We still use a paper work sheet or Pt Health Care Record that allows us to be able to respond to the next urgent job without having completed it.
Management are introducing an eMR or electronic medical record that will have many benefits but it's main draw back is the necessity to complete the document before you can commence a new job. In the city this is going to cause havoc.
One station trialled it and it was taking 30 min at best to complete but if the printed didn't sync or the hospitals dock didn't sync,,,, your fuc*ed.
So it was yesterday that my partner look forlornly at me with 30 min to end of shift an' said 'I'm still 3 sheets behind'
65M - Driver of one car in an MVA. Nil injuries, low speed, car still drivable but requested transport to spend the rest of the morning in the waiting room.
70M - Vomiting and Diarrhoea, we would usually advise them to stay at home if able to tolerate oral fluids rather that infecting the whole department with a tummy bug but due to other co-morbidity's we transported and he got a bed pretty quick so triage agreed with me.
12F - Fell of her horse. A little lumbar back pain with no motor/sensory deficit. Transport for assessment.
43M - Partially homeless dude who has shocking left deficit post CVA 2/12 ago and refuses to do rehab or claims nobody offered it to him????? Police thought he was pissed also but that was just the CVA. Transport for community welfare.
25F - On the methadone and still a bit drowsy after her hit this morning. A bit of O2 and some conversation woke her up and generally improved her GCS. She had been seen sleeping in a doorway for most of the morning so the main drowsiness post the Done was gone. We spent 20 odd minutes and she left the area to go home.
87F - Syncope. I was happy that it was just a cafe syncope, hot sun, a little wine and some food but we transported anyway and this lady was normally an active healthy (no medications at all) person.
35M - What would you think if you found a guy drug fuc*ed, GCS = 7 (1,1,5) with three disposable mobile phones and 3 an' a half large in his pockets? He's been sampling his own wares a little too much! We and the Police did. They took his property for him to attend the station and collect when he felt like it and we took him.
68F Street fall, managed to hobble home but her knee got worse and there was a nasty lac on her elbow that needed stitches anyway.
Not a lot of work but it didn't really start until mid morning anyway.
See you at the big One.
Taz
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04 April 2011
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