Maintain documentation of "first aid"
went on duty, ambulance paramedic must sign the register of working time.Then he takes from the dealer on duty or at the senior paramedic medical box-stacking with medication, ECG, oxygen apparatus, sphygmomanometer and stethoscope, anti shock (resuscitation) stacking, a generic package, inventory, and other equipment and goods in accordance with the internal rules of the substationmake and record this in the relevant journals.Separately, he gets narcotic and potent drugs and makes it the corresponding entry.
When spending narcotic and potent drugs paramedic immediately after arriving at the substation should make a note of the write-down in special journals.
When a call arrives on-site paramedic receives from the Manager "calling cards", which is the main document.It identifies: the card number, arrival time and departure call the brigade, the reason for the call, namethe patient's age, address (street, house, apartment, entrance, floor, front door entrance code - if you have, as well as the landmarks
After arriving at the call paramedic writes to the card specified name, the patient's age, address (it can be different), and place of residence (registration) of the patient.
On the reverse side of the card is written patient complaints, anamnesis, objective research data on organs and systems, diagnosis, assisted its results.In the case of the introduction of drugs and hard drugs this is a separate entry with the date, time of administration and painting paramedic and other health workers - members of the brigade.
If necessary, call a medical specialist team or transfer an active call to the doctor clinic corresponding entry about it and reported to the dispatcher.
When hospitalization is indicated mode of transportation (walking, on stretchers, and others.), Accompanying persons, in the direction of one or another hospital.In the emergency room the patient is transferred to the duty doctor (paramedic), what he has to sign a "calling card."
In the "calling cards" notes the arrival time to the patient, time of departure of the patient, time of arrival at the hospital, the time of departure from the hospital.arrival time to the substation manager puts.When receiving a call on the radio the next time the end of the previous call himself indicates paramedic.
If the patient is transported to the hospital, and the direction (for example, from the district or another doctor) he is absent, on-site paramedic fills "accompanying sheet" and "Talon to the cover sheet."
These documents specify the same data: the number of "calling card", nameand the patient's age, address, diagnosis, circumstances of the accident (where, when and what happened), assisted transportation method in which the hospital delivered and when (time and date), the name of the assistant SMP.
These documents are filed in the history of the disease.After discharge, the patient "accompanying list" shall, together with the history of the disease in the archive and in the coupon indicates a diagnosis of a reception and a final clinical diagnosis (in the case of death of the patient - mortem conclusion), then the ticket is sent to the station, "ambulance".
After duty paramedic delivers medicines, equipment and implements, which are received by hand, the senior paramedic substation or your changer, and signs in the register of working time, where there is the end time of duty.