Transcript Image Trend version 5.0 - Fauquier County Fire & Rescue

Version 5.0
Field Bridge
Webpage Module II
From Scene Tab
Image Trend Ver. 5.0
Training
From Scene
• From Scene
Image Trend Ver. 5.0
Training
From Scene – Patient Transport / Positioning
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All three fields must be completed for
transports.
– Patient moved to Ambulance –
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Select from dropdown.
– Patient position in Transport –
• Semi-Fowlers is the [DEFAULT],
Change if necessary.
– Patient Moved From Ambulance –
• Stretcher is the [DEFAULT], Change if
necessary.
Image Trend Ver. 5.0
Training
From Scene – Transport Mode From Scene
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Select the correct type of mode.
– [DEFAULT] - No Lights or sirens
Image Trend Ver. 5.0
Training
From Scene – Destination Name
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Select the correct destination.
– Select the appropriate hospital from
the dropdown.
Image Trend Ver. 5.0
Training
From Scene – Destination Type
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Select the correct destination type.
– Select the appropriate destination
type.
Image Trend Ver. 5.0
Training
From Scene – Destination Determination
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Select the correct destination
determination.
– Select the appropriate destination
determination.
Image Trend Ver. 5.0
Training
From Scene – Mileage
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Enter correct mileage from the odometer
and it must include “tenths”. This is a
NIMSIS
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Starting Mileage – Odometer reading from the
station or your beginning location with tenths.
Example-[12034.7]
At Scene – Odometer reading at the scene of the
incident. with tenths Example-[12040.2]
At Hospital – Odometer reading at the hospital.
with tenths Example-[12050.4]
Ending Mileage – Odometer reading when you are
back at the station or your original starting place.
with tenths Example-[12060.9]
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Enter LOADED mileage carefully. These
are “billed miles” and subject to audit.
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If you do not transport, you still need the
Beginning and Ending Mileage.
Image Trend Ver. 5.0
Training
From Scene – Narrative
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Enter your narrative.
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Free form text with spell check. Be specific in
your narrative.
You can use the CHARTED narrative option,
HOWEVER, it must be updated and reviewed prior
to completion.
Remember, if you make note of a Procedure, an
EKG, a set of Vitals, or Meds administration, YOU
MUST document it under the “Vitals, Meds,
Procedures TAB.
Also remember –
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If you didn’t document it , in the court of
law, it didn’t happen.
It’s not what you remembered, it’s what
you wrote down.
Image Trend Ver. 5.0
Training
From Scene – Valuables
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Enter any valuables, belongings the
patient may have entrusted you with.
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You can select from the dropdown, or enter
others not listed.
Image Trend Ver. 5.0
Training
From Scene – Delay
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Document any delays you may have
encountered.
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[DEFAULT] is set to NONE on all four.
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Really only need to document significant delays.
Delays by a one minute train passing versus a
stopped train.
Delays by having to run from outside versus you
were coded.
Delays by taking extra time to load a patient versus
waiting for animal control to gain access to a
patient.
Delays by taking extra time to complete a long
narrative versus hospital not finding you a room for
10 minutes.
Signature Tab
Image Trend Ver. 5.0
Training
Signatures
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Signatures
Image Trend Ver. 5.0
Training
Signatures – Patient Signature
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Signatures
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Select the HIPAA Consent•
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Try to explain what HIPAA is.
Select the Authorization to Billing.
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Try to explain Fauquier County Compassionate
Billing policy.
Billing agency will bill your insurance company first.
If no insurance – they will bill the patient--- BUT if
they are unable to pay, the bill is waived.
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Select the Waiver of Liability only of you obtain a
Patient Refusal.
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Have Patient sign whenever possible.
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If not possible – (unresponsive)- Just take the pen
and put your initials in the field.
Image Trend Ver. 5.0
Training
Signatures – Against Medical Advise
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If Patient Refuses transport.
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Check the box in the top left called – Attach AMA to
this Incident.
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Fill out as much information as possible.
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Remember this is to cover you.
Image Trend Ver. 5.0
Training
Signatures – Technician Signature
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Technician signs all reports.
Image Trend Ver. 5.0
Training
Signatures – Hospital / Receiving Agent Signature
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Signature obtained by nurse you are
turning patient over to.
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If only BLS procedures performed, this is
the only signature you need from the
hospital.
Image Trend Ver. 5.0
Training
Signatures – Medical Control / Physician Signature
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Signature obtained by any ER Doctor.
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If ALS procedures performed, you must
obtain a signature from the Doctor.
Image Trend Ver. 5.0
Training
Signatures – Controlled Substance Waste Signature 1
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Signature must be obtained by any ER
nurse if you waste NARCOTICS.
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If NARCOTICS are used, you must obtain a
signature from the Doctor.
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When replacing the NARCOTICS box:
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Box must contain all narc’s not used or wasted.
Red tag.
Printed copy of the Run Sheet with a signature of
the Doctor. If you have unused narcotics, the run
form must also contain the signature of the nurse
that witnessed you waste these narcotics.
Image Trend Ver. 5.0
Training
Signatures – Controlled Substance Waste Signature 2
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Narcotics that were wasted must be listed below in the
dropdown.
If more than two narcotics were partially used,
document in the narrative and let Image Trend
Administrator know.
POWER TOOL BAR
Down Left Side of Screen
Image Trend Ver. 5.0
Training
Power Tools
• GCS
• Select the blue button for each
test:
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Eye
Verbal
Motor
Qualifier
• Your GCS score is totaled and
posted in the Vitals tab
automatically.
• Verify your times field.
Image Trend Ver. 5.0
Training
Power Tools
• VITALS
• Enter appropriate data for each
check:
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Pulse
Respirations
Blood Pressure
BP Location
SpO2
Blood Glucose
• Your Vitals are posted in the
Vitals tab automatically.
• Verify your times field.
Image Trend Ver. 5.0
Training
Power Tools
• PQRST
• Select the blue button for each
test:
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Provoked
Quality
Region
Radiation
Duration
Severity
Narrative – Short informative
comments only.
• Your information is posted in the
Vitals tab automatically.
• Verify your times field.
Image Trend Ver. 5.0
Training
Power Tools
• CARDIAC
• Select the correct medication as
it is administered. It will display
meds and times to the right.
• Press OK at the bottom and your
meds information is posted in the
Vitals tab automatically.
• Verify your times field.
Image Trend Ver. 5.0
Training
Power Tools
• MEDS
• Select the green button for each
Medication administered:
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Medication
Dose
Unit of measure
Route
Site
Response
• Your MEDs are posted in the
Vitals tab automatically.
• Verify your times field.
Image Trend Ver. 5.0
Training
Power Tools
• PEDIATRIC
• Select the correct weight of the
child: Example 26-30 lbs
– Correct doses are displayed for that
size child. No need for the Pediatric
Emergency Tape. (AKA Broselow)
Image Trend Ver. 5.0
Training
Power Tools
• Same as under the Vitals,
Meds, Procedures Tab.
• Click on the anatomical
location of the medical
incident and add
information.
• Open with caution in public.
Image Trend Ver. 5.0
Training
Vitals, Meds, Procedures – Assessments – Injury
• Same as under the Vitals,
Meds, Procedures Tab.
• Click on the anatomical
location of the injury and
add information.
• Open with caution in public.
Image Trend Ver. 5.0
Training
Power Tools
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Same as under the Vitals, Meds,
Procedures Tab.
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Click on the anatomical location of
the burn.
– One click causes 1st
degree.(purple)
– Two clicks displays 2nd
degree.(yellow)
– Three clicks displays 3rd
degree.(red)
System also calculates BSA as you
click.
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Open with caution in public.
Down Right Side of Screen
Image Trend Ver. 5.0
Training
Right Side of Screen
• Response Times
• All fields should auto-fill from the
CAD data with the exception of:
– Arrived Patient
• Only needed if you made patient
contact.
– In Service
• If you POST before you enter the In
Service time, GO BACK AND FIX and
RE-POST.
– This is one of the single most points
of STATE failure.
• Loading CAD data again here is a
good idea.
Image Trend Ver. 5.0
Training
Right Side of Screen
• Validation
• Now we are synchronized with
the state codes: If you reach
100% here, we actually are 100%
with the state.
• By selecting this tab, you can see
why we are not 100% complete
and how many points the STATE
takes off.
• It will take you to the screen with
the missing field(s).
Image Trend Ver. 5.0
Training
Right Side of Screen
• Active Protocols
• Select this tab and you get a
dropdown where you can select
active protocols.
– Placing a check mark in the fields will
auto-fill the vitals tab.
Image Trend Ver. 5.0
Training
Right Side of Screen
• JotPad
• Free form note pad. These notes
become part of your overall
report.
Across the top
Image Trend Ver. 5.0
Training
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Laptop screen overview
Image Trend Ver. 5.0
Training
Top Line View
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Save Button – Saves the report to the
laptop only.
Image Trend Ver. 5.0
Training
Top Line View
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CAD Button – Loads CAD data to the
report.
Can be used anytime during the call.
Will only overwrite the fields
supplied by CAD.
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Incident number
Location of call
Times
Will not overwrite the any other
fields you entered.
Image Trend Ver. 5.0
Training
Top Line View
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POST Button – Prepares report to be
uploaded (POST) to Minnesota
(Rescue Bridge).
Image Trend Ver. 5.0
Training
Top Line View
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POST Button – Note that the system
is uploading to Rescue Bridge.
Image Trend Ver. 5.0
Training
Top Line View
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POST Button – Note that the system
is validating the report for Rescue
Bridge.
Image Trend Ver. 5.0
Training
Top Line View
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POST Button – Posting is now
complete.
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HOWEVER – Remember the
POST/SYNC does two things.
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POST – Posts the report to Rescue Bridge.
SYNC – Synchronizes the Field Bridge.
If the POST fails – SYNC will still show
100% complete.
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Don’t be fooled.
Image Trend Ver. 5.0
Training
Top Line View
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PRINT Button – Prepares report to be
printed.
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This may take a few seconds because it is
generating a PDF file.
Print one copy for the hospital.
If you used NARC’s print two copies.
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One for the hospital.
One to accompany the NARCs to the
Pharmacy.
Image Trend Ver. 5.0
Training
Top Line View
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MORE Button –
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History –
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Tracks all activity for the report.
Image Trend Ver. 5.0
Training
Top Line View
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MORE Button –
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Transfer Run–
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Ability to send data to another agency.
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Example Catlett starts a call and Medic 1 rendezvous. Catlett
can upload the data they have acquired and Medic
1 can complete from there.
Image Trend Ver. 5.0
Training
Top Line View
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MORE Button –
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Attach –
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Can attach additional documents to the
report. Currently not used.
Image Trend Ver. 5.0
Training
Top Line View
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MORE Button –
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Delete –
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You can delete the entire report if desired.
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Not recommended.
Image Trend Ver. 5.0
Training
Top Line View
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CLOSE Button –
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Closes that report –
Returns you to the Dash Board.
Image Trend Ver. 5.0
Training
Verify POST complete
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Dash Board will display a check mark
next to the run.
Any Questions ?