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Last Updated 4/12/11 9:00

Snohomish County EMS

Pre-Hospital Care Treatment Guidelines, and Protocols and Procedures by Snohomish County EMS
 
Providence Implements
Code Stroke Procedure

laerdal
code
life assist

Electronic Patient Care
Report Information

CAD INSTRUCTIONS

Click here for CAD INSTRUCTIONS
The first thing you will need is internet connection, this should be automatic, but if you don’t see the CAD button it’s because you are not connected to the internet.  From there do the following:

1. Be sure crew has logged in/logs in with the appropriate unit number on the Mobile application.
2. Unit is assigned a run from dispatch.
3. Open tablet (log in) click the CAD button
4. A box will open with that unit’s assigned run
5. Click on incident number highlighted in blue
6. A call will be opened with imported CAD data (usually defaults to patient info page as the majority of incident details page is imported – but not all)
7. As long as you maintain internet connectivity, you can hit the CAD button at the top of the incident details page (by the incident number) at any time to update CAD data (times etc).  You will need to hit this CAD button within your report whenever you want the CAD information to update.

It is possible to mess this up!  If you’re on M73 for example and you accidentally click on M76’s number M76 will be unable to access their CAD information and will have to manually enter the information.  If you happen to hit the ADD button rather than the CAD button you’ll have to access the CAD information within the Incident Detail section of your report.
 
TRAINING LINKS:
- Airliftnw.org
- EMS-Village.com
- Life-Assist.com
- Braun Northwest.com
- DOH.wa.gov
- AAP.org

- Americanheart.org
- King County Fire Training Officers
- Virtual Pediatric Hospital
- Trauma
- Department of Health
- EMedicine
- EMS Responder
kenny
APRIL 2011 TURNAROUND STUDY INSTRUCTIONS - PDF to print

Click for Instructions on April Turnaround Study - html version

Issue:
The average turnaround time for Fire District 7 (time from arrival at the hospital to the time unit is placed in service) is 52 minutes.  This amount of time out of service negatively impacts our ability to protect our community through rapid emergency intervention.

Goal:
It is the goal of this study to reduce out of service time by 40 percent (or 21 minutes).  This can be accomplished through the process outlined in this document.

Timeline:
During the month of April, both “A” and “C” Shift will follow the steps outlined in this document.  They will provide feedback to the EMS Office regarding feasibility of a 40 percent reduction in turnaround time.
“B” and “D” Shift will continue operations as normal to provide a comparison to the data that will be collected from “A” and “C” shifts.

At the end of April, if we find the plan to be feasible, we will implement it District wide.  If we find areas that will need further revision/review, we will use the month of April to evaluate with a goal of implementation in May.

Steps to reduce Turnaround Time:


On Scene Tasks:
In order to provide efficiency in report writing, it is essential for personnel to take the EPCR Tablet in and begin the call on the tablet early.  Delaying the start of the report on the tablet will result in longer out of service time due to duplication of effort with regard to data entry (from pen and paper to electronic record).  A Company Officer, or designee, should begin to obtain demographic information, medical history, medications, and allergies while on scene prior to transport.

Hospital Tasks:
The EMS Office has worked to establish relationships with the hospitals, which eliminates the need for personnel to acquire Face Sheets. Evergreen Hospital is the only exception, where we still need to obtain a F.I.N. number from staff.  This method of Face Sheet acquisition provides more up to date and reliable information to the billing office than the previous method.

Upon hospital arrival, EMS personnel shall assist with patient transfer and provide a quality verbal report to Emergency Department staff.  After patient care has been transferred, attention should be placed on putting the unit back in service (decontaminate as necessary, make cot, restock kits, etc.).

At this time, personnel should begin to return to the Fire District.  Our average transport time is 21 minutes. In theory, the return to the Fire District should average the same.  During the return to the Fire District, personnel shall complete the electronic report as much as possible.  When the apparatus reaches its in service area, the report should be faxed to the hospital. According to Protocol 2-6, EMS personnel are required to leave a report with the Emergency Department prior to departure from the hospital. By having personnel complete the report while en route back to the Fire District, we are stretching that boundary.  As a result, we will meet the intent of this protocol by faxing the report prior to going back in service.  It will not be acceptable to fax a report after the unit is placed in service.
Once the EMS unit gets to the appropriate intersection, personnel should place the apparatus back in service with SNOPAC.  Below is a list of recommendations for placing a unit in service:

Returning from Evergreen:

  • SR522 @ SNOKING Line
  • I405 @ SR 527

Returning from PEMC:

  • 128 ST S.W. & I-5
  • SR9 @ Broadway

Returning from Swedish Edmonds:

  • I-5 @ 164 St. S.W.
  • If you are an eastern unit, use the most appropriate location with regard to your first due area.

Returning from Swedish Mill Creek:

  • It is appropriate to go in service at the hospital
  • If you are an eastern unit, use the most appropriate location with regard to your first due area.

Returning from Seattle Hospitals:

  • Similar procedure to the local hospitals

Exceptions:
It is understood that there will be times when it is impractical to follow this guideline. Post cardiac arrest, trauma, and RSI are such examples, where further decontamination and restocking is necessary.  Fortunately, these calls are infrequent and we will be able to easily identify the reason for extended out of service times.




Turn and Burn:

• 40 % reduction in turnaround time at the hospital.
• Current turnaround time is 52 minutes.
• Goal is 31 minute turnaround.
• Outcome: Increase in availability of units to respond to other emergencies.

Six Shooter:

• In the setting of chest pain early Aspirin administration by BLS personnel.
• Upon ALS arrival immediate "Quick 6" diagnostic ECG.
• Outcome: An early impact on clot formation, and rapid interpretation of a modified 12 lead ECG.

High Octane C.P.R.:

• Develop tool and job assignments for responders to a cardiac arrest.
• Implement King County's High Performance CPR standards for resuscitation.
• Outcome: Increased survivability of sudden cardiac arrest.

All Hands on Deck:

• Post cardiac arrest evaluation.
• Goal is 90% active compressions during a resuscitation.
• Immediate feedback and post incident analysis of the resuscitation.
• Outcome: Evaluation of performance that will lead to more patient's having a return of spontaneous circulation in the setting of cardiac arrest.
 

Paramedic Continuing Education

2011

OTEP - Respiratory Emergencies 2011 EMS Online:

CBT302 — EMT11-Orthopedic Emerg
CBT385 — EMT11-Enviro Emerg
CBT425 — EMT11-Respiratory Emerg
CBT521 — EMT11-OB/GYN Emerg
CBT621 — EMT11-Infectious Disease
CBT701 — EMT11-Geriatric Medicine
CBT939 — EMT11-Science of CPR
2011 PCEP
 
 

2010

OTEP Shock  
Cardiac EKG MI Series 2 Cric
ROCURONIUM Series 2 Fundamentals
Trauma Assessment Review 03/16/2010 Series 2 Difficult Airway
Transcutaneous Pacing CNS Injuries
Burns & Soft Tissue Injuries Chest Abdominal Trauma
Sickle Cell Disease RR 05/18/2010  
Pharmacology 2010 RR 05/18/2010  
   
 
PCEP/RR Days District # 1 – MSO Shaugn Maxwell - 425-551-1200– smaxwell@firedistrict1.org
2nd Thursday – 12425 Meridian Ave. Everett, WA 98208
District # 3 –MSA Cindy Coker - 425-754-7501 – ccoker@monroefire.org
3rd Thursday – 163 Village Ct. Monroe, WA 98272
District # 4 –MSO Jason Leighty – 360-568-2141 – jasonl@snohomishfire.org
3rd Wednesday – 1525 Ave D. Snohomish, WA 98290
District # 7 –MSA Scott Dorsey – 425-486-1217 – Sdorsey@firedistrict7.com
3rd Tuesday – 8010 180th St SE Snohomish, WA 98296
District # 8 –MSO Larry Huff- 425-212-3050 – lhuff@lsfire.org
3rd Tuesday -  105180 18th St SE Lk. Stevens, WA 98258
Arlington –MSO Doug Schmidt – 360-403-3602 – dschmidt@arlingtonwai.gov  
2nd Thursday -  18204 59th Dr. NE Arlington, WA 98223
Everett – No set Schedule - MSO Joe Paterniti – 425-257-8129 – jpaterniti@ci.everett.wa.us
– 1600 Madison St. Everett, WA 98203
Lynnwood –MSO Larry Handland – 425-374-9892 – lhadland@ci.lynnwood.wa.us  
3rd Wednesday – 2106 76th Ave W. Edmonds, WA 98020
NOTE: January will be 2nd Tuesday
Marysville – MSO Terry Matsumura – 425-754-5226 – tmatsumura@marysvillwa.gov
4th Tuesday – 10701 Shoultes Rd. Marysville, WA 98270
North County –MSO Gary Lingle – 425-508-1013 – glingel@northcountyfireems.com
1st Tuesday – 19727 Marine Dr. Stanwood, WA 98292
NOTE: January-April will be 2nd Tuesday
Stanwood –MSO Ken Drewry – 360-387-1512 – kdrewry@camanofire.com
4th Thursday – 811 N. Sunrise Camano Island, WA 98282

Key
A – Medical Assessment
B – Respiratory
C
– Cardiac 2: Dysrhythmias, CHF
D
– Nervous System
E
– Endocrine
F
– CAM
G
– Anaphylaxis / Allergic Reaction
H
– Gastrointestinal / GU
I
– Communicable Disease
O – Non PCEP topic
X – Nothing Scheduled

District

#1

#3

#4

#7

#8

Arlington

Everett

Lynnwood

Marysville

N. County

Stanwood

 
  .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... ..........
                       
Jan

A

I

O

A

H

O

I

A

G

O

F

Feb

B

A

I

B

O

O

A/E

B

H

F

G

Mar

C

B

A

C

I

F

O

C

O

G

H

Apr

D

C

B

D

A

G

C

D

I

H

O

May

E

D

C

E

B

H

D

E

A

O

I

Jun

O

E

D

F

C

I

B/G

O

B

I

A

Jul

O

ACLS

E

O

D

X

O

F

C

A

B

Aug

O

O

X

X

E

A

X

X

D

B

C

Sep

G

F

O

G

O

B

H

G

E

C

D

Oct

H

G

F

H

O

C

F

H

O

D

E

Nov

I

H

G

I

F

D

O

I

O

E

X

Dec

O

X

H

X

G

E

O

O

F

O

X

strategic

   
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8010 180th St. S.E., Snohomish WA 98296 - 425-486-1217 or 360-668-5357 fax 360-668-6234
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