Is it required that your EMS agencies leave a run sheet in real time? Not dropped into the EMR 24-72 hours later. Our issue is that we have not had documentation from EMS to indicate how much fluid was administered. We are working with one of the EMS agencies and have developed a short form they will complete that documents fluids and any treatment initiated. So far the compliance has been slim to none and its only with one agency (we serve appx.15 EMS agencies). We have issues getting anything besides a oral report from EMS. Does your states require anything different as WV allows the 24-72 hour time frame; however, JC, Risk, and best practice dictates differently. In our physicians order set it states IVF 30mg/kg to include fluids administered by EMS.
Thank you, Tammy Walls, RN, BSN Clinical Manager SMMC ER 304-526-1868 phone 304-526-1789 fax [email protected]<mailto:[email protected]> ________________________________ From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary Draper Sent: Friday, August 11, 2017 6:36 PM To: Carlson, Brenda L; '[email protected]' Subject: Re: [Sepsis Groups] Provider orders or protocols for IVF administered by EMS We are going to work with our ED staff to document in the intake the amount given by EMS so that it can be pulled electronically. We have the EMS record scanned into Epic to verify but it is just a paper report so no discrete fields. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale From: Sepsisgroups [mailto:[email protected]] On Behalf Of Carlson, Brenda L Sent: Thursday, August 10, 2017 9:16 AM To: '[email protected]' <[email protected]> Subject: [Sepsis Groups] Provider orders or protocols for IVF administered by EMS Has anyone figured out a way to include IVF given by EMS? We are struggling with this since provider orders or protocols must be found in the hospital record and none of the local EMS companies provide this type of information. The NYSDOH approved protocols used by all EMS agencies in upstate NY are available here: https://www.mlrems.org/GetFile.aspx?fileID=10896<http://sophos2.st-marys.org:32224/?dmVyPTEuMDAxJiYwZjUwNTE4NzcyYzc0NGQ4Nz01OTkxQ0I4OV83NDA1NV82NjAwXzEmJjFkNWIzOTBkZWIwYmRkND0xMjIzJiZ1cmw9aHR0cHMlM0ElMkYlMkZ3d3clMkVtbHJlbXMlMkVvcmclMkZHZXRGaWxlJTJFYXNweCUzRmZpbGVJRCUzRDEwODk2> There are no patient specific orders, these are standing order for all patients with suspected septic shock. Has anyone found a way to comply with provider orders in the hospital record for IVF given by EMS? Thank you for your help. Brenda L. Carlson MS, BSN, RN Assistant Quality Officer Office of Clinical Practice Evaluation University of Rochester Medical Center 265 Crittenden Blvd., Saunders Research Building, 3.205 585-273-4721 This message may contain information which is confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email, and delete the message. Thank you! Important Notice: This e-mail message and any attachments are from the above sender at St. Mary’s Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments.
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