Stoplight EMS Handoff Report
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- čas přidán 24. 08. 2024
- "The Stoplight" is a program we have implemented at Loma Linda University Medical Center Emergency Department to improve communication as well as the hand off process between EMS and ED Staff. This process was started as part of a joint effort between LLUMC ED, Trauma Services and the Colton Fire Department. We have seen communication and hand off report greatly improve as a result of the stoplight.
Yay Loma Linda!!! Love transporting my patients to this hospital because you guys are one of the only ones that won’t have us repeat ourselves 50 times because everybody is talking at once. Communication is so much better since you guys adopted this communication technique.
as a doc, we check airway first, then EMS gives report while we move patient to bed - no need to wait and keep on stretcher.
Wow!!!! I can imagine how an activation might be ran a little differently than the norm.😜 Cheers to everyone involved in this.
Reminds me of the Bell 412 that crashed after leaving Loma Linda in Hesperia. I notice the footage in this was taken on board a Mercy Air Bell 412..
The actual report starts at 02:56
Also (sorry) but when the paramedic walks in the room, the only person talking should be the paramedic/ doctor who is handing over, make sure you project to the entire staff not just the team leader, and it's always a polite thing to start of with 'good afternoon ladies and gents'
To start a handover I always do this
" who is the team leader? Guys can I have hands off and eyes on until my handover is complete please.. good afternoon ladies and gents this is Mrs Jane Doe, aged 85, at 15.35 today was a pedestrian Struck down by a car traveling at approx 20mph. [pause for a second] (that tells them what has happened)"
Then go on:
"Her injuries top to toe include (say what she has then say what she doesn't have) a partial scalping to head down to bone visible, right hip fracture and open fracture of the right ankle, no c-spine tenderness and abdomin is soft, she has bilateral air entry.
Then give sats and symptoms:
"Pre-arrival [insert patients name] had no L.o.c (loss of consciousness) on scene and has been conscious throughout, she is fully GCS 15 and responds well to voice commands and she is currently heamodynamically stable. Patients airway is clear so no intubation or ventilation required.
[pause]
Jane Doe has IV access on her left radius and no IO access has been required at present.
No chest drain has been inserted as of yet.
Pulse is:BP is:SPo2 is:Respitory rate is ___ however unaided is: __ and agonal/regular etcTempriture is a standard/irregular:
ANY QUESTIONS SO FAR?
Treatment given: we've splinted her right leg using a vacuum splint. (Tell them any cardio version, shocks or chest drains and needle decompression and anything you've done.)
She has no allergies none of.
We have given her xyzabc medication last given at14.36 and she has been on oxygen therapy throughout.
BACKGROUND INFO: (speed of crash, position found in, did anyone die?)OTHER INFO: (family en route? Will police be needing to speak to her?)BEHAVIOURAL INFO: (irrational, on drugs? Alcohol?) MY RECOMENDATION: I recommend she goes straight to CT after a head, chest and abdomen X-ray"OVERVIEW: "so just to summarise..."
IS THERE ANY OTHER QUESTIONS FOR ME?
"Thanks guys, see ya later Jane Doe hope you get better soon! [exit]
thank you so much for this detailed comment
ALSO: the only "pre-hospital" info they need is this
" hey there it's tom Quinn calling from the trauma team..I'd like to call in a: code red/Code blue/trauma call/medical emergency.
For a 22 year old female for a fall from height suspected suicide, patient is currently unconscious but briethig and is intubated and ventilated, we'll be coming to you via land ambulance and our time until arrival is 14 mins that's one four mins"
Hello. We would like to use this at our facility. Is there anyway you could send this video file so we could shrink it down for quick education? Thanks.
I am emergency technologist from Pakistan 3 years experience...can any job give me in your country in emergency department....what requirements for apply job and what process for migration
I don't know where this is, but it's pretty piss poor. (Watch some handovers online from HEMS LONDON Air Ambulance to places like George's and Kings or St Mary's London.
The handover was mumbled and fumbled, the worst part is it was off the top of the guy's head.. follow a patient handover sheet, and make sure you tell what medications you have given and the last time they where given!
tom quinn where can I find this online?
100% could not agree more.
Are you the guy in the room that corrects peoples grammar...you are arent you...
@@benjaminlong4916 Well no he's explaining how this method of a handover is fucking awful and no one should be doing it.
15 second reports here