EMS World

NOV 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1042097

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Page 33 of 51

EMSWORLD.com | NOVEMBER 2018 33 mental health crisis plan for the county where the patient lived. Since it occurred in a rural county, crisis resources were not as robust as those available in the urban county more familiar to the team. The process of initiating an involuntar y mental health assessment order and obtaining law enforcement support can var y quite a bit from county to county, and it is important that CP teams are well versed with the emergency response capa- bilities for each county's crisis-response teams. 3) Conduct and document the "previsit" assessments more con- sistently and update the information on a regular basis—While there is a wealth of information potentially available on patients before we visit them, the process of assessing potential hazards and documenting them for others was not done consistently by many teams. The group felt research prior to the first visit was essential but that they should periodically repeat the search to identif y recent or previously undisclosed safety threats. 4) Obtain safety-related information from the referring facility on your intake forms—At times other home-care providers had interacted with the patient, only to discharge him from their care for safety concerns. The CP program should request access to these records as part of the integrated care team relationship with home health and other agencies involved. 5) Build relationships with local law enforcement—Law enforce- ment databases may be more detailed and/or accessible through different search parameters than what's available to the general public. Developing a trusted relationship with the agency may provide access to those data. For CP patients with a violent crime histor y, collaboration with the police while scheduling the time and/or venue of the visit may reduce police response times if the situation deteriorates. Regardless of potential col- laboration opportunities, these discussions are best explored before a crisis occurs. The combined group also explored using risk assessment matrices and tools used by comparable professions but were unable to identif y any that seemed appropriate for CP use. Changes in Policy and Practice Once the AAR was finished, another CP team in Pittsburgh, the CONNECT community paramedic team, revisited the discussion and tried to determine how to implement many of the best prac- tices discussed during the meeting. In addition to changing the documentation practices to more consistently and reliably note the results of previsit searches, the team also recommended the following changes: • Use of a personnel tracker and alarm system to track CPs while at work; • Develop a set check-in time at which the CPs will be contact- ed if they haven't made contact with the office while on calls; Images, chat, audio clips ... you control the best way to communicate about your patient. COMMUNICATE YOUR WAY Quickly send the driver's license, face sheet and other information to reduce turnaround times. PRE-REGISTER David Miller - 35 M Images Add Back Images, EHR, ECG ... with Pulsara's open platform the integration possibilities are limitless. INTEGRATION *Free means FREE. No catch. Free to EMS and the hospital. Don't let the other guys confuse you. Our Prehospital Package is FREE to everyone* BUILD A REGIONAL COMMUNICATION NETWORK The Future of Healthcare Communication is Connected Teams The Future of Healthcare Communication is Connected Teams SAVE TIME No more repeating the same information. One tap instantly shares your information with everyone. For More Information Circle 25 on Reader Service Card

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