When you complete this module, you will be able to:
• Enter assessments
• Enter procedures
• Enter injuries / other physical findings using the Anatomical section (mannequins)
• Access BCEHS Treatment Guidelines
• Use the Summary table to view and edit assessments and procedures
The Assessments entry screen includes the same types of pick lists and summary tables you’ve used elsewhere in Siren, and some buttons specific to this screen. You can enter multiple assessments from this screen.
Key Point: There are several functions available from the buttons on this screen:
• Copy: Use this when you are repeating an assessment and findings are the same.
• New Same Type: Use this when you are repeating an assessment and the outcomes are different.
• Reason for not administering: Use this to indicate why an assessment was not done, when
that information is pertinent to the patient care record. The assessment will appear on the summary table with a strikethrough to indicate that it was not done, such as “Refused” as shown in the image.
The Assess / Tx tab is comprehensive. It is where you’ll enter assessments, procedures and the specifics of injuries / other physical findings.
Key Point: For each assessment and procedure there is a detailed screen tailored to that specific treatment. This module isn’t going to cover the specifics of each screen. As you practice with Siren and work with it on car, you’ll become familiar with the assessments and procedures you commonly use.
This screen is very similar to Assessments. You can enter multiple procedures from this screen.
Copy, New Same Type and Reason for Not Administering are available in Procedures, just as they are in Assessments.
Key Point: Authorizations: Do not use the authorization button. See EPOS / Authorizations below.
Key Point: SaRC (Success, Response, Complications): You must make a SaRC entry for every procedure where SaRC is available. Each SaRC screen will be different, based on the procedure it relates to.
You can use the Procedures section to make an entry for contacting EPOS or a hospital.
IMPORTANT: Make a Procedures entry for EPOS instead of using the Authorizations button.
Key Point: Within the Treatment Guidelines menu, there is a single pick list item labeled BCEHS Treatment Guidelines which, when clicked, opens the online version of the BCEHS Treatment Guidelines. When you select this item, you are indicating in your PCR that you referred to the Treatment Guidelines for an Assessment or Procedure performed.
If you need access to pictures or full appendices, access the PDF version of the Treatment Guidelines on the BCEHS Intranet.
It is easy to enter physical assessment findings such as injuries using the features in the Anatomical section.
Key Point: There are two modes for entering findings: single-body part selection mode, and multi-body part selection mode.
Use single mode if you are entering a finding for only one location. For example, the patient has only one abrasion, OR multiple abrasions in one small area (one location).
Use multi mode if to enter findings of the same type in multiple locations, such as multiple abrasions.
Key Point: Dots appear in yellow or green on a body part:
• A yellow dot means open for editing. You can select items from the pick list and add details
• A green dot means closed for editing.
• You can change the color (status) of a dot from yellow to green by clicking it OR by clicking elsewhere to add another injury.
1. Enter date and Done by.
2. Select single or multi-mode.
3. Rotate the mannequins. Use the buttons to the left and right of the mannequins to turn them and access the body part you need.
4. Click on the mannequin to enter the finding.
a. The mannequins are divided up into sections. To view the sections, click on the View Grid button.
b. Use the zoom functions to enlarge an area for more accurate location entry.
c. Prior to adding any details, if you’ve clicked in the wrong location you can click again to delete.
5. Use the pick list to enter findings / pertinent negatives and add details.
a. Within the details section you can enter a count. Use this when you have the multiple findings of same type, same location.
b. The finding details appear in a box with a pointer to the body part. Click to expand and view the details.
Key Point: Multi mode is used if the patient has findings of the same type in multiple locations. Examine the image to the right and review the steps to enter findings in multi mode.
Key Point: The key point with multi mode is that after you’ve selected your finding from the pick list, the finding will be applied to all locations. You must then return to single mode to enter details for each location.
NOTE: Findings entered using the Anatomical function will appear in a summary table as well as in the overall Assess / Tx Summary tab.
The Summary table in Assess / Tx includes all assessments and procedures (including EPOS entries), findings entered in the anatomical diagram, as well as an indication that you have accessed the treatment guidelines.
• Recall “eventing” which was introduced in Siren Workflow? Assess / Tx is probably where you’ll do that the most – tap in an entry for a procedure or a treatment at the time you do it, and enter the details later.
• Once you’ve opened an item from the Summary table, use the Previous Item / Next Item buttons to move from entry to entry. This is a real time saver.
• For each assessment and procedure there is a detailed screen tailored to that specific treatment.
• For both assessments and procedures, you can use Copy / New Same Type to reduce your data entry. You can also indicate “Reason for Not Entering”.
• Make a SaRC entry for every procedure where it is available.
• Do not use the Authorization button. Instead in Procedures choose EPOS from the pick list and enter the information there.
• Anatomical
o You can enter physical findings in the Anatomical section using single or multi mode, but you must be in single mode to add details.
o On the mannequins , you can add or change the details for an injury only when it is selected – indicated by a yellow dot.
o Multi mode is used if the patient has findings of the same type in multiple locations. The key point with multi mode is that after you’ve selected your finding from the pick list, (the finding will be applied to all locations), you must return to single mode to enter details for each location.
• Within the Treatment Guidelines menu, there is a single pick list item labeled BCEHS Treatment Guidelines which, when clicked, opens the online version of the BCEHS Treatment Guidelines.