emscharts mobile version 3
DESCRIPTION
EMSCharts Mobile Version 3. UPDATE and Notes. KMM 1/2012. EMSCharts Mobile has been updated. The New EMSCharts MOBILE program was redesigned to look more like a “Windows” Program Very few fields were changed, a few were added, but all look different. KMM 1/2012. Logging Into V3. - PowerPoint PPT PresentationTRANSCRIPT
EMSCharts Mobile Version 3
UPDATE and Notes
KMM 1/2012
EMSCharts Mobile has been updated
• The New EMSCharts MOBILE program was redesigned to look more like a “Windows” Program
• Very few fields were changed, a few were added, but all look different.
KMM 1/2012
Logging Into V3
Updated Username boxAllows to type-ahead
Passwords are the same asBefore
KMM 1/2012
Main Screen
Start Page forYour Shift
Not Mandatory
Pt Records Button showCharts pending upload
“NEW” Creates a new Chart
KMM 1/2012
Main Screen
Start Page forYour Shift
Not Mandatory
Pt Records Button showCharts pending upload
“NEW” Creates a new Chart
KMM 1/2012
Patient Records
Open Charts will be listed hereOpen Charts will be listed here
KMM 1/2012
Patient Records
Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse Trip (not used)Upload and Delete from Laptop
Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse Trip (not used)Upload and Delete from Laptop
KMM 1/2012
Dispatch - General
Pages are on a single drop down menu from the left
Fields Drop Down or pop out
You can advance pages with the Arrow Button in the corner
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Dispatch - VehicleMileage has it’s own page and allows for decimal point entry now
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Dispatch - Crew
Crew roles are expanded to prevent confusion with the “D” “P” “S” “T” codes
You can use “Other” for someone essential to patient care
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Dispatch – Referring / Receiving
Where you picked them up, and where you went. Nothing has changed.
Use the “Location” for the frequent places we go.
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Patient Information - Patient
You must ADD/EDIT to create a patient.
Add patient Name and DOB or Age as soon as possible.
This will change pick lists further down the chart program.
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Patient Information
This is a popup window.
Add as much info as you can.
The “Transfer” button makes things easy.
Remember to hit SAVE and not “X”
KMM 1/2012
Patient Information
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Patient Info - Other
Physician Info
Employment (usually only if work related injury)
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Patient - HX/Med/Allg
Click on one of the Add/Edit button, or use the NONE
Add/Edit generates a popup box
KMM 1/2012
Patient – HX/MED/Allg
Improvement
You can “Type Ahead” and get medications matching the letters you are typing.
Select and Add or Double click the medication to move it to the list.
Same goes for MedHX and Allergies
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Chief Complaint/SC/HPI
Chief ComplaintSecondary Complaint
History of Present Illness
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Chief Complaint/SC/HPI
• CHIEF COMPLAINT– This is a very SHORT description of what is wrong.
• SECONDARY COMPLAINT– This is if there are second, or underlying
conditions
• HISTORY OF PRESENT ILLNESS– This is what lead up to the call for assistance
today – leave it at ‘why they got sick’
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CC - Impression
Simple Questions
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CC – Cardiac Arrest
CPR info if you have it.
Get as much as you can, even if you have to download info and add it later
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CC – Vehicle Incident
MVA’s require this information to be filled in
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CC – Injury Details
“Trauma” (Minor or Major) requires details about their injury and incident
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CC - Scene
Information about the scene goes in here.
IMPORTANT – if you had an intercept medic from another agency on scene, it goes in the OTHER EMS box
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CC - FactorsInformation that delayed your response, or access to a patient or scene get’s documented here.
This included getting “Staged” for police – you can reflect that in the “AT PATIENT” box in the times
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CC – Patient Movement
Document how the patient got to the ambulance
How they were transported
And how they made it into the ER
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CC - BelongingsPaperwork, Bag of Medications, Walker, etc etc etc
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CC - ExposureIn addition to department paperwork, it is a good practice to document any exposures on the PCR – this way it’s a document related to the patient.
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Neuro/Airway
Simple Box’s – “ON MY ARRIVAL” this is what I observed – not how they became enroute to hospital.
This is an INITIAL finding.
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Scores
Initial FINDINGS on arrival
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Scores
Note:
GCS options change based on age of the patient
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Pupils / Motor Sensory
On my arrival…. This is how I observed them…..
That is why these pages are called “Initial Findings”
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ImmobilizationYES or NO . .
ON MY ARRIVAL the patient was ALREADY Immobilized?
If the first responders had patient packaged BEFORE you had contact, then YES the patient was.
Otherwise, usually NO
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Immobilization
IF YES – the it was Prior to your arrival – That is what PTA means
Who was it done by?
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Airway
On my arrival….
Patient’s Airway was ______(BEFORE I got there)
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Resp / Cardio
When I got there, patient was . . . .
NOTE, the system defaults with “COMMENTS” already populated.Change these if this is not the fact.
Was the patient on Oxygen when YOU got there? Document it here.
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Cardiovascular
Your Findings on Initial Exam
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Secondary Survey
Using the ADD button will pop up the human figure
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Secondary Survey
There are a number of options with clicking, providing description, including marking up BURN information
Click on an area, add comment, click Save
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Secondary SurveyDon’t forget your SKIN Assessment
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Activity LogThis is a chronological Log of everything you do for the patient
It can be accessed by the NEW button
Or ANYTIME in charts by the Vitals / Activity Button
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Vitals
Vitals
This is a pop up window
Make sure you hit SAVE
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Vitals - Procedures
Almost EVERYTHING you can do (as an EMT) for the patient, is a procedure and is found here.
Click on the correct Category
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Vitals - Procedures
Providing OXYGEN is a procedure on a patient, and is found underPROCEDURES>>AIRWAY LOG
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Vitals - Procedures
BACKBOARDING is a procedure, and is documented here – “Immobilization LOG”
Get the Idea of Procedures Yet ???
It’s not an HPI !!!
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Signatures
Capturing Signatures has not changed, just where you find them has
For billing, use the “NON-PDF SIGNATURE” tab
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PDF Form
The BACKUS Pre Stroke Screening form is available, you can write on it and save it as an attachment to the PCR
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Upload Charts
There is an UPLOAD CHARTS button that is accessible from inside the PCR – this is a TEMPORARY upload.
HINT: DO NOT USE THIS BUTTON
(No we cant turn it off)
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Back to Main MenuAs Mentioned, this was changed to work as windows. To get to the Main Screen, click on the “X” in the corner.
As long as you have tabbed or arrowed thru fields, you PCR will be saved (On the tablet still)
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Main Menu
Printing from Tablet
Select the Chart you want to print, and click PRINT
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Print Draft
As before, from the tablet is a DRAFT, enough so you can leave patient information at the hospital.
Chart is only CLOSED and OFFICIAL and ADVANCED from the WEB
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Advancing to WebAll done and need to move it to the Web?Select the Chart and click on “Upload and Delete from Local (tablet).
(Of course you need the Wi-Fi connection at the firehouse to do this)
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Done
• Congratulations – you have just upgraded to EMSCharts Mobile Version 3
KMM 1/2012