Communionanddocumentation: Developpositiverelationshipconfidenceinyou,establishesgoodcommunicationb/tyou Compensateforculturalandmedical(hearing)problems Usecommunicationsformanagingresourcesandotherpersonsonscene(family,EMTs) Workingwithateam Written,verbal,motions/gestures Usepropermedicalterminology(latinistheuniversallanguageofmedicine) Intro: Transmitinformationverballyandnonverbally Documentation:patientsmedicalrecords(permanent),ifyoudidn'twriteitdown,itdidnot happen,helpspatientinthefuture.Doitappropriately. Patientrecords:Ensurespropertransfer,complywithheathdepartmentrequirements. Radioandtelephone:Linksyoutoresources.Knowwhatyoucan/cannotdo.Youcanhavethe toolbutyouneedtolearnhowtouseitproperly.

Therapeuticcommunions: Bothverbalandnonverbal.Messageiscodedanduncodedandamessageisinterpretedfrom thisinput.Thiscanbedonethroughspeaking.Messagesarealsosentthroughgesturesand generaldemeanor.Remembertotakeintoaccountthatdifferentpeoplewillhavedifferent needswhencommunicating.Mostofustalktofast.Speakwithauthority,beconfident.Body languageandeyecontacteffectedbyculture.Tone,pace,volume.Ethnocentrism:remember thatotherculturesexist.Donotforceyourcultureonsomeoneelse. NonverbalCommunication: Bodylanguageprovidesinformation.Facialexpressionsandsubconsciousactions.Physical factorshamperthemessageyouaretryingtosendtothept.Startoutfourfeetfrompt.Work inastrustisdevelopedb/tyouandpt.Keepquestionsshortandsweet,leavethemopen endedsotheyhavetothink.Createbondwithpatient,noteasybutitisnecessary. FacilitationWhenpt.Givesyouananswerbutyoudonotfeelitiscomplete,asktoexpand SilenceBequiet,letthepatientgettheirthoughtstogether. ReflectionTakeinformation,repeatitbacktothem.Isthiscorrectsir? EmpathyBeabletorelatewiththem ClarificationWhatexactlydoyoumeanbythat?Likefacilitation ConfrontationDonotwanttoadmitseriousnessofconditionorgivelonganswers,focusin InterpretationExplanation,isthiscorrect? Interviewingtechniques: Touchshowscaringandcompassion.Usecautiouslyandsparingly.Createsbond.Coldhands areaturnoff.Keepeyecontactatalltimes.Provideyournameanduseproperptname.Tell thetruth.Lossoftrustmeansyouwillnevergettheirtrustagain.Mightnotevergivetrustto medicalprofessionalagain.Littlekidslikeliedetectors.Uselanguagethatisunderstandable. Becarefulofwhatyousay.Slow,clear,distinct.Givetimetoanswer.

Communicatingwiththeelderly: IdentifyyouareanEMT.Wedeservetheirrespect,theymightnotknow/understandit.Be distinctandspeakalittlelouder.Explainhatyouaredoing.Bepatient(haha,pun.)They mightnotfeelasmuchpun,mighthaveacocktailofmedicalconditions.Allowthemtopack forthehospital.Hearingaids,glasses,dentures,medicalequipment. Communicatingwithchildren: Theyarefrightened.Feelscared,didIdothat?Trainedtobescaredofstrangers. Ambulancesareintimidating.Easiertodealwithifparentsarearound.Letthemhave somethingorsomeonepersonal,parentortoy.Gofeetup,buildtrust.Theyarelittlelie detectors.Gothroughtheparents.Beateyelevelwiththekid,thiswillbuildtrust,notseem intimidatethem.Tellthemitwillbehurt,bestrong,bethetoughguy.Doitinprivate,notin groups,mightintimidatethem.Maintaineyecontact,beprofessional. Hearingimpaired: Letthemseeyourlips,raisevolume,donotshout.Workwiththeirdisability.Shortquestions, tothepoint. Cannotsee: Notalways100%blind.Expectthemtohavenormalintelligence.Explaineverythingyouare doing.Alwaysmaintainphysicalcontact.Beaguide.Bringtheiraidsifpossible.Bringtheir dogtoo,arrangeforcareifnotavailable. NonEnglishspeakingpatients: Mustgetmedicalhistory.Youcanusehandsignalstocommunicateorapicturebook.Pointto bodypartsifnecessary.Havefamilymemberinterpretforyou.Phonesalsowork.Shortand simple,basicEnglishquestions. Communicatingwithhealthcarprofessionals: ReportingdoesnotendwhenatED.Giveareporttothehospitalstaff. Oralreport: Name,chiefcomplaint,illness,detailedinfoinpersonnotoverradio,othermedicalhistory. Patientsresponsetotreatment,vitalsignsinroute.Otherinformationthatshouldbegivento theEDstaff. PatientCareReport(PCR): Prehospitalcarereport,legaldocument,recordsfromdispatchtohospital. Continuityofcarewhatyouknowgetspassedon Legaldocumentationbecareful,mightbiteyoulateron Educationcanbeusedtodeterminequalityofcare,whattodobetter,learnfromacall Administrativeinformationhowmayhoursputon,responsetimes,ect. ResearchrecordCanbeusedforpapers Includes:Chiefcomplaint,levelofconsciousness,vitalsigns(usedtoseechangeinthepatient overtime),initialassessment,patientdemographics.

Canbeonlineoronpaper,checkboxes,narratives.Thenarrativeisthemostimportantasit describestheinterventionsandthestateofthepatient.Thenarrativepaintsapictureofwhat occurredwithoutbeingthere.Includestimesofevents,assessmentandfindings,care provided.Howdidthepatientrespondtotreatments,observationsofpatientandthescene, finalassessmentofpatientbeforetransferringcare.Documentthatcarewasrefused.Notewho wasthepersonwhocontinuedcareofthept. Reportingerrors: Donotcoverupthemistake.Crossoutwithasinglelineanymistakeyoumake. Specialreporting: GSW(gunshowwound),dogbites,infectiousdisease,suspectedabuse,MCI Medicalterminology: Latinbased,commonlanguageusedbymedicalprofessionals,canmakeyoumorehelpfuland gainrespectamongthelocalhealthcareproviders Communicationsequipment: TwowayOnereceiver,onetransmitter.Mobileradioinambulance,usedtocommunicate withdispatchandmedicalcontrol.Oftenhavemorethanone.Portableradios:limited distance,usedatMCIs,contactdispatch,anotherunit,medicalcontrol.Repeaterreceives transmissionsandbooststhepowertoallowmessagestotravelfarther.Pagingsystemsand medicalinfobeingtransmittedtohospital.Communicatewithhospitalviacellphone. AmbulanceshaveaPAsystemintegrated.Simplexandduplexchannels.MEDchannels reservedforpolice.Trunkingsystemallowsforgreatertrafficamount.FCCmonitorsradio communicationsintheUSandforEMS.Theyarelisteningin.Dispatcherrelaysimportant informationtotheEMTsandcanpaintapictureofthecallbeforegettingonscene.Organize communications.Medicalcontrolonlineisoverradioorcellphone.