Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 I was wondering where everyone had gone. ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 I agree this is a TEST LOL SHHHHHHHHHHHHHHH ---Donn & Marilyn wrote: > > Its too quiet. This is a test > > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 It is always quiet with this group on the weekends... guess everyone is either tired or at a party? Margaret EMS wanna be ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Well, let me start a little discussion. Are there any departments or services on this list that do not obtain a signature from a nurse/doctor upon transferring patient, and/or are there any departments or services that do not leave a report at the hospital? Ricky Black, Battalion Commander Southlake Fire Services ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 In a message dated 98-10-03 21:04:20 EDT, you write: << Well, let me start a little discussion. Are there any departments or services on this list that do not obtain a signature from a nurse/doctor upon transferring patient, and/or are there any departments or services that do not leave a report at the hospital? Ricky Black, Battalion Commander Southlake Fire Services_ >> DFW Airport does both of the above! , BS, EMT/P DFW Airport DPS ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Please explain your answer Pam. I'm interested as to why you make this comment. Ricky Black, Battalion Commander Southlake Fire Services ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Hi Ricky! (and others) I wish to comment about your last question-- that is, to leave-- or not to leave-- your report at the ED after delivery... I have been told by my superiors in the past that it is unlawful for you to leave a pt in the ED without your report following (I have been told that there is a, by law, 24 hour grace period before the report needs to be accessible in the patients hospital chart). As we all know, what we do makes a difference. And the docs and nurses rightfully need to know why and what we did for Mr. as soon as the question arises. Also, of course, this is a legal document and once instituted, shows what you did and DIDN'T do for your patient! Does anyone know if what I have stated is actually true-- I did not question it because those were the rules of the company I worked for-- who the heck am I to make a stink over a good " rule " anyway? Brad Woodall [] Re: quiet >Well, let me start a little discussion. Are there any departments or services >on this list that do not obtain a signature from a nurse/doctor upon >transferring patient, and/or >are there any departments or services that do not leave a report at the >hospital? > >Ricky Black, Battalion Commander >Southlake Fire Services > >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Hey Brad, Thanks for the response. I am not familiar with this law so Gene, it's your turn. I posed this question initially because we conducting our patient reports via computer. Pen based is not up to scale yet, therefore, paramedics were having to complete a written report, have the nurse sign it and return to quarters to duplicate the report by entering it into the computer. The long range goal is to implement pen based computerization. But today, and hence the question, I would like to have the medics take the patient in, provide a verbal followup from their phone patch, assist if needed, clear the hospital, return to quarters, complete the report and send the " FULL DETAILED " report to the hospital via fax/modum. As always, I want to entertain your thoughts on this because someone will always have a better idea or may shed some legal issues on this idea. Look forward to hearing from each of you. Ricky Black, Battalion Commander Southlake Fire Services ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Are there any other agencies who have an active CISM Team.... ( Critical Incident Stress Management ), If so, is it a private organization of is it supported by a municipal agency...? (i.e. Fire Dept) ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Hi, Community Fire Department does not require us to obtain a signature... Steve Watkins EMT-I ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Just my two cents on the Computer reports... I am currently in Paramedic Completer school. As part of my required rotations I was working at Herman Hospital ER, here in Houston. Houston Fire Department is switching over to a notebook style computer to do their reports. They have a combination of pen based system with a keyboard located in the back of their ambulances. Their system has a built in cell phone and automatically sends the entered reports to their headquarters. It is all paperless and there in lies the rub. While working at the ER we had no information on the patient contact with HFD. While the HFD personnel did give a report, the nurse or staff they reported to was always on the move and did not stay with that patient. As a result most of the information we had was suplied by Triage. Without a written report we were in the dark. It was not a big problem on most patients and the only real impact it had was on my school reports. The way it was explained to me was HFD would fax a written report within the hour. I was there for two days and the written report never caught up with the patient in the ER. I like their system and it seems like the wave of the future. Would be nice if the notebook had a built in printer Steve Watkins EMT-I ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 On Sat, 3 Oct 1998 17:53:38 EDT LPate@... writes: >I was wondering where everyone had gone. > It has gotten very quite on this end too. Surely we have not ran out of things to talk about, huh? Mildred Mason >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 I should hope Not! Pamela McClanahan [] Re: quiet >Well, let me start a little discussion. Are there any departments or services >on this list that do not obtain a signature from a nurse/doctor upon >transferring patient, and/or >are there any departments or services that do not leave a report at the >hospital? > >Ricky Black, Battalion Commander >Southlake Fire Services > >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 DFW Airport Dept. of Public Safety has an active CISM team. I am a member of the team. , BS, EMT/P DFW Airport DPS ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 In a message dated 10/3/98 11:36:11 PM, you wrote: > I like their system and it seems like the wave of the future. Would be nice >if the notebook had a built in printer > > > Steve Watkins > EMT-I At one point Austin EMS had laserprinters set up in the local ER's... just cable in and and print... kinda straight forward. However I haven't seen a computer based run form from them in a while... they may not be using computers anymore... Anybody Know different? or why Austin Ems backed off of the computer based system if they really did?... :-{)> Jt john emt-p austin ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 AMR North Texas no longer requires the signature or doctors or nurses when pt care has been transferred to them. All that is now required is a simple statement on your runsheet " Pt care and report given to___________. " Makes it simpler when you have calls holding. T.Auanger, EMT-P AMR Division 7/Hunt County BatCom401@... wrote: > Well, let me start a little discussion. Are there any departments or services > on this list that do not obtain a signature from a nurse/doctor upon > transferring patient, and/or > are there any departments or services that do not leave a report at the > hospital? > > Ricky Black, Battalion Commander > Southlake Fire Services > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 I will respond to this. We are able to get signatures from a dr or a nurse in all hospitals we go into but one. The Elvis Presley Trauma Center at Memphis refuses to sign for our patients. We then request a name and title and write it into our reports. Hope this is what you had reference to. The transports into the Med as the trauma center is called are inter hospital transports and they are always expecting our patient for at least 1 to 1 1/2 hours. They told us their lawyers told them not to sign for the patients. Food for thought. Louise Joiner NREMTP in Rural Arkansas Carebearmedic@... RaaEMS605@... wrote: > In a message dated 98-10-03 21:04:20 EDT, you write: > > << Well, let me start a little discussion. Are there any departments or > services > on this list that do not obtain a signature from a nurse/doctor upon > transferring patient, and/or > are there any departments or services that do not leave a report at the > hospital? > > Ricky Black, Battalion Commander > Southlake Fire Services_ >> > > DFW Airport does both of the above! > > , BS, EMT/P > DFW Airport DPS > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Steve The Arkansas EMT Association is connected to the Arkansas Network and we all call the Arkansas Network CISD Team when we need them. They are connected in some way to Arkansas Children's Hospital. I have personally called them a couple of times for my self and our service has called them several times. hope this helps. Louise Joiner NREMTP in Rural Arkansas Carebearmedic@... SteveCCFD@... wrote: > Are there any other agencies who have an active CISM Team.... ( Critical > Incident Stress Management ), If so, is it a private organization of is it > supported by a municipal agency...? (i.e. Fire Dept) > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 Good Evening... We do not require our medics to obtain a nurse or physician signature on the patient chart. We do require that a copy of the chart be left with the patient's records in the emergency department. Jack Pitcock, EMT-P EMS Coordinator Baytown Health Dept EMS Baytown, Texas > [] Re: quiet > > > Well, let me start a little discussion. Are there any > departments or services > on this list that do not obtain a signature from a nurse/doctor upon > transferring patient, and/or > are there any departments or services that do not leave a report at the > hospital? > > Ricky Black, Battalion Commander > Southlake Fire Services > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 1998 Report Share Posted October 3, 1998 What I meant was this: I personally will never leave a patient anywhere without having given a verbal report to the staff. Meaning a nurse or doc that will be assigned to that patient. Whether it is a hospital , nursing home, clinic, or whatever facility I am dropping off at. I also Insist on a patient report from a staff member when I pick up the patent. I will always leave a written report also. It may be incomplete, but at least have the pertinent info on it. I will note that is an incomplete report and fax the completed copy ASAP. This is CYA. I have seen instances when staff has complained about medics not giving a report, or not given a report to the correct staff member, and they don't know what that pts. problem is or how to treat it because they have no paperwork either. It's like the pt. was just dropped off there and they don't know what to do with them. This is esp. true with the elderly and unconscious unknown pt. etc.... Critical errors in care can be made because the staff did not get the pertinent info from the medic. Pamela McClanahan [] Re: quiet >Please explain your answer Pam. I'm interested as to why you make this >comment. > >Ricky Black, Battalion Commander >Southlake Fire Services > >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 1998 Report Share Posted October 4, 1998 Personally I believe good documentation of whom the patient was released to is sufficient, as for the Run Reports, I actually think this is a provider licensure requirement, any of you TDH guys wanna join in on this one? A., EMT-P Training Coordinator Falls County EMS michaelnelson@... http://fallscountyems.org [] Re: quiet I will respond to this. We are able to get signatures from a dr or a nurse in all hospitals we go into but one. The Elvis Presley Trauma Center at Memphis refuses to sign for our patients. We then request a name and title and write it into our reports. Hope this is what you had reference to. The transports into the Med as the trauma center is called are inter hospital transports and they are always expecting our patient for at least 1 to 1 1/2 hours. They told us their lawyers told them not to sign for the patients. Food for thought. Louise Joiner NREMTP in Rural Arkansas Carebearmedic@... RaaEMS605@... wrote: > In a message dated 98-10-03 21:04:20 EDT, you write: > > << Well, let me start a little discussion. Are there any departments or > services > on this list that do not obtain a signature from a nurse/doctor upon > transferring patient, and/or > are there any departments or services that do not leave a report at the > hospital? > > Ricky Black, Battalion Commander > Southlake Fire Services_ >> > > DFW Airport does both of the above! > > , BS, EMT/P > DFW Airport DPS > > ______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 1998 Report Share Posted October 4, 1998 Ricky, Check with on County EMS, I think Costello, they started using pen based systems, and have printers with IR ports in the ED's. A., EMT-P Training Coordinator Falls County EMS michaelnelson@... http://fallscountyems.org [] Re: quiet Hey Brad, Thanks for the response. I am not familiar with this law so Gene, it's your turn. I posed this question initially because we conducting our patient reports via computer. Pen based is not up to scale yet, therefore, paramedics were having to complete a written report, have the nurse sign it and return to quarters to duplicate the report by entering it into the computer. The long range goal is to implement pen based computerization. But today, and hence the question, I would like to have the medics take the patient in, provide a verbal followup from their phone patch, assist if needed, clear the hospital, return to quarters, complete the report and send the " FULL DETAILED " report to the hospital via fax/modum. As always, I want to entertain your thoughts on this because someone will always have a better idea or may shed some legal issues on this idea. Look forward to hearing from each of you. Ricky Black, Battalion Commander Southlake Fire Services ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 1998 Report Share Posted October 4, 1998 At 23:35 10/3/98 EDT, you wrote: >Are there any other agencies who have an active CISM Team.... ( Critical >Incident Stress Management ), If so, is it a private organization of is it >supported by a municipal agency...? (i.e. Fire Dept) > >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 1998 Report Share Posted October 4, 1998 At 03:21 10/4/98 EDT, you wrote: > >In a message dated 10/3/98 11:36:11 PM, you wrote: > >> I like their system and it seems like the wave of the future. Would be nice >>if the notebook had a built in printer >> >> >> Steve Watkins >> EMT-I > >At one point Austin EMS had laserprinters set up in the local ER's... just >cable in and and print... kinda straight forward. However I haven't seen a >computer based run form from them in a while... they may not be using >computers anymore... Anybody Know different? or why Austin Ems backed off of >the computer based system if they really did?... > >:-{)> >Jt >john emt-p >austin > >______________________________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 1998 Report Share Posted October 4, 1998 Jack Pitcock wrote: > > Good Evening... > > We do not require our medics to obtain a nurse or physician signature on the > patient chart. We do require that a copy of the chart be left with the > patient's records in the emergency department. > > Jack Pitcock, EMT-P > EMS Coordinator > Baytown Health Dept EMS > Baytown, Texas Jack, In the event of a legal dispute over when and to whom care of your patient was transferred to the hospital staff, how would you prove it? If the patient claimed abandonment by your employees, do you have a legally sufficient and admissible record showing who received the patient and when? Gene -- E. Gandy, JD, EMT-P EMS Professions Program Director Tyler Junior College Tyler, TX ggan@... Check out our website at: http://www.tyler.cc.tx.us/emmt/ ______________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
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