1. Version 5.0 Field Bridge Webpage Module II

2. From Scene Tab

3. Image Trend Ver. 5.0 Training From Scene

4. Image Trend Ver. 5.0 Training From Scene – Patient Transport / Positioning All three fields must be completed for transports. – Patient moved to Ambulance – 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.

5. Image Trend Ver. 5.0 Training From Scene – Transport Mode From Scene Select the correct type of mode. – [DEFAULT] - No Lights or sirens

6. Image Trend Ver. 5.0 Training From Scene – Destination Name Select the correct destination. – Select the appropriate hospital from the dropdown.

7. Image Trend Ver. 5.0 Training From Scene – Destination Type Select the correct destination type. – Select the appropriate destination type.

8. Image Trend Ver. 5.0 Training From Scene – Destination Determination Select the correct destination determination. – Select the appropriate destination determination.

9. Image Trend Ver. 5.0 Training From Scene – Mileage Enter correct mileage from the odometer and it must include “tenths”. This is a NIMSIS – 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] Enter LOADED mileage carefully. These are “billed miles” and subject to audit. If you do not transport, you still need the Beginning and Ending Mileage.

10. Image Trend Ver. 5.0 Training From Scene – Narrative Enter your narrative. – 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 – – 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.

11. Image Trend Ver. 5.0 Training From Scene – Valuables Enter any valuables, belongings the patient may have entrusted you with. – You can select from the dropdown, or enter others not listed.

12. Image Trend Ver. 5.0 Training From Scene – Delay Document any delays you may have encountered. – [DEFAULT] is set to NONE on all four. 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.

13. Signature Tab

14. Image Trend Ver. 5.0 Training Signatures

15. Image Trend Ver. 5.0 Training Signatures – Patient Signature Signatures – Select the HIPAA Consent- Try to explain what HIPAA is. – Select the Authorization to Billing. 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. – Select the Waiver of Liability only of you obtain a Patient Refusal. – Have Patient sign whenever possible. If not possible – (unresponsive)- Just take the pen and put your initials in the field.

16. Image Trend Ver. 5.0 Training Signatures – Against Medical Advise If Patient Refuses transport. – Check the box in the top left called – Attach AMA to this Incident. Fill out as much information as possible. Remember this is to cover you.

17. Image Trend Ver. 5.0 Training Signatures – Technician Signature Technician signs all reports.

18. Image Trend Ver. 5.0 Training Signatures – Hospital / Receiving Agent Signature Signature obtained by nurse you are turning patient over to. If only BLS procedures performed, this is the only signature you need from the hospital.

19. Image Trend Ver. 5.0 Training Signatures – Medical Control / Physician Signature Signature obtained by any ER Doctor. If ALS procedures performed, you must obtain a signature from the Doctor.

20. Image Trend Ver. 5.0 Training Signatures – Controlled Substance Waste Signature 1 Signature must be obtained by any ER nurse if you waste NARCOTICS. If NARCOTICS are used, you must obtain a signature from the Doctor. When replacing the NARCOTICS box: – 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.

21. Image Trend Ver. 5.0 Training Signatures – Controlled Substance Waste Signature 2 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.

22. POWER TOOL BAR Down Left Side of Screen

23. Image Trend Ver. 5.0 Training Power Tools GCS Select the blue button for each test: – Eye – Verbal – Motor – Qualifier Your GCS score is totaled and posted in the Vitals tab automatically. Verify your times field.

24. Image Trend Ver. 5.0 Training Power Tools VITALS Enter appropriate data for each check: – Pulse – Respirations – Blood Pressure – BP Location – SpO2 – Blood Glucose Your Vitals are posted in the Vitals tab automatically. Verify your times field.

25. Image Trend Ver. 5.0 Training Power Tools PQRST Select the blue button for each test: – Provoked – Quality – Region – Radiation – Duration – Severity – Narrative – Short informative comments only. Your information is posted in the Vitals tab automatically. Verify your times field.

26. 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.

27. Image Trend Ver. 5.0 Training Power Tools MEDS Select the green button for each Medication administered: – Medication – Dose – Unit of measure – Route – Site – Response Your MEDs are posted in the Vitals tab automatically. Verify your times field.

28. 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)

29. 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.

30. 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.

31. Image Trend Ver. 5.0 Training Power Tools Same as under the Vitals, Meds, Procedures Tab. Click on the anatomical location of the burn. – One click causes 1 st degree.(purple) – Two clicks displays 2 nd degree.(yellow) – Three clicks displays 3 rd degree.(red) System also calculates BSA as you click. Open with caution in public.

32. Down Right Side of Screen

33. 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.

34. 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).

35. 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.

36. Image Trend Ver. 5.0 Training Right Side of Screen JotPad Free form note pad. These notes become part of your overall report.

37. Across the top

38. Image Trend Ver. 5.0 Training Laptop screen overview

39. Image Trend Ver. 5.0 Training Save Button – Saves the report to the laptop only. Top Line View

40. Image Trend Ver. 5.0 Training CAD Button – Loads CAD data to the report. Can be used anytime during the call. Will only overwrite the fields supplied by CAD. Incident number Location of call Times Will not overwrite the any other fields you entered. Top Line View

41. Image Trend Ver. 5.0 Training POST Button – Prepares report to be uploaded (POST) to Minnesota (Rescue Bridge). Top Line View

42. Image Trend Ver. 5.0 Training POST Button – Note that the system is uploading to Rescue Bridge. Top Line View

43. Image Trend Ver. 5.0 Training POST Button – Note that the system is validating the report for Rescue Bridge. Top Line View

44. Image Trend Ver. 5.0 Training POST Button – Posting is now complete. HOWEVER – Remember the POST/SYNC does two things. POST – Posts the report to Rescue Bridge. SYNC – Synchronizes the Field Bridge. If the POST fails – SYNC will still show 100% complete. Don’t be fooled. Top Line View

45. Image Trend Ver. 5.0 Training PRINT Button – Prepares report to be printed. 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. One for the hospital. One to accompany the NARCs to the Pharmacy. Top Line View

46. Image Trend Ver. 5.0 Training MORE Button – History – Tracks all activity for the report. Top Line View

47. Image Trend Ver. 5.0 Training MORE Button – Transfer Run– Ability to send data to another agency. Example - Catlett starts a call and Medic 1 rendezvous. Catlett can upload the data they have acquired and Medic 1 can complete from there. Top Line View

48. Image Trend Ver. 5.0 Training MORE Button – Attach – Can attach additional documents to the report. Currently not used. Top Line View

49. Image Trend Ver. 5.0 Training MORE Button – Delete – You can delete the entire report if desired. Not recommended. Top Line View

50. Image Trend Ver. 5.0 Training CLOSE Button – Closes that report – Returns you to the Dash Board. Top Line View

51. Image Trend Ver. 5.0 Training Dash Board will display a check mark next to the run. Verify POST complete

52. Any Questions ?