Skills Training Session January 27, 2015
Scene Size Up MOI How many patients? Need for Additional Resources? C-spine? Environmental hazards? Personal safety
Divide it up Establish who is doing the talking (lead EMT), and who is treating the patient (treatment EMT) – Don’t contradict each other in front of the patient – Lead EMT tell patient what Treatment EMT is doing (AKA vitals) – Lead EMT should be the only EMT talking EXCEPTION: when Treatment EMT is performing RTA Lead EMT – Does introduction – Assesses AVPU – Asks A&O – Obtains SAMPLE – Obtains OPQRST (if applicable) – Fills out run report Treatment EMT – Questions bystanders – Obtains vitals Writes them on glove for Lead EMT to write down – Performs trauma assessment
Get PT’s ID USC student USC card Miscellaneous person driver’s license/passport If person does not have ID: – ask for their info – If PT is altered, ask their friend – If PT is altered and no one is there to provide identification DPS Get as much info as possible!
HNB Pain & Bystanders Did PT hit head? Does PT have head/neck/back pain? – This goes in EVERY narrative you will write for EMSC Any important PT/witness statements - info about falls -Any movement of PT by you/PT/someone else -refusal of treatment -Important for EtOH patients
A&O What’s your name? (you should have their ID already) Who’s the President? What year is it? NO “what is the time?” “what is the day today?” questions
Field Run Report Cheat Sheet S: A: M: P: L: E: Transport Decision*: Treatment: Misc (trauma notes): Exact supplies used**: *if applies **For EMSC use only ID? AVPU (circle one) Position found ______ Conscious/breathing +/- A&Ox___ Head/Neck/Back Pain +/- C/C: O*: P: Q: R: S: T:
What We’re Looking For Being confident – No “umms” or “A is for allergies – what are you allergic to, sir?” Being competent – Always look like you are doing something – Fill in the “cheat sheet”