paramedic patient care report accronyms

by Ana Schinner 9 min read

Basic EMS Medical Abbreviations and Acronyms

11 hours ago  · This acronym is an acronym that is used as a tool to record and document a patient's responsiveness to determine their level of consciousness. Alert. Voice. Pain. Unresponsive. SLUDGE. SLUDGE is an acronym for the symptoms of discharge of the parasympathetic nervous system that can occur from a drug overdose or ingestion of some … >> Go To The Portal


Assessment EMS Abbreviations
  • A&O x 3 - Alert and oriented to person, place and time.
  • A&O x 4 - Alert and oriented to person, place, time and event.
  • ABC - Airway, breathing and circulation.
  • AMS - Altered mental status.
  • BG - Blood glucose.
  • BP - Blood pressure.
  • BS - Breath sounds.
  • C/O - Complaint of.

How many acronyms are there in paramedic?

The list of 117 Paramedic related acronyms and abbreviations (August 2019): medical. education. medicine. emergency. service. business. ambulance.

What is a patient care report?

A patient care report is a document written by medical professionals to report about the patient’s wellbeing, care and status. This document consists of the result of the assessment and the evaluation of the patient being done by the EMTs or the EMS.

What do you call a medical abbreviation for EMS?

Medical Terminology September 26, 2018. Here are Common EMS Abbreviations and EMT Acronyms used by healthcare workers. Included are medical acronyms like PERRLA, AVPU, OPQRST, DCAP BTLS, and more.

What personal protective equipment should be used in pre-hospital care by ambulance?

Results: To ensure the health of all those involved in the care, health professionals who work in pre-hospital care by emergency ambulance should use the recommended Personal Protective Equipment ⁽PPE⁾, such as the use of surgical masks and N95, N99, N100, PFF2 or PFF3, the use of an apron or overall, goggles and face shield, gloves and a hat.

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What are the abbreviations for paramedics?

* = Asterisk indicates acronym.c (line over)cum (with)CCBcalcium channel blockersCCEMTPcritical care emergency medical technician paramedicCCUcoronary care unit76 more rows

What does PIC stand for in Paramedic?

Person in Charge - 2 paramedics in an Ambulance "I'm the PIC" - from Chicago Fire series.

What does CP stand for in EMS?

Community paramedicine is a relatively new and evolving healthcare model. It allows paramedics and emergency medical technicians (EMTs) to operate in expanded roles by assisting with public health and primary healthcare and preventive services to underserved populations in the community.

What is the acronym for the patient care report in its electronic format?

The prehospital care report or PCR (also ePCR when in the electronic format) serves as the only record of each individual patient contact, treatment, transportation, or cancellation of services within each EMS service.

What does POV mean?

point of viewpoint of view: used especially in describing a method of shooting a scene or film that expresses the attitude of the director or writer toward the material or of a character in a scene.

What does PIV stand for?

personal identity verificationpersonal identity verification (PIV)

What does Opqrst mean in EMT?

Each letter stands for an important line of questioning for the patient assessment. The parts of the mnemonic are: Onset , Provocation/palliation, Quality, Region/Radiation, Severity, and Time. (If you have not done so already) Add a new incident, or open an existing incident, as described in Add or edit an incident.

What does RA stand for ambulance?

English translation: rescue ambulance unitEnglish term or phrase:RA unitSelected answer:rescue ambulance unitEntered by:Agnieszka Hayward (X)Nov 18, 2003

What does PTA stand for in EMS?

Prior To Arrival + 1 variant. Government, Law Enforcement, Emergency. Government, Law Enforcement, Emergency. 3. PTA.

What are the four parts of a SOAP note?

The 4 headings of a SOAP note are Subjective, Objective, Assessment and Plan. Each heading is described below. This is the first heading of the SOAP note....ObjectiveVital signs.Physical exam findings.Laboratory data.Imaging results.Other diagnostic data.Recognition and review of the documentation of other clinicians.

How do I write a patient care report in EMS?

EMS providers just need to pull the information together and write it down in a way that paints a picture....Follow these 7 Elements to Paint a Complete PCR PictureDispatch & Response Summary. ... Scene Summary. ... HPI/Physical Exam. ... Interventions. ... Status Change. ... Safety Summary. ... Disposition.

What is EMR data?

Electronic medical records (EMRs) are a digital version of the paper charts in the clinician's office. An EMR contains the medical and treatment history of the patients in one practice. EMRs have advantages over paper records. For example, EMRs allow clinicians to: Track data over time.

What does PIC mean in healthcare?

Post-intensive care syndrome (PICS) is a collection of physical, mental and emotional symptoms that continue to persist after a patient leaves the intensive care unit (ICU).

What does PIC mean in hospital?

PIC stands for Peripheral Intravenous Catheter (medical)

What does PIC stand for in pharmacy?

Pharmacist in ChargePharmacist in Charge (PIC) versus Prescription Department Manager (PDM) Most of the confusion arises when discussing retail pharmacy businesses.

What is the full form of pic?

The acronym PIC stands for "peripheral interface controller," although that term is rarely used nowadays.

What is OPQRST EMT?

OPQRST can be used to assess a patient’s pain or chief complaint. The OPQRST EMT pain assessment tool helps the emergency medical technician get a clear picture of what’s bothering their patient and can be especially useful for chest pain.

When do EMTs take APGAR?

The APGAR test is a rapid head to toe newborn assessment tool. EMTs take the newborn’s APGAR score at one minute and five minutes after delivery to quickly determine if any treatments need to be done.

What is PERRL exam?

The PERRLA eye exam is a pupillary assessment and neurological examination that EMS personnel can do in the field.

What is the AVPU EMT tool?

The AVPU EMT tool is used to determine a patient’s responsiveness and level of consciousness in the field.

What does CC mean in medical terms?

CC – chief complaint (describes the primary problem of the patient)

What is an AED?

AED – automated external defibrillation (device that delivers electric shocks to the heart)

What does PE stand for in medical terms?

PE medical abbreviation for Pulmonary Embolism or Pulmonary Edema. (Can also be Physical Exam)

What does EMT stand for?

What does EMT stand for? EMT stands for Emergency Medical Technician.

Why do we need EMT?

Medical abbreviations and EMT acronyms are needed to make charting faster and more efficient in the field. They also provide an accurate and precise way to communicate with other healthcare providers about the patient. Many EMT acronyms are universal, but often they vary by region and department. This page features common medical abbreviations ...

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

What is an ED in medical terms?

Emergency Department (ED) staff for every patient arriving at the hospital by ambulance or helicopter.

How many EMTs are there in India?

Over the last decade, the public-private-partnership GVK EMRI (Emergency Management and Research Institute) has trained over 100,000 emergency medical technicians (EMTs), with greater than 21,000 currently practicing, to address this critical gap in the healthcare workforce. With the rapid development and expansion of EMS, certain aspects of specialty development have lagged behind, including continuing education requirements. To date, there have been no substantial continuing education EMT skills and training efforts. We report lessons learned during development and implementation of a continuing education course (CEC) for EMTs in India. Methods: From 2014 to 2017, we employed an iterative process to design and launch a novel CEC focused on five core emergency competency areas (medicine and cardiology, obstetrics, trauma, pediatrics, and leadership and communication). Indian EMT instructors and providers partnered in design and content, and instructors were trained to independently deliver the CEC. Many challenges had to be overcome: scale (>21,000 EMTs), standardization (highly variable skill levels among providers and instructors), culture (educational emphasis on rote memorization rather than practical application), and translation (22 major languages and a few hundred local dialects spoken nationwide). Lessons learned: During the assessment and development phases, we identified five key strategies for success: (1) use icon-based video instruction to ensure consistent quality and allow voice-over for easy translation; (2) incorporate workbooks during didactic videos and (3) employ low-cost simulation and case discussions to emphasize active learning; (4) focus on non-technical skills; (5) integrate a formal training-of-trainers prior to delivery of materials. Conclusion: These key strategies can be combined with innovation and flexibility to address unique challenges of language, system resources, and cultural differences when developing impactful continuing educational initiatives in bourgeoning prehospital care systems in low- and middle-income countries.

How is the handover process in the emergency department relevant?

Methods: We carried out a prospective, multicenter observational study using a specifically developed checklist. The steps of the handover process in the ED were documented in relation to qualification of the emergency medical services (EMS) staff, disease severity, injury patterns, and treatment priority. Results: We documented and evaluated 721 handovers based on the checklist. According to ISBAR (Identification, Situation, Background, Assessment, Recommendation), MIST (Mechanism, Injuries, Signs/Symptoms, Treatment), and BAUM (Situation [German: Bestand], Anamnesis, Examination [German: Untersuchung], Measures), almost all handovers showed a deficit in structure and scope (99.4%). The age of the patient was reported 339 times (47.0%) at the time of handover. The time of the emergency onset was reported in 272 cases (37.7%). The following vital signs were transferred more frequently for resuscitation room patients than for treatment room patients: blood pressure (BP)/ (all comparisons p < 0.05), heart rate (HR), oxygen saturation (SpO2) and Glasgow Coma Scale (GCS). Physicians transmitted these vital signs more frequently than paramedics BP, HR, SpO2, and GCS. A handover with a complete ABCDE algorithm (Airway, Breathing, Circulation, Disability, Environment/Exposure) took place only 31 times (4.3%). There was a significant difference between the occupational groups (p < 0.05). Conclusion: Despite many studies on handover standardization, there is a remarkable inconsistency in the transfer of information. A "hand-off bundle" must be created to standardize the handover process, consisting of a uniform mnemonic accompanied by education of staff, training, and an audit process.

What is clinical handover?

Clinical handover at the paramedic/emergency department (ED) interface is a potentially critical episode in the patient care journey, as omission of information can adversely affect subsequent actions and the treatment provided in the ED. Standardisation of the handover contents and processes has shown to prevent errors and omissions and improve the handover process. This review article explores two handover tools, SBAR* and IMIST-AMBO**, both of which have been used to standardise handover contents at the paramedic/ED interface. IMIST-AMBO provides an explicit structure to handover that is concise, complete, tailored to paramedic-ED interface, and that also aligns with the general informational expectations of ED staff. SBAR is more widely used but less specific. Further research work is needed to compare them and understand their acceptability and acceptance by different global health systems, considering environmental and cultural factors. Training requirements to ensure their respective correct implementation also need to be determined for evidence-based recommendations to be made to the various emergency services stakeholders. *SBAR stands for Situation, Background, Assessment, and Recommendation. **IMIST-AMBO stands for Identification/Introduction, Mechanism of Injury/Medical complaint, Injuries/Information related to the complaint, Signs and Symptoms, Treatment given/Trends noted, Allergies, Medications, Background history, Other information.

What are the key issues in patient safety?

Clinical communication and recognising and responding to a deteriorating patient are key current patient safety issues in healthcare. The aim of this literature review is to identify themes associated with aspects of the hospital clinical handover between paramedics and ED staff that can be improved, with a specific focus on the transfer of care of a deteriorating patient. Extensive searches of scholarly literature were conducted using the main medical and nursing electronic databases, including Cumulative Index to Nursing and Allied Health Literature, Medline and PubMed, during 2011 and again in July 2012. Seventeen peer-reviewed English-language original quantitative and qualitative studies from 2001 to 2012 were selected and critically appraised using an evaluation tool based on published instruments. Relevant themes identified were: professional relationships, respect and barriers to communication; multiple or repeated handovers; identification of staff in the ED; significance of vital signs; need for a structured handover tool; documentation and other communication methods and education and training to improve handovers. The issues raised in the literature included the need to: produce more complete and concise handovers, create respectful and effective communication, and identify staff in the ED. A structured handover tool such as ISBAR (a mnemonic covering Introduction, Situation, Background, Assessment and Recommendations) would appear to provide a solution to many of these issues. The recording of vital signs and transfer of these data might be improved with better observation systems incorporating early warning strategies. More effective teamwork could be achieved with further clinical communications training.

How has change in junior doctors working pattern improved clinical handover?

Introduction: Change in junior doctors working pattern has brought effective and safe clinical handover into a central role to ensure the patient safety and high quality care. We investigated whether the compliance and quality of clinical handover could be improved through the use of a standardised and structured handover template. Methods: A computerised template was developed in accordance with handover guidelines provided by the Royal College of Surgeons of England. Pre- and post-intervention audits against an eleven-point dataset pertaining to the handover of acute surgical admissions were undertaken. The results from the two discrete audits periods were compared to examine the impact of intervention. Results: There were 137 acute surgical admissions during pre-intervention and 155 admissions in post-intervention audit period. A significant improvement in overall handover practice was observed in post-intervention period. The documentation of patient hospital number (84 (61%) vs. 132 (85%) p<0.001), past medical history (39 (28%) vs. 75 (48%) p<0.001) and patient assessment by a senior member of the on-call team (3 (2%) vs. 125 (85%) p<0.001) all demonstrated significant improvements upon use of structured template. Compliance to effective handover improved following increased awareness of the importance of safe clinical handover among the junior doctors. Conclusion: Implementation of a standardised guideline-based structured handover template and training of junior doctors are likely to improve compliance to agreed standards, promote quality of care, and protect patient safety.

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