Layered response - each crew authors an ePCR:
I. Each crew that makes patient contact MUST record their assessments, and any care provided in the Siren electronic Patient Care Record system. In Siren, options are available to create a new PCR or to amend a copy from another crew using the transfer control command. In most cases, it’s more efficient for both crews to start the PCR by applying a CAD event and/or using the BC Services Card scanning feature.
II. Crews also have the option of documenting patient contact by using only one ePCR, provided all paramedics and EMRs providing direct care (assessments, vital signs and procedures) are logged into the ePCR with their Siren user profile (not as a non-system user).
III. The Attendant assuming the role of primary attendant and accompanies the patient until hand over to hospital is responsible for ensuring the coauthored ePCR is complete and correct.
IV. Each crew MUST write their own assessments and treatments on this coauthored ePCR, and all involved in the care MUST be given the option to review the form.
Reference: BCEHS OPS 010 Patient Care Report SOP (section 3.d.ii).
Example of a layered call:
An ACP crew performs a 12 lead ECG and administers ASA prior to PCP crew transporting on their own. The ACP Attendant then logins onto the ePCR of the PCP crew and documents ALL their patient care (assessments and procedures performed; vital signs). All entries will have the “Done By” fields changed to reflect the appropriate crew; also to be included, is an applicable narrative of their assessment. Do this by utilizing the “History of Chief Complaint” text field and preface the comments with date; time; and employee number.
In the event where one crew accompanies another crew to the hospital with the patient, they are permitted to add themselves to the transporting crew’s PCR instead of creating a separate PCR. If that crew member is a higher license level than the first crew, they will be the Most Responsible Paramedic and be accountable for the patient’s care until transferred to the receiving care location.
Health Care Partners or a higher license level assumes care:
This may include transfers with RN or physician escorts, or paramedics with a higher scope of practice like CCP, ACFP or PCFP). Taken directly from the BCEHS Memo - Reminder to complete Electronic Patient Care Reports (ePCR), by COO Jenny Helmer, October 31, 2024.
a) All patient events require a completed and submitted ePCR, including events where a nurse, physician or other paramedic is responsible for care.
b) In the case of an escort or other provider, the ePCR should at a minimum include the patient demographics, event details (location, times, etc.), names and PHSA ID of our staff and names and professional designation of all clinical escorts.
c)The ePCR should also include a notation about who provided the patient care – i.e. “patient care was provided by RN Leslie Smith from BC Children’s Hospital”.
d) Complete all PCR documentation and finalize the ePCR at the end of each event. In the event a Siren Downtime form is used, it must be transcribed into Siren prior to the end of the shift.
Lift-assist with another BCEHS crew on scene
Reference: BCEHS OPS 010.1 Patient care Report SOP.