PT report to hospital staff

[TakRadio]

I'm fresh in the world of EMS fellas, I'm an EMT-I got my numbers 12 months ago, and finally got a job 6 months ago. I'm currently working at an ambulance company that does both 911 transport and Interfacility transports. I work on a BLS truck but am timid to pick up ALS shifts, due to still trying to learn my way around the area.

Pt care does not make me nervous, the thing that makes me nervous is giving pt reports to nurses or doctors. I keep getting told to keep it simple, short, and sweet. Maybe it's a confidence issue or the fact that I haven't done too much and I don't want to look like an idiot in front of the hospital staff or my partner. Are there any tips to organize the information I need to relay in a fashion to best get this task done and not make me feel like an inadequate EMT.

I come from a cook and restaurant background so I'm not too too much of a talker but I know I need to overcome this to be proficient in my job. Any help or tips are greatly appreciated, thanks.

 

[firecoins]

Age, gender, chief complaint, vital signs, interventions, reaction to interventions, relevant med hx and allergies, for or healthcare proxy if appropriate.

 

[Akulahawk]

I put things I'd add in red in the quote.

Name, Age, gender, chief complaint, pertinent findings (positive/negative), vital signs, interventions, reaction to interventions, relevant med/scene hx and allergies, for or healthcare proxy if appropriate.

Try to make your presentation of the patient take about 60 seconds. You want to be able to give them something to go on because YOU may be all the information they can get about the patient until they really can get things going. You don't want to delay care, so be concise and get the story told, but not so brief that all you're doing is just dumping an unknown patient off at their door, so to speak.

 

[heatherabel3]

We were taught to never say the patients name over the radio because people are listening and it violates privacy.

 

[Handsome Robb]

We were taught to never say the patients name over the radio because people are listening and it violates privacy.

If I'm reading it correctly they are talking about face to face handoffs.

If your radio reports take 60 seconds you are doing it wrong. Our rule of thumb is 5-10 for BLS/ILS transports and 10-20 for ALS transports.

 

[NomadicMedic]

We were taught to never say the patients name over the radio because people are listening and it violates privacy.

I think the OP means the verbal handover at the hospital.

Mine is almost always the same... Only the medical details change. The framework is always consistent.

If the patient is awake, I ALWAYS introduce them to the nurse or doc taking report then tell a quick story.

"Julie, this is Jane Doe. She's 46 and has been complaining of nausea and vomiting since 5 this morning. She work up feeling crummy and hasn't been able to keep anything down. Aside from the nausea, no other complaints. She has a history of HTN and diabetes and is compliant with her meds. No allergies. Sugar was 85, sinus at 70 on the monitor, 12 lead was unremarkable. Pressure was 110/60, and respiration was 20, non labored. She has an 18 in her left AC, bloods were drawn, and she has 8mg of Zofran on board. Anything else I can tell you?

Then I always say goodbye to the patient and shake their hand.