Explain Why You Need To Be Checked

At the beginning on each day the equipment and supplies on the ambulance needs to be checked. Need to check to be sure that there is the proper stock of the disposables and restock if necessary. Several main areas that are checked are airway and ventilation equipment, basic wound care supplies, medications and jump kit. The cardiac monitor should be turned on and checked daily. Each individual ambulance that is to be in use that day need to have their fluid levels checked. The heating and cooling systems need to checked. Wheels and tires require a check for inflation and wear. Engine belts, horn and siren should all be checked for problems. All doors need to open, close, latch and lock. Communications both vehicle and portable need to be checked to ensure proper working order. Vehicle should kept clean inside and outside. Oxygen tanks need to be properly secured to prevent them from becoming a projectile. Every door is opened and shut, every supply is checked, every storage compartment opened and checked, each piece of equipment turned on and tested. 2A.While there are many different ways dispatch systems operate they all have the same responsibility toward EMS. During each emergency call they need to collect a certain amount of information. This information would
be the caller's location, patient's location, type of call, number for returning calls, how many patients and an idea of the severity of their conditions. Weather conditions and any special problems are also gathered. Some areas also instruct the caller in providing care for the patient while awaiting the ambulance. 2B. Swift arrival on-scene is critical for several reasons. The first that comes to mind is that the “Golden Hour” is what determines the survival percentage. QUOTE (EXAMPLE?) The treatment speed is critical for controlling or getting ahead of shock. A second reason that is equally important is that delayed “Response Time” can be a dangerous violence trigger. A quote from the Global Journal of Health Science notes this, “ Due to anxiety resulted from the unexpected events, time passes slowly for those relatives of the victim.” Because of this warped sense of time the relatives fell that EMS is being slow, and that combined with the relatives sense of urgency easily escalates into anger on the part of the relatives. This anger is quickly directed toward EMS as verbal and/or physical violence. “Event Shock” another violence trigger also feeds into violence related RT. Global Journal of Health Science defines it this way, “Event Shock: Prevalence of sever unexpected event such as illness or trauma, which may be mild, severe and fatal, may cause anxiety and agitation, resulting in unpredictable and uncontrollable behavior such as violence.” En route to the scene is a preparation time for the personal. They review what they know of the patient and scene. The EMT drives the ambulance on most calls both to and from the scene. Basic personal protective equipment ti readied or donned as well as any that the call information seems to indicate will be needed. As the various aspects of the call are discussed tasks are assigned and the decision on which equipment will be initially taken in is made. At an accident, safe parking would be 100' past the scene on the same side of the road.
Parking in odd places can be a source of accidents, and should be taken into account when parking. Once parked, personal grab jump bag and any other prearranged on equipment and immediately asses scene for safety. A quick evaluation is made as to whether they need to call for assistance. The EMT begins patient assessment or in a mass causality begins triage. I f dealing with a trauma the mechanism of injury or MOI is determined and an evaluation for the need spine stabilization. On a medic call the nature of the illness is determined. Meanwhile the paramedic…… treatments, lifesaving interventions, hand para
things Once in the ambulance less critical interventions are begun like bandaging and splinting. Following this the patient must be secured to a stretcher or backboard if not already done. When ready to leave the scene notify dispatch of the number of patients, the receiving hospital, current condition and chief complaint. The person in the back, normally the paramedic, will be preforming ongoing assessments and rechecking vitals. A commonly accepted frequency for checking vitals is every 15 minutes for a stable patient and every 5 minutes for a unstable person. If necessary call the receiving hospital and online medical control are also called and informed of the patient and their condition. Reassuring the patient is also done as they are often anxious and worried. On arriving at the receiving hospital EMS reports to the triage nurse. After unloading patient from ambulance, the patient is taken to their assigned bed and transferred to it. The paramedic then gives a verbal report to either the receiving nurse or doctor, which promotes continuity of care. A written report is also done by the paramedic and left with the appropriate staff. Finally, on the return to the base, dispatch is notified of the unit's availability. Back at the base the vehicle is cleaned and disinfected as needed. Sometimes following a trauma the back of the ambulance is hosed out. Cleaning is the removing visible contaminants. All disposable items that were used are restocked. Disinfection: The killing of pathogenic agents by the use of potent means of disinfection.