EMSCharts Mobile Version 3 UPDATE and Notes KMM 1/2012.
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Transcript of 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
Main Screen
Start Page forYour Shift
Not Mandatory
Pt Records Button showCharts pending upload
“NEW” Creates a new Chart
KMM 1/2012
Main Screen
Start Page forYour Shift
Not Mandatory
Pt Records Button showCharts pending upload
“NEW” Creates a new Chart
KMM 1/2012
Patient Records
Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse Trip (not used)Upload and Delete from Laptop
Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse 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 - 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 - 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– 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 – 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 – 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 - FactorsInformation 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 - ExposureIn 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
Pupils / Motor Sensory
On my arrival…. This is how I observed them…..
That is why these pages are called “Initial Findings”
KMM 1/2012
ImmobilizationYES 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
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
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
Activity LogThis 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 - 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 underPROCEDURES>>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 MenuAs 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
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 WebAll 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