Key Points for Efficient EMS Handoff Process

Implementing a streamlined EMS handoff process involves key points such as getting timely reports, utilizing blood draws, reducing confusion in handoff, and starting the handoff conversation effectively. The use of acronyms like TIMEOUT enhances communication efficiency and ensures all necessary aspects are covered, including tube placements, medications, events leading up to the situation, outcomes, and expressing gratitude towards EMS. Utilizing EMS blood draws can improve lab turnaround times and overall patient care quality.

• EMS Handoff
• Blood Draws
• Communication Efficiency
• Acronyms
• Patient Care

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Uploaded on Sep 12, 2024 | 0 Views

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1. EMS KEY POINTS They are part of our TEAM!

2. OBJECTIVES Getting Report From EMS TIMEOUT Utilizing Blood Draw CODE fatigue Value of Interventions

3. BEDSIDE REPORT FOR EMS There is a new process for getting an EMS patient BENEFITS: Get all the ER members bedside for report Reduce confusion in handoff Get blood from EMS and USE IT! Recognized by Joint Commission as best practice Recognized by NCTTRAC as best practice

4. GETTING HANDOFF STARTED RN will initiate by saying I m ready for your TIMEOUT EMS provider will give information where appropriate The handoff is a team approach and may need prompting

5. T.I.M.E.O.U.T. FOR EMS Acronym helps to make sure we got ALL the necessary parts T-Tube Placement I-Interventions by EMS M-Medications given by EMS E-Events Leading up to O-Outcomes EMS has seen U-Unanswered questions? T-Thank EMS for efforts

6. TIMEOUT T-Tube Placement I-Interventions Verify ET Tube C-collar Verify IV Backboard Verify IO Splints Verify OG/NG Dressings Fluid Bolus

7. TIMEOUT M-Medications E-Events Leading Up To Pain Mgmt Epi What happened to the pt Lido Who saw it RSI Speed Benzo Drowning Narcan Last seen normal Onset of chest pain

8. TIMEOUT O-Outcomes U-Unanswered ? s BP response after bolus Anything not covered Pain after med Get more info ROSC after CPR Odd circumstances Pulse after traction Need clarification

9. TIMEOUT T-Thank EMS They are part of our team Their interventions help our compliance Their initial treatment improves our outcomes Out of hospital care is difficult and unique

10. EMS BLOOD DRAWS Utilize EMS blood draw! Decreased lab turnarounds Helps you out Best practice by NCTTRAC

11. CODE FATIGUE Code STROKE Get a full phone report from EMS Code Trauma Ask questions Code Sepsis Work with EMS to determine if WE need to activate any code!!! Code STEMI Activation criteria is extensive for MCL Code CPR GCS? Last seen normal? Time of onset? Bystander CPR?

12. VALUE OF INTERVENTIONS Field medicine provides many challenges IV access is not always possible Protocols vary from agency to agency and determine care Patients change their story provider to provider An intervention done in field is one less you need to do

13. CLOSE THE LOOP Talk with the crew before they leave Diagnostic differentials Called it down? What did the hospital staff see different Positive feedback Make it quick and easy, not a formal debriefing

14. THANK YOU! EMS Liaison Josh Constantino 972-420-1015 Joshua.Constantino@medicalcityheal th.com