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 box Allows to type-ahead Passwords are the same as Before KMM 1/2012

Main Screen Start Page for Your Shift Not Mandatory Pt Records Button show Charts pending upload “NEW” Creates a new Chart KMM 1/2012

Main Screen Start Page for Your Shift Not Mandatory Pt Records Button show Charts pending upload “NEW” Creates a new Chart KMM 1/2012

Patient Records Open Charts will be listed here KMM 1/2012

Patient Records Options Include Open (Edit / Continue) Print (Print Draft Copy) Delete Reverse Trip (not used) Upload and Delete from Laptop Options Include Open (Edit / Continue) Print (Print Draft Copy) Delete Reverse 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 KMM 1/2012

Dispatch - Vehicle Mileage has it’s own page and allows for decimal point entry now KMM 1/2012

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 KMM 1/2012

Dispatch – Referring / Receiving Where you picked them up, and where you went. Nothing has changed. Use the “Location” for the frequent places we go. KMM 1/2012

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. KMM 1/2012

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 KMM 1/2012

Patient Info - Other Physician Info Employment (usually only if work related injury) KMM 1/2012

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 KMM 1/2012

Chief Complaint/SC/HPI Chief Complaint Secondary Complaint History of Present Illness KMM 1/2012

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’ KMM 1/2012

CC - Impression Simple Questions KMM 1/2012

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 KMM 1/2012

CC – Vehicle Incident MVA’s require this information to be filled in KMM 1/2012

CC – Injury Details “Trauma” (Minor or Major) requires details about their injury and incident KMM 1/2012

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 KMM 1/2012

CC - Factors Information 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 KMM 1/2012

CC – Patient Movement Document how the patient got to the ambulance How they were transported And how they made it into the ER KMM 1/2012

CC - Belongings Paperwork, Bag of Medications, Walker, etc etc etc KMM 1/2012

CC - Exposure In 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. KMM 1/2012

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. KMM 1/2012

Scores Initial FINDINGS on arrival KMM 1/2012

Scores Note: GCS options change based on age of the patient KMM 1/2012

Pupils / Motor Sensory On my arrival…. This is how I observed them….. That is why these pages are called “Initial Findings” KMM 1/2012

Immobilization YES 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 KMM 1/2012

Immobilization IF YES – the it was Prior to your arrival – That is what PTA means Who was it done by? KMM 1/2012

Airway On my arrival…. Patient’s Airway was ______ (BEFORE I got there) KMM 1/2012

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. KMM 1/2012

Cardiovascular Your Findings on Initial Exam KMM 1/2012

Secondary Survey Using the ADD button will pop up the human figure KMM 1/2012

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 KMM 1/2012

Secondary Survey Don’t forget your SKIN Assessment KMM 1/2012

Activity Log This 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 KMM 1/2012

Vitals This is a pop up window Make sure you hit SAVE KMM 1/2012

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 KMM 1/2012

Vitals - Procedures Providing OXYGEN is a procedure on a patient, and is found under PROCEDURES>>AIRWAY LOG KMM 1/2012

Vitals - Procedures BACKBOARDING is a procedure, and is documented here – “Immobilization LOG” Get the Idea of Procedures Yet ??? It’s not an HPI !!! KMM 1/2012

Signatures Capturing Signatures has not changed, just where you find them has For billing, use the “NON-PDF SIGNATURE” tab KMM 1/2012

PDF Form The BACKUS Pre Stroke Screening form is available, you can write on it and save it as an attachment to the PCR KMM 1/2012

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) KMM 1/2012

Back to Main Menu As 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) KMM 1/2012

Main Menu Printing from Tablet Select the Chart you want to print, and click PRINT KMM 1/2012

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 KMM 1/2012

Advancing to Web All 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) KMM 1/2012

Done Congratulations – you have just upgraded to EMSCharts Mobile Version 3 KMM 1/2012