EMSCharts Mobile Version 3

UPDATE and Notes

KMM 1/2012

EMSCharts Mobile has been updated

• The New EMSCharts MOBILE program was redesigned to look more like a “Windows” Program

• Very few fields were changed, a few were added, but all look different.

KMM 1/2012

Logging Into V3

Updated Username boxAllows to type-ahead

Passwords are the same asBefore

KMM 1/2012

Main Screen

Start Page forYour Shift

Not Mandatory

Pt Records Button showCharts pending upload

“NEW” Creates a new Chart

KMM 1/2012

Main Screen

Start Page forYour Shift

Not Mandatory

Pt Records Button showCharts pending upload

“NEW” Creates a new Chart

KMM 1/2012

Patient Records

Open Charts will be listed hereOpen Charts will be listed here

KMM 1/2012

Patient Records

Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse Trip (not used)Upload and Delete from Laptop

Options IncludeOpen (Edit / Continue)Print (Print Draft Copy)DeleteReverse Trip (not used)Upload and Delete from Laptop

KMM 1/2012

Dispatch - General

Pages are on a single drop down menu from the left

Fields Drop Down or pop out

You can advance pages with the Arrow Button in the corner

KMM 1/2012

Dispatch - VehicleMileage has it’s own page and allows for decimal point entry now

KMM 1/2012

Dispatch - Crew

Crew roles are expanded to prevent confusion with the “D” “P” “S” “T” codes

You can use “Other” for someone essential to patient care

KMM 1/2012

Dispatch – Referring / Receiving

Where you picked them up, and where you went. Nothing has changed.

Use the “Location” for the frequent places we go.

KMM 1/2012

Patient Information - Patient

You must ADD/EDIT to create a patient.

Add patient Name and DOB or Age as soon as possible.

This will change pick lists further down the chart program.

KMM 1/2012

Patient Information

This is a popup window.

Add as much info as you can.

The “Transfer” button makes things easy.

Remember to hit SAVE and not “X”

KMM 1/2012

Patient Information

KMM 1/2012

Patient Info - Other

Physician Info

Employment (usually only if work related injury)

KMM 1/2012

Patient - HX/Med/Allg

Click on one of the Add/Edit button, or use the NONE

Add/Edit generates a popup box

KMM 1/2012

Patient – HX/MED/Allg

Improvement

You can “Type Ahead” and get medications matching the letters you are typing.

Select and Add or Double click the medication to move it to the list.

Same goes for MedHX and Allergies

KMM 1/2012

Chief Complaint/SC/HPI

Chief ComplaintSecondary Complaint

History of Present Illness

KMM 1/2012

Chief Complaint/SC/HPI

• CHIEF COMPLAINT– This is a very SHORT description of what is wrong.

• SECONDARY COMPLAINT– This is if there are second, or underlying

conditions

• HISTORY OF PRESENT ILLNESS– This is what lead up to the call for assistance

today – leave it at ‘why they got sick’

KMM 1/2012

CC - Impression

Simple Questions

KMM 1/2012

CC – Cardiac Arrest

CPR info if you have it.

Get as much as you can, even if you have to download info and add it later

KMM 1/2012

CC – Vehicle Incident

MVA’s require this information to be filled in

KMM 1/2012

CC – Injury Details

“Trauma” (Minor or Major) requires details about their injury and incident

KMM 1/2012

CC - Scene

Information about the scene goes in here.

IMPORTANT – if you had an intercept medic from another agency on scene, it goes in the OTHER EMS box

KMM 1/2012

CC - FactorsInformation that delayed your response, or access to a patient or scene get’s documented here.

This included getting “Staged” for police – you can reflect that in the “AT PATIENT” box in the times

KMM 1/2012

CC – Patient Movement

Document how the patient got to the ambulance

How they were transported

And how they made it into the ER

KMM 1/2012

CC - BelongingsPaperwork, Bag of Medications, Walker, etc etc etc

KMM 1/2012

CC - ExposureIn addition to department paperwork, it is a good practice to document any exposures on the PCR – this way it’s a document related to the patient.

KMM 1/2012

Neuro/Airway

Simple Box’s – “ON MY ARRIVAL” this is what I observed – not how they became enroute to hospital.

This is an INITIAL finding.

KMM 1/2012

Scores

Initial FINDINGS on arrival

KMM 1/2012

Scores

Note:

GCS options change based on age of the patient

KMM 1/2012

Pupils / Motor Sensory

On my arrival…. This is how I observed them…..

That is why these pages are called “Initial Findings”

KMM 1/2012

ImmobilizationYES or NO . .

ON MY ARRIVAL the patient was ALREADY Immobilized?

If the first responders had patient packaged BEFORE you had contact, then YES the patient was.

Otherwise, usually NO

KMM 1/2012

Immobilization

IF YES – the it was Prior to your arrival – That is what PTA means

Who was it done by?

KMM 1/2012

Airway

On my arrival….

Patient’s Airway was ______(BEFORE I got there)

KMM 1/2012

Resp / Cardio

When I got there, patient was . . . .

NOTE, the system defaults with “COMMENTS” already populated.Change these if this is not the fact.

Was the patient on Oxygen when YOU got there? Document it here.

KMM 1/2012

Cardiovascular

Your Findings on Initial Exam

KMM 1/2012

Secondary Survey

Using the ADD button will pop up the human figure

KMM 1/2012

Secondary Survey

There are a number of options with clicking, providing description, including marking up BURN information

Click on an area, add comment, click Save

KMM 1/2012

Secondary SurveyDon’t forget your SKIN Assessment

KMM 1/2012

Activity LogThis is a chronological Log of everything you do for the patient

It can be accessed by the NEW button

Or ANYTIME in charts by the Vitals / Activity Button

KMM 1/2012

Vitals

Vitals

This is a pop up window

Make sure you hit SAVE

KMM 1/2012

Vitals - Procedures

Almost EVERYTHING you can do (as an EMT) for the patient, is a procedure and is found here.

Click on the correct Category

KMM 1/2012

Vitals - Procedures

Providing OXYGEN is a procedure on a patient, and is found underPROCEDURES>>AIRWAY LOG

KMM 1/2012

Vitals - Procedures

BACKBOARDING is a procedure, and is documented here – “Immobilization LOG”

Get the Idea of Procedures Yet ???

It’s not an HPI !!!

KMM 1/2012

Signatures

Capturing Signatures has not changed, just where you find them has

For billing, use the “NON-PDF SIGNATURE” tab

KMM 1/2012

PDF Form

The BACKUS Pre Stroke Screening form is available, you can write on it and save it as an attachment to the PCR

KMM 1/2012

Upload Charts

There is an UPLOAD CHARTS button that is accessible from inside the PCR – this is a TEMPORARY upload.

HINT: DO NOT USE THIS BUTTON

(No we cant turn it off)

KMM 1/2012

Back to Main MenuAs Mentioned, this was changed to work as windows. To get to the Main Screen, click on the “X” in the corner.

As long as you have tabbed or arrowed thru fields, you PCR will be saved (On the tablet still)

KMM 1/2012

Main Menu

Printing from Tablet

Select the Chart you want to print, and click PRINT

KMM 1/2012

Print Draft

As before, from the tablet is a DRAFT, enough so you can leave patient information at the hospital.

Chart is only CLOSED and OFFICIAL and ADVANCED from the WEB

KMM 1/2012

Advancing to WebAll done and need to move it to the Web?Select the Chart and click on “Upload and Delete from Local (tablet).

(Of course you need the Wi-Fi connection at the firehouse to do this)

KMM 1/2012

Done

• Congratulations – you have just upgraded to EMSCharts Mobile Version 3

KMM 1/2012