 Out of Hospital Cardiac Arrest with ROSC Number of EMS patients who experienced witnessed/heard cardiac arrest (Utstein definition) and were resuscitation was attempted by EMS personnel Patient population identified above who experienced a Return of Spontaneous Circulation (ROSC) per Utstein definition any time during the call (*) % 2015 (**) % % (*) Prior to 2016 the ROSC data was collected on all cardiac arrests including witnessed/unwitnessed, trauma, OD, and other causes. The State EMS Authority implemented the Utstein definition in 2016 thus refining the data to only witnessed/heard with a cardiac origin making the year to year data difficult to compare. (**)The 2015 data is reflective of 6 months data after the implementation of High Performance CPR CAR-3 Cardiac Arrest Survived to ED Discharge Data collection for this population began in January 2013
5 Number of EMS patients who experienced witnessed/heard cardiac arrest (Utstein definition) and were resuscitation was attempted by EMS personnel. Patient population identified above who survived to ED discharge (*) % 2015 (**) % % (*) Prior to 2016 the ROSC data was collected on all cardiac arrests including witnessed/unwitnessed, trauma, OD, and other causes. The State EMS Authority implemented the Utstein definition in 2016 thus refining the data to only witnessed/heard with a cardiac origin (**) In August of 2015 the High Performance CPR training program began the numbers while small and may not be statistically sufficient and only reflect data from July 2015-December 2015 Data challenges: Outcome data requires hospital cooperation and ideally the evolution of HEI to obtain outcome measures.. There is an additional staff time requirement at both the hospital and EMS Agency to collect and track the data. CAR-4 Out-of Hospital Cardiac Arrest Survival Number of EMS patients who experienced witnessed/heard cardiac arrest (Utstein definition) and were resuscitation was attempted by EMS personnel.. Patient population identified above who were discharged to home, transferred to rehab or skilled nursing facility. 2014(*) % 2015 (**) % %
6 (*) Prior to 2016 the ROSC data was collected on all cardiac arrests including witnessed/unwitnessed, trauma, OD, and other causes. The State EMS Authority implemented the Utstein definition in 2016 thus refining the data to only witnessed/heard with a cardiac origin (**) In August of 2015 the High Performance CPR training program began the numbers while small and may not be statistically sufficient reflect data from July 2015-December 2015 Data challenges: Outcome data requires hospital cooperation and internal policies to acquire. There is an additional staff time requirement at both the hospital and EMS Agency to collect and track the data STR-2 Glucose Testing for Suspected Stroke Patients Total number of patients 18 years or older with primary or secondary impression/use of SLO County Suspected Stroke/Transient Ischemic Attack protocol. Patient population identified above documented to have received glucose testing prior to arrival at the hospital (*) % % % % % STR-3 Scene Time for Suspected Stroke Patients Population: Total number of patients 18 years or older with primary or secondary impression/use of SLO County Suspected Stroke/Transient Ischemic Attack protocol and transported from the scene 90 th percentile of the on-scene time in minutes measured from arrival on scene to enroute in minutes and seconds. Year Cases Included 90 th % of the On-scene Time in Minutes min min min
7 2015 (*) Unable to report due to new definition 2016 (**) min (*) The 2015 data definition changed the denominator was to equal the definition in STR-5 number of patients transported to a designated stroke center vs previous year s transported from the scene. San Luis Obispo County does not currently have designated stroke centers thus could not meet the definition. (**) In 2016 the definition was changed back to transport from scene to a hospital without restricting the transport to a Stroke Center. STR-5 Direct Transport to a Stroke Center for Suspected Stroke Patients meeting Criteria No data: No Stroke Centers have been designated in SLO County all hospitals have been awarded Primary Stroke Center certification by Joint Commission RES-2 Bronchodilator Administration in Adults (Beta2 Agonist) In 2014 the definition was redefined to include the total number of patients over 14 years with primary complaint of shortness of breath with signs and symptoms of suspected bronchospasm. The current SLO County Respiratory Distress protocol does not differentiate types of respiratory distress thus we were unable to run a report. The new NEMSIS 3 information being implemented in 2017 will address this data point Patient population identified above documented to have received a bronchodilator (Albuterol) by EMS personnel % % % % 2014 Unable to report due to new definition 2015 Unable to report due to new definition 2016 Unable to report due to new definition
8 Data Challenges; Previous protocols address Respiratory Distress in a general format staff has developing new protocols and working with the epcr vendor to identify bronchospasm separately from other respiratory distress complaints i.e. CHF PED-1 Pediatric Asthma Patients Receiving Bronchodilators The 2014 the definition was redefined to include the total number of patients less than 14 years with primary shortness of breath- suspected bronchospasm. The current SLO County Respiratory Distress protocol does not differentiate types of respiratory distress thus we were unable to run a report. The new NEMSIS 3 information being implemented in 2017 will address this data point Patient population identified above with wheezing and documented to have received bronchodilator (Albuterol) by EMS % % 2014 Unable to report due to new definition 2015 Unable to report due to new definition 2016 Unable to report due to new definition Data Challenges; Previous protocols address Respiratory Distress in a general format staff has developing new protocols and working with the epcr vendor to identify bronchospasm separately from other respiratory distress complaints PAI-1 Pain Intervention in Patients over 14 Years with Pain Scale of 7 or greater Number of patients over 14 years with a pain value of 7 or greater Number of patients over 14 years with an intervention for pain relief (medication and/or procedures after pain value was assessed No outcome data: In 2014 pain scale measurements were added to the epcr In 2015 epcr data program was modified identify interventions.
9 The definition identified in the workbook is too broad to query as it included any intervention; including medications, splinting, ice and elevation A general query identified approx. 800 patients over 14 yrs with a pain scale of 7. Approximately 50 patients were identified to have received either MS and/or splinting but unable to correlate if done before or after scale was performed. A hand review of a number of those without intervention identified some chief complains of constipation, multi-system injuries, ALOC, etc., none of which would have appropriately received intervention in the pre-hospital setting, A request of the EMS Authority to clarify intent and patient population was made. SKI-1 Endotracheal Success Rate Total number of endotracheal intubation procedures attempted. An attempt in SLO County is defined as an interruption of ventilation with insertion of endotracheal tube into the mouth. In 2014 the SLO EMSA began tracking the successful % of attempts and well as the successful % of patients intubated. Success is defined as completion on the first or second attempt.. Data is presented in both formats below Patient population identified above who were successfully intubated on first or second attempt (patients) % 2014 (attempts) % 2015 (patients) % 2015 (attempts) % 2016 (patients) % 2016 (attempts) % SK-2 End Tidal CO2 or Capnography Documented on Intubated Patients The total number of all successful intubation procedures. Patient population identified as any successfully intubated patient and had a documented ETCO2 or capnography value
10 % % % % % Note; There were no improperly placed endotracheal tubes were identified. Airway challenges include: obesity, fluid/blood in airway and anatomic challenges. These are being addressed through regular training and the opportunity to annually attend an advanced airway lab. RST-1 Code 3 Ambulance Response Time by Zone RST-2 Code 2 Ambulance Response Time by Zone The SLO EMS Plan identifies zones that do not match the epcr response zones. A hand tally would be required to match the sub-zones of the epcr with the SLO EMS Plan response zones. Staff feels that more meaningful information and the ability to monitor response time requirements per contract agreements would be better accomplished if it were done by urban, remote, and rural response areas. RST-3 Percent of Code 3 Responses Transported to a Hospital The total number of Code 3 (lights and siren) responses that arrive on scene The number of patient in the above group transported to a hospital Year Number of Code 3 responses with arrival on scene ( includes 1144 and patient refusal) Number with arrival on scene and transported Percent transported to a hospital ,261 12,216 86% ,678 12,690 86% ,269 13,496 88%.
AGENDA ITEM LEAD. Action/Discussion Approval of minutes (attached) T Hale
EMERGENCY MEDICAL CARE COMMITTEE MEETING AGENDA Thursday April 16, 2015 at 8:30 A.M. Health Campus Second Floor Large Conference Room 2180 Johnson Avenue, San Luis Obispo MEMBERS CHAIR Dr. Tom Hale, Physicians,
More informationNational Assessment of Clinical Quality Programs. Introduction. National Assessment of Clinical Quality Programs. Demographics
National Assessment of Clinical Quality Programs Introduction With the support of the NAEMSP Quality Improvement Committee, this study group is interested in understanding the national picture of clinical
More informationSan Luis Obispo Emergency Medical Services Agency. Continuous Quality Improvement Plan
San Luis Obispo Emergency Medical Services Agency Continuous Quality Improvement Plan February 2016 1 Table of Contents 1. Introduction. 3 Vision Statement Philosophical Statement of Professional Ethics
More informationEMS Quality Improvement Program ( ) I. Authority II. Mission Statement III. Vision Statement... 2
Contents Emergency Medical Services Division Policies Procedures Protocols EMS Quality Improvement Program (1002.00) I. Authority... 2 II. Mission Statement... 2 III. Vision Statement... 2 IV. Kern County
More informationCounty of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy #501: Hospital Radio Reports HOSPITAL RADIO REPORTS Effective: February 12, 2015 Replaces: January 22, 2008 Review: November 12, 2018 Resources:
More information2018 Mission: Lifeline EMS Detailed Recognition Criteria, Achievement Measures and Reporting Measures
2018 Mission: Lifeline EMS Detailed Recognition Criteria, Achievement Measures and Reporting Measures Table of Contents Mission: Lifeline EMS Recognition Award Levels Page 2 Mission: Lifeline EMS Recognition
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2009-02 Emergency and Non-Emergency Patient Definitions 1/5/2009 2010-02
More informationGAMUT QI Collaborative Consensus Quality Metrics (v. 05/16/2016)
1) Ventilator use in patients 1 with advanced airways reported as Percent of patient transport contacts with an advanced airway 2 supported by a mechanical ventilator. 2) Scene and bedside times for STEMI
More informationNorth Carolina College of Emergency Physicians Standards for the Selection and Performance of EMS Performance Improvement
Performance Improvement North Carolina Performance Improvement Guidelines The purpose of this guideline is to provide direction to Agencies with respect to patient care based quality management performance
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2010-04 Bariatric Patient Transports 12/17/2010 2012-01 DNR and POLST
More informationSan Joaquin County Emergency Medical Services Agency Policy and Procedure Manual
Policy Memorandum 2006-02 Clearing of Patients in Custody 4/27/2006 2009-01 Billing for services to non-transported patients 1/5/2009 2009-02 Emergency and Non-Emergency Patient Definitions 1/5/2009 2010-02
More informationSouth Central Region EMS & Trauma Care Council Patient Care Procedures
South Central Region EMS & Trauma Care Council Patient Care s Table of Contents PCP #1 Dispatch PCP #2 Response Times PCP #3 Triage and Transport PCP #4 Inter-Facility Transfer PCP #5 Medical Command at
More informationData 300. EMS Information Systems. Disclosures and Supplemental Material. Core Content of EMS Medicine 1/23/2017. Disclosures. Supplemental Material
EMS Information Systems Data 300 William Fales, MD, FACEP, FAEMS Western Michigan University Homer Stryker MD School of Medicine William.fales@med.wmich.edu Disclosures and Supplemental Material Disclosures
More informationChapter 190 Emergency Medical Service: Overview and Ground Transport
Chapter 190 Emergency Medical Service: Overview and Ground Transport Episode Overview There are multiple designs for EMS systems, including public and private services, those operating at basic and advanced
More informationSAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DESTINATION POLICY
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY I. PURPOSE DESTINATION POLICY Policy Reference No.: 5000 Supersedes: February 1, 2015 A. To identify the approved ambulance-transport destinations for the
More informationGuide to the Anglia Ruskin Paramedic Science Practice Assessment Document
Guide to the Anglia Ruskin Paramedic Science Practice Assessment Document Valid for Academic Year 2016/7 www.anglia.ac.uk Page 1 Purpose of this document This document is to give you, and your mentor a
More informationNorth Carolina College of Emergency Physicians Standards Policy Table of Contents
Policy North Carolina College of Emergency Physicians Standards Policy Table of Contents Disposition Policy Section 1. Criteria for Death or Withholding Resuscitation 2. Deceased Subjects 3. Discontinuation
More informationSAN LUIS OBISPO COUNTY HEALTH AGENCY
SAN LUIS OBISPO COUNTY HEALTH AGENCY Public Health Department Emergency Medical Services Division 2156 Sierra Way, San Luis Obispo, CA 93401 805-788-2511 FAX 805-788-2517 www.sloemsa.org Operations MEETING
More informationModesto Junior College Course Outline of Record EMS 350
Modesto Junior College Course Outline of Record EMS 350 I. OVERVIEW The following information will appear in the 2011-2012 catalog EMS 350 First Responder with Healthcare Provider CPR 3 Units Formerly
More informationEMT RECERT PROPOSAL (NCCP standards)
EMT RECERT PROPOSAL (NCCP standards) The National Component requires 20 hours of the topic hours listed for recert: Modules I thru V. Module I TOPIC Airway and Neurotological Management Ventilation ETCO2
More informationUMBC Professional & Continuing Education Department of Emergency Health Services
UMBC Professional & Continuing Education Department of Emergency Health Services PNCCT sm /NR Paramedic Refresher Requirements /Breakdown Comparison If you ARE an NCCP State, the following applies to you:
More informationMonterey County EMS. Protocol & Policy Update, 2018
Monterey County EMS Protocol & Policy Update, 2018 Welcome Much change 43 policies created and revised Not to worry. Not all of the changes affect everyone 26 protocols created and revised 9 policies deleted
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject Emergency Medical Services Administrative Policies and Procedures First Responder Prehospital Care Report - BLS Policy Page 1 of 13 References
More informationEmergency Medical Technician
PRECISION EXAMS Emergency Medical Technician EXAM INFORMATION Items 100 Points 100 Prerequisites NONE Grade Level 11-12 Course Length ONE YEAR DESCRIPTION The Emergency Medical Technician (EMT) course
More informationEndotracheal Intubation Adult (April 2013)
Endotracheal Intubation Adult (April 2013) Placement of tube into patient s trachea in order to provide pulmonary ventilation. Advanced Life Support procedure Specified in existing regulations. Not authorized
More informationModesto Junior College Course Outline of Record EMS 390
Modesto Junior College Course Outline of Record EMS 390 I. OVERVIEW The following information will appear in the 2011-2012 catalog EMS 390 Emergency Medical Technician 1 6 Units Limitations on Enrollment:
More informationCENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject Emergency Medical Services Administrative Policies and Procedures Patient Care Report Policy Page 1 of 20 References Title 22, Division 9, Chapter
More informationMcLean County Area EMS System
Topic Hours FR/BLS ILS (Includes BLS Objectives) ALS (Includes BLS and ILS Objectives) REVIEW OF MCAEMS SMO s Goal: By the end of the class the student will be able to successfully complete the written
More informationSAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL PERSONNEL STANDARDS & SCOPE OF PRACTICE
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY Policy Reference No.: 2000 Eff. Date: November 1, 2017 Supersedes: January 30, 2017 PREHOSPITAL PERSONNEL STANDARDS & SCOPE OF PRACTICE I. PURPOSE Define
More informationEmergency Medical Technician-Basic Syllabus
Program Description Emergency Medical Technician-Basic Syllabus This program will prepare you to provide pre-hospital emergency medical care and transportation for critical and emergent patients who access
More information(K) Primary care specialty family/general practice, internal medicine, or pediatrics.
19 CSR 30-40.303 Medical Director Required for All: Ambulance Services and Emergency Medical Response Agencies That Provide Advanced Life Support Services, Basic Life Support Services Utilizing Medications
More informationComparison: ITLS Provider and Trauma Nursing Core Course (TNCC)
Overview International Trauma Life Support (ITLS) is a global organization dedicated to preventing death and disability from trauma through education and emergency care. ITLS educates emergency personnel
More informationSTEP 1: STEP 2: STEP 3: STEP 4: STEP 5: Version: 1.0 Document Reference: 7716
Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: October - December 2017 STEP 1: STEP 2: STEP 3: STEP 4: STEP 5: AQI
More informationBACKGROUND. Emergency Departments in Smaller Centres and Rural Communities
EXPECTATIONS OF PHYSICIANS NOT CERTIFIED IN EMERGENCY MEDICINE INTENDING TO INCLUDE EMERGENCY MEDICINE AS PART OF THEIR RURAL PRACTICE CHANGING SCOPE OF PRACTICE PROCESS BACKGROUND The CPSO Ensuring Competence:
More informationCentral Jackson County Fire Protection District. Fire Training and EMS Education Facility
Course Catalog Central Jackson County Fire Protection District Fire Training and EMS Education Facility View training class schedule as new dates are added throughout the current year. Training Center
More informationUniversity of Alaska Southeast Health Sciences Program Emergency Trauma Technician/First Responder SAMPLE Course Syllabus
University of Alaska Southeast Health Sciences Program Emergency Trauma Technician/First Responder SAMPLE Course Syllabus Instructor: NAME Email: Phone: (907) Office Hours: by appointment Semester: Spring
More informationSAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DOCUMENTATION, EVALUATION AND NON-TRANSPORTS
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY DOCUMENTATION, EVALUATION AND NON-TRANSPORTS Policy Reference No.: 4040 Review Date: February 1, 2011 Supersedes: August 1, 2008 TABLE OF CONTENTS I. PURPOSE
More informationNATIONAL AMBULANCE SERVICE ONE LIFE PROJECT
February 2015 NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT Improving patient outcomes from Out Of Hospital Cardiac Arrest David Hennelly AP MSc Jan 2015 THE ONE LIFE PROJECT IS BEING LED BY THE NATIONAL
More information1. Receives report from EMS and/or outlying facility. 5. Adheres to safety and universal precaution guidelines.
Trauma Nurse Specialist 1. Receives report from EMS and/or outlying facility. 2. Reports to trauma room and signs in. 3. Relays reports to trauma team members. 4. Assists with resuscitation readiness:
More informationAdvanced Cardiovascular Life Support (ACLS) Study assistance for employees of Lake EMS
Advanced Cardiovascular Life Support (ACLS) Study assistance for employees of Lake EMS Situation Much of the great care we perform relies on our protocols Our protocols are primarily based initially on
More informationCaring for the STEMI Patient:
Caring for the STEMI Patient: Primary PCI and Other Considerations John M Gallagher, MD EMS System Medical Director Wichita/Sedgwick County Kansas Conflicts: None but looking Disclosures: Chairman of the
More informationBestCare Ambulance Services, Inc.
BestCare Ambulance Services, Inc. 35 Bedford Avenue Gilford, NH 03249-2204 603/527-9119 Transfers 603/527-3553 Business Quality Assurance Policy Plan and Procedure Effective Date: 12/1999 Reviewed: 3/2000
More informationTRI-TOWN Emergency Medical Service. for the Month of. December Municipal Ambulance Service. for the Towns of. Pembroke & Allenstown
TRI-TOWN Emergency Medical Service for the Month of December 2015 Municipal Ambulance Service for the Towns of Pembroke & Allenstown Prepared By: Christopher Gamache, Director January 4, 2016 PREFACE Tri-Town
More informationSan Joaquin County Emergency Medical Services Agency
San Joaquin County Emergency Medical Services Agency http://www.sjgov.org/ems DATE: Mailing Address PO Box 220 French Camp, CA 95231 TO: FROM: SUBJ.: All Prehospital Personnel and Providers Emergency Department
More informationOntario Ambulance. Documentation. Standards
Ontario Ambulance Documentation Standards Ministry of Health and Long-Term Care Emergency Health Services Branch April 2000 Ontario Ambulance Documentation Standards Part I - GENERAL For all Parts of the
More informationContra Costa County Emergency Medical Services. STEMI System Performance Report
Contra Costa County Emergency Medical Services STEMI System Performance Report Quarter III 2009 Contra Costa Emergency Medical Services STEMI System Performance Executive Report: Quarter III, 2009 Advisory
More informationInteractive Trauma: Beyond the Moment of Impact
, About the Speaker MSN, RN, CEN, CPEN, TCRN Bill is a dynamic and energetic speaker whose unique style not only provides insight to his audience but also to creates an engaging and fun atmosphere for
More informationAEMT Course Syllabus Fall 2015 (Sept.-Dec.) Instructor/Coordinator Contact Information: (C) ; -
AEMT Course Syllabus Fall 2015 (Sept.-Dec.) Instructor/Coordinator: Timothy Ferris, NR-Paramedic Instructor/Coordinator Contact Information: (C) 970-215-4586; Email- tferris@netsvt.com Course Meeting Days
More informationNational Audit Office value for money study on NHS ambulance services
National Audit Office value for money study on NHS ambulance services Robert White 7 February 2017 Introduction (1) Some key facts on the financial environment NHS 1.85bn net deficit of NHS bodies (NHS
More informationDUFFERIN COUNTY PARAMEDIC SERVICE
DUFFERIN COUNTY PARAMEDIC SERVICE 2015-2016 ANNUAL REPORT Table of Contents Patient Stories... 2 Vision, Mission, Values... 3 Our Service... 4 Our People... 5 System Performance... 6 Program Development...
More informationSTEMI SYSTEM RECEIVING CENTER STANDARDS AND DESIGNATION
POLICY NO: FAC - 9 DATE ISSUED: 11/2016 DATE TO BE REVIEWED: 11/2019 STEMI SYSTEM RECEIVING CENTER STANDARDS AND DESIGNATION Purpose: To define the criteria for designation as a STEMI Receiving Center
More informationPARAMEDIC STUDENT FIELD INTERNSHIP GUIDE
Through field experience in the emergency ambulance, the paramedic student will develop a more comprehensive understanding of the pathophysiology of disease and trauma, rationale for treatments rendered,
More informationColorado CPR Directives. Colorado Department of Public Health and Environment Emergency Medical and Trauma Services Section
Colorado CPR Directives Colorado Department of Public Health and Environment Emergency Medical and Trauma Services Section Course Objectives Upon completion of this class, you should be able to: Identify
More informationProgram Catalogue For the RCFD Paramedic Program. Rapid City Fire Department 10 Main Street Rapid City, SD 57701
Program Catalogue For the RCFD Paramedic Program Rapid City Fire Department 10 Main Street Rapid City, SD 57701 CoAEMSP Committee on Accreditation of Educational Programs for the Emergency Medical Services
More informationData Managers Council Minutes October 6, Data Managers Council Annual Meeting. October 6, 2014
National Association of State EMS Officials Data Managers Council Annual Meeting October 6, 2014 Chair: Paul Sharpe, Virginia Chair- Elect: Lindsey Narloch, North Dakota Secretary: Ryan Tyler, Arkansas
More informationDepartment of Emergency Medical Services
MIAMI DADE COLLEGE MEDICAL CENTER CAMPUS SCHOOL OF HEALTH SCIENCES Department of Emergency Medical Services CLINICAL COURSE OUTLINE EMS 1431 EMERGENCY MEDICAL TECHNICIAN BASIC 1 EMS 1431 EMERGENCY MEDCIAL
More informationThe following policy was adopted by the San Luis Obispo County EMS Agency and will become effective March 1, 2012 at 0800 hours.
SLO County Emergency Medical Services Agency Bulletin 2012-02 PLEASE POST New Trauma System Policies and Procedures February 9, 2012 To All SLO County EMS Providers and Training Institutions: The following
More informationEMERGENCY MEDICINE CLINICAL ROTATION COMPETENCY BASED CURRICULUM
CLINICAL ROTATION COMPETENCY BASED CURRICULUM EMERGENCY MEDICINE During the third year of the curriculum, students expand their knowledge of emergent conditions and gain the ability to apply the knowledge
More informationIntegrated Performance Report
To provide a safe and effective healthcare service to all our communities in the East of England Integrated Performance Report Meeting Date: July 2016 Data: The month of June (May for Clinical & HART)
More informationMassachusetts Medical Orders for Life Sustaining Treatment (MOLST)
Massachusetts Medical Orders for Life Sustaining Treatment (MOLST) Prepared by the Center for Developmental Disabilities Evaluation and Research (CDDER) on behalf of the Massachusetts Department of Developmental
More informationEMT Course Syllabus Spring 2017 (February - May)
EMT Course Syllabus Spring 2017 (February - May) Instructor/Coordinator: Prescott Nadeau, AEMT / EMS I.C. Instructor/Coordinator Contact Information: Prescott Nadeau: (C) 802-999-5944 Email- pnadeau38@gmail.com
More informationJohn Brown, MD, FACEP Medical Director Emergency Medical Services Agency Department of Emergency Management. February 16, 2010
Status of Emergency Medical Services and Medical Oversight in San Francisco John Brown, MD, FACEP Medical Director Emergency Medical Services Agency Department of Emergency Management February 16, 2010
More informationData 101. EMS Information Systems
EMS Information Systems Data 101 William Fales, MD, FACEP Western Michigan University Homer Stryker MD School of Medicine and Kalamazoo County Medical Control Authority William.fales@med.wmich.edu Disclosures
More informationSIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 844
SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY SUBJECT: ALS / LALS TRANSFER OF PATIENT CARE PURPOSE To ensure a mechanism exists for the appropriate transfer of patient care from ALS / LALS personnel
More informationStandard Policies Policy 4002
I. PURPOSE This policy identifies the procedure for determining the appropriate receiving facility for patients transported by ground ambulance to the Emergency Department (ED) of an acute care hospital.
More informationAmbulance Response 90th Percentile Times
Time Perth County Paramedic Services Perth County EMS Provincial Response Time Reporting: Prior to the downloading of land ambulance services in 2000 to the upper tier municipalities (UTM) and Designated
More informationDo You Know the Quality of Your CPR? Utilizing Feedback to Improve CPR Quality. Objectives 02/20/2017. Cindy Ruiz MS, APN CNS, CCRN
Do You Know the Quality of Your CPR? Utilizing Feedback to Improve CPR Quality Cindy Ruiz MS, APN CNS, CCRN Objectives Describe the importance of measuring CPR rate, depth & chest compression fraction
More informationChapter 59. Learning Objectives 9/11/2012. Putting It All Together
1 Chapter 59 Putting It All Together 2 Learning Objectives Discuss how assessment based management contributes to effective patient and scene assessment. Describe factors that affect assessment and decision
More informationEMS Subspecialty Certification Review Course. Learning Objectives. Scope of Practice
EMS Subspecialty Certification Review Course 2.3.1 Scope of Practice Models 2.3.1.1 Military/federal government medical personnel 2.3.1.2 State vs. national scope of practice model 2.3.1.2.1 Levels of
More informationStatistical Note: Ambulance Quality Indicators (AQI)
Statistical Note: Ambulance Quality Indicators (AQI) The latest Systems Indicators for April 2018 for Ambulance Services in England showed that three of the six response standards in the Handbook 1 to
More informationTitle: ED Management of Trauma Patient Protocol
Title: ED Management of Trauma Patient Protocol Document Category: Clinical Document Type: Protocol Department/Committee Owner: Emergency Department Original Date: August 2009 Approver(s) last review:
More information1/9/2017. Systems of Care in EMS: An Integrated System of Cardiac Care. Describe systems-based response to time-sensitive clinical conditions
Systems of Care in EMS: An Integrated System of Cardiac Care NAEMSP Medical Director s Course January 23, 2017 Jefferson Williams, MD, MPH, FACEP Deputy Medical Director Wake County EMS System Clinical
More informationEMT-B Course Syllabus. Instructor: Russell Cephus EMT. Instructor Contact Information: (570)
EMT-B Course Syllabus Instructor: Russell Cephus EMT Instructor Contact Information: (570) 290-5718 diyinstructional@gmail.com Instructor Office Hours and Location: -, 9a to 5p by appointment only Course
More informationDocumentation and Tricks of the Trade
emeds ELITE Documentation and Tricks of the Trade Objectives By the end of the lesson, the provider will be able to: Demonstrate ability to log into emeds Elite Define California Measures and how these
More informationKing Saud University. Updated Study Plan. Prince Sultan Bin Abdulaziz College for EMS. Bachelor of Science Program, Emergency Medical Services
2013 King Saud University Prince Sultan Bin Abdulaziz College for EMS Bachelor of Science Program, Emergency Medical Services Updated Study Plan 1433 ه 1434- Prince Sultan Bin Abdulaziz College for EMS,
More informationINSTRUCTION. Course Package EMS 125A EMERGENCY MEDICAL RESPONDER. APPROVED: February 3, 2012 EFFECTIVE: SPRING MCC Form EDU 0007 (rev.
EMS 125A EMERGENCY MEDICAL RESPONDER APPROVED: February 3, 2012 EFFECTIVE: SPRING 2012 Prefix & Number EMS 125A formerly EMS 122 Course Title: Emergency Medical Responder (EMR) Purpose of this submission:
More information0031 MESA COUNTY EMS SYSTEM PROTOCOLS: PCRs
PATIENT CARE REPORTS POLICY 1. At least one provider will complete and file a patient care report (PCR), and any required data reports, for each patient contact. 2. If the author of the PCR is not the
More informationDr. Darrell Nelson, FACEP, FAAEM Medical Director Stokes County EMS
Dr. Darrell Nelson, FACEP, FAAEM Medical Director Stokes County EMS Steven Roberson, EMT-P Fire Chief City of King Fire Department Brian Booe, EMT-P Training Officer Stokes County EMS AHA changes from
More informationa health care puzzle 911 System
EMS and Data Management An Evolving Standard Raymond L. Fowler, MD, FACEP Professor of Emergency Medicine Chief of EMS Operations Co-Chief Chief in the Section on EMS, Disaster Medicine, and Homeland Security
More informationOptimizing the clinical role of the ACP in Trauma Gena Brawley, ACNP Carolinas Healthcare Systems NPSS Asheville, NC
Optimizing the clinical role of the ACP in Trauma Gena Brawley, ACNP Carolinas Healthcare Systems 2017 NPSS Asheville, NC Objectives Discuss the role of the Critical Care Nurse Practitioner in Trauma Identify
More informationWESTCHESTER REGIONAL
WESTCHESTER REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL POLICY STATEMENT Supersedes/Updates: New Policy No. 11-02 Date: February 8, 2011 Re: EMS System Resource Utilization Pg(s): 5 INTRODUCTION The Westchester
More informationHow to Establish a Multi Hospital STEMI Transfer System
How to Establish a Multi Hospital STEMI Transfer System Dr. Greg Mishkel for the Doctors of Prairie Cardiovascular and in collaboration with our Community & Springfield Hospitals MI: Evolution of care
More informationTRI-TOWN Emergency Medical Service. for the Month of. July Municipal Ambulance Service. for the Towns of. Pembroke & Allenstown
TRI-TOWN Emergency Medical Service for the Month of July 2015 Municipal Ambulance Service for the Towns of Pembroke & Allenstown Prepared By: Christopher Gamache, Director August 7, 2015 PREFACE Tri-Town
More informationArizona Department of Health Services Bureau of EMS and Trauma System EMS Agency Performance Improvement Plan Manual
Arizona Department of Health Services Bureau of EMS and Trauma System EMS Agency Performance Improvement Plan Manual Approved by TEPI: July 17, 2014 Pending Approval from STAB, MDC, EMS council in September
More informationOakland County Medical Control Authority System Protocols Transportation Protocol Section Transportation Protocol.
Purpose: To define the decision-making process to be followed by EMS personnel in order to ensure patients are transported to a facility appropriate for their condition. I. Transportation Procedure A.
More informationThe Paramedic Paradox: Is Less Really More? J. Brent Myers, MD MPH Medical Director Wake County EMS System Raleigh, NC
The Paramedic Paradox: Is Less Really More? J. Brent Myers, MD MPH Medical Director Wake County EMS System Raleigh, NC 1 Now Faith is the assurance Of things hoped for The belief in Things unseen. -- Hebrews
More informationClinical Preceptor Orientation Training Guidelines and Documents
Clinical Preceptor Orientation Training Guidelines and Documents Table of Contents Trenholm State EMS Program Contact Information Clinical Preceptor Requirements Purposes of student rotation (minimum competencies,
More informationSPECIAL MEMORANDUM. All Fresno/Kings/Madera/Tulare EMS Providers, Hospitals, First Responder Agencies, and Interested Parties
Central California Emergency Medical Services Agency A Division of Fresno County Department of Public Health SPECIAL MEMORANDUM FILE #: F/K/M/T #05-2018 TO: FROM: All Fresno/Kings/Madera/Tulare EMS Providers,
More informationNews SEPTEMBER. Hospital Outpatient Quality Reporting Program. Support Contractor
Volume 1, Issue 4 Hospital Outpatient Quality Reporting Program Support Contractor News SEPTEMBER 2011 In This Issue... Emergency Department Arrival and Departure Times Page 2 Hospital OQR Benchmarks Page
More informationMajor Trauma Dashboard Measures. SUPPORT DOCUMENT September 2018 TO BE READ IN CONJUNCTION WITH THE CHILDREN'S MT DASHBOARD
Major Trauma Dashboard Measures SUPPORT DOCUMENT September 2018 TO BE READ IN CONJUNCTION WITH THE CHILDREN'S MT DASHBOARD Introduction This document addresses key questions relevant to the Children s
More informationWadsworth-Rittman Hospital EMS Protocol
Wadsworth-Rittman Hospital EMS Protocol Prehospital Advanced Life Support Protocol Revised: May 2004 Version 04.1 DISCLAIMER Every attempt has been made to reflect sound medical guidelines and protocols
More informationField Triage Decision Scheme: The National Trauma Triage Protocol
Field Triage Decision Scheme: The National Trauma Triage Protocol U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Injury Prevention and Control
More informationEmergency Medical Technician (EMT)
Technician (EMT) When every second counts... when the situation is at its worst... when there s an accident or medical emergency that s when an Technician (EMT) is at their best. EMTs are first responders,
More informationChapter Goal. Learning Objectives 9/12/2012. Chapter 38. Assessment-Based Management
Chapter 38 Assessment-Based Management Chapter Goal Integrate principles of assessment-based management to perform appropriate assessment & implement management plan for patients with common complaints
More informationBanff Mineral Springs Hospital EMERGENCY RESPONSE CODE BLUE Cardiac Arrest / Medical Emergency Acute Care
Banff Mineral Springs Hospital EMERGENCY RESPONSE CODE BLUE Cardiac Arrest / Medical Emergency EMERGENCY RESPONSE CODE BLUE ALGORITHM First Person On-Scene First Person On-Scene Call for HELP Push code
More informationAdvanced Cardiac Life Support Provider & Provider Renewal Courses 2018 (ACLS & ACLS-R)
Advanced Cardiac Life Support Provider & Provider Renewal Courses 2018 (ACLS & ACLS-R) Baptist Health is an authorized American Heart Association (AHA) provider and has approved these courses for Continuing
More informationIndications for Calling A Code Blue or Pediatric Medical Emergency
Code Blue/Pediatric Medical Emergency Code Blue is a term used to alert the Code Team and hospital staff of the significant deterioration in an individual s status (e.g. unresponsiveness, absence of blood
More informationinterventional cardiac facility (see Appendix 2). Notify receiving hospital, as soon as possible of impending arrival of the patient and give ETA.
Page 1 of 9 Purpose: To define the decision-making process to be followed by EMS personnel in order to ensure patients are transported to a facility appropriate for their condition. I. Transportation Procedure
More informationStandard Operating Procedure Hospital Pre-alert & Patient Handover
Standard Operating Procedure Hospital Pre-alert & Patient Handover No of Pages: 6 Unique reference No: Implementation date: 17 th May 2010 Version: Final Version 2.0 Next review date: May 2013 Title of
More informationA Survey about Cardiopulmonary Resuscitation Awareness amongst Surgeons.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 3 Ver. VIII (Mar. 2016), PP 21-26 www.iosrjournals.org A Survey about Cardiopulmonary Resuscitation
More information