EMS Operations

Probie Book Notes

Response

Status “Responding” on the mobile radio by:

• Pressing the “STS” button,

• then rotating the Knob to “RESPONDING WITH #”

• Then pressing the key-up button on the microphone. This is acknowledged by a series of four and the message “ACK RECEIVED” 

*Switch to 8 Bravo 1 (Ops 1)*

STATUS MENU

• RESP WITH 1

• RESP WITH 2

• RESP WITH 3

• RESP WITH 4

• RESP WITH 5

• RESP WITH 6

• RESP WITH 7

• RESP WITH 8

• RESP WITH 9

• STAGING 

• ON SCENE 

• AT PATIENT 

• TRANSPORTING

• TRANSPRT CMPLT

• AVAIL / ON AIR

• IN QUARTER

Pt Assessment

• First impression of scene & pt/ need for additional resources

• Introduction/ obtain consent to treat pt

• Full pt history.

• “Why did you call 911 today?”

• ABC’s

• NOI/ MOI

• SAMPLE

• OPQRST

Must obtain:

1. Full legal name

2. Home Address

3. Date of Birth

4. Social Security Number

5. Patient signature for all refusals and transports

6. Medical Record Number (MRN)

7. Phone number for all transports; must obtain phone # for peds

Pre- Transport

Consider distance, hospital status, pt priority, the need for any specialty treatment, and/or pt preference when determining transport location.

Inform the driver of the destination and patient priority, trauma category, or any special alerts as applicable. 

TRANSPORTING

Notify hospital via EMRC. Continue to monitor the pt during transport and provide additional care as needed.

AT HOSPITAL

Provide the triage/charge nurse with the patient's Chief complaint, medical history, and other pertinent information. 

Obtain an additional set of vitals

Provide pt information at registration

Tx pt to assigned roon/ bed. Provide a more detailed report of pt’s condition to the assigned nurse.

OBTAIN TRANSFER OF CARE SIGNATURE & NAME FOR REPORT.

Patient Refusal (7)

1. Full name 

2. Address

3. Date of Birth

4. Social Security Number 

5. Patient history, including at least one set of vitals

6. Description of any care that was given or refused

7. Patient signature acknowledging refusal of care and fill out the “AMA” tab. PT QUOTE REFUSING CARE

• Possible witness signature

Returning to Service

Once the ambulance is ready for service, the Aid will place the unit back in service by notifying PSC over the radio and giving the disposition. On 8 Bravo 1

Ambulance 812(B) Ready-

• “BLS Transport”

• “Patient Refusal”

• “No Patient Found”

• “Good Intent”

Return the radio to the main dispatch channel (Bravo 2)

Ambulance Local

1. Aide Bag

2. Oxygen bag

3. Cot

4. ToughBook

5. Keys

6. Radio

7. Any necessary stabilization device (splints, backboard)

Working Code

Report of a person in cardiac arrest.

• Backboard

• LUCAS Device

Medic Local

Report of a person with a potentially life-threatening injury or illness: trouble breathig, unconcious/ altered mental status, chest pain, and falls from significant heights.

• AED

• Portable Suction Unit