EMS Chapter 38: Transport Operations

. Describe the key elements that must be included in the PCR upon pt delivery to the hospital

-A summary of the history of the pt's current illness or injury with pertinent positives and negatives, MOI (mechanism of injury) and findings on your arrival, vital signs, relevant past medical/surgical history, information regarding medication and allergies.

Describe key safety considerations when preparing for helicopter emergency medical services, such as a helicopter medevac, including establishing a landing zone, securing loose objects, reducing onsite hazards, and approaching the aircraft

-Do not need an airport to land. Ensure the area is a hard/grassy level surface. If site is not level, the flight crew must be notified. Approach in a couched position and follow the flight crew member exactly.

Discuss the specific considerations required to ensure scene safety; include personal safety, pt safety, and traffic control

-Make sure the scene is safe for you, your pt, bystanders and the pt -It is best to part uphill & upwind of the scene is smoke/hazards are present. If you are the first vehicle, park at least 100 ft before the scene on the same side of the road. -After all, pt's have been treated you should then be considered with restoring the flow of traffic. Main objectives are to warn other drivers, prevent secondary crashes, and to keep vehicles moving.

List the minimum dispatch information required by EMS to respond to an emergency call

-Nature of the call -Name, current location, call back telephone number of the caller -Location of pt/pt's -The number of pt's and some ides of the severity of their conditions -Any other special problems/pertinent information about hazards or weather conditions

Name the safety and operations equipment carried on am ambulance; include examples of how each item might be used by EMT's in an emergency

-PPE (gowns, face shields, gloves, helmets) -Equipment for work areas (warning devices or reflectors, 20,000 candle flashlights, Fire extinguisher, hardhats, flood lights) -Preplanning/navigation guides (GPS and MDT) -MDT-a small computer terminal inside the ambulance that directly receives data from dispatch -Extrication equipment (wrench, screwdriver, fire ace, folding shovel, rope, rescue blanket)

Summarize the tasks EMT's must complete in the post run phase

-complete and file any additional reports and inform dispatch of the unit status, location, and availability. Go over the strengths identified by your team during the call. -Use a checklist to document repairs/replacement of equipment and supplies.

Sterilization

A process, such as the use of heat, which removes all microbial contamination.

List the three factors that dictate the use of lights and siren to the scene and to the hospital; and the station

Lead protocols, patient condition, and the anticipated clinical outcome of the patient.

Name the medical equipment carried on am ambulance; include examples of supplies that are included in each main category of the ambulance equipment checklist

PPE, sharps containers, airway and ventilation, basic wound care, bleeding control supplies, splinting supplies. Child birthing supplies, AED, pt transfer equipment, medications, communication equipment.

Describe the specific, limited privileges that are provided to emergency vehicle operators by most state laws and regulations

Park/stand in an otherwise illegal location -Proceed through a red traffic light or stop sign, but without stopping first -Drive above the posted speed limit -Drive against the flow of traffic on a one-way street or make a turn that is normally illegal. -Travel left of center to make an otherwise illegal pass.

List the 9 phases of an ambulance call; include examples of key tasks EMT's preform during each phase

Prep. For the call, dispatch, en route, arrival at scene, transfer of pt to the ambulance, en route to the receiving facility (transport), At the receiving facility (transport), en route to the station, post run.

High-level disinfection

The killing of pathogenic agents by using potent means of disinfection and use of through application processes

Identify key steps EMT's should take to improve safety while en route to the scene, the hospital, and the station

You should wear restraints en route to the scene and whenever pt care is not being performed. Pt's should also be properly restrained.

Disinfection

the killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment.

Cleaning:

the process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment.