• Explain the Siren workflow:
o from beginning to end of a shift
o from beginning to end of a call
• Describe efficient ways a crew can share the Siren PCR tasks
• Explain when and how paper PCRs may be used
You’ll be working with Siren Field User on your Toughbook throughout your shift and during all calls. In this module, we’re going to look at your workflow, breaking it apart into several layers.
In the module Siren Field User: Set Up Your Crew, we took a quick look at the Siren workflow across a shift.
As shown below, there are tasks you will do at the beginning and end of your shift, and tasks you will complete for each PCR.
During Shift: Add PCR--Enter information, signatures and attachments-->Review & Finalize / Print (if no SNB)
End of Shift: Log out of Siren-->Log out of Toughbook
Key Point: Here are 3 easy steps to complete a PCR:
1. Once a CAD message comes in for a call, add a new PCR either manually or using CAD download. (See the module The Start of the Call)
2. Enter information, signatures and attachments
a. Go to the Review tab, access your Required Fields and enter as much information as possible.
b. Continue to enter information, obtain signatures and add attachments throughout the call.
3. Review and finalize
Key Point: Siren’s Patient Lookup function allows you to import information from a patient’s prior PCRs created in Siren. When it’s possible to do so, find out if your patient has been treated by BCEHS paramedics previously. If a PCR was created in Siren for that person, you can use Patient Lookup to import from it. (Requires server connectivity).
Key Point: Enter these two items as soon as you know them:
• Receiving facility, so that the SNB will display the PCR in advance of your arrival
• Impression (with type), so that this information displays on the SNB.
Key Point: When there is no SNB at the receiving facility, you will need to print two documents: an Admitting Report and a complete PCR. (For more information see the module Review & Finalize.)
Key Point: Whether you’re the attendant or the driver, you’ll be working with Siren. Right from the moment the CAD message notifies you of a new patient event, through to the end of the call, you’ll work as a team towards your primary purpose: patient care. Second to patient care, you’ll be teaming up on your documentation.
Key Point: Here are some tips on how to use Siren as a team (all steps dependent on the acuity of the patient):
• Login: Attendant handles the Toughbook and logs into IDIR and then Siren, hands it to the Driver so they can log in.
• En route: Attendant manages CAD messages and enters information into Siren
• At the scene: Depending on acuity of the patient, driver may enter demographic, patient history information, etc.
• During assessments / procedures: Either the Attendant or Driver may tap in times for assessments and procedures, with the details to be filled in later. We call this “eventing.”
Key Point: Eventing means that you enter a time for an activity, such as a set of vital signs, an assessment, procedures, etc., without entering the details of the activity. Because you’re focused on patient care, you won’t have the time to enter the details of your activities while they’re happening. You may find it helpful to simply click a particular assessment or procedure button to automatically timestamp it with the current time. You can then go back and enter the details at the end of the call. This is much faster and more accurate than entering the time manually later, when you’re entering the details of the activity.
• At the hospital: Attendant will complete the PCR and finalize, prior to printing the complete copy.
Key Point: Once you have completed your Siren Field User training, you are required to complete a Siren PCR for every patient event.
In the event that a component of the Siren system malfunctions, you will use a paper PCR as an interim measure, then transfer that information into Siren, in all circumstances.
In addition, you will need to report any hardware or software malfunctions via email to help@bcehs.ca.
Key Point: Paper PCRs are provided on car in case you need them. You will be required to fill out a paper PCR when:
1. You are unable to transmit a PCR to the receiving facility for any reason, via SNB or printed Siren PCR. If this occurs, take these steps:
a. Use a paper PCR to enter your patient information and provide it to the receiving facility
b. Transfer the information into a Siren PCR. (If the problem was with the Toughbook, do this when you have access to a functioning Toughbook).
c. Attach a photo of each page of the paper PCR to your Siren PCR.
d. Dispose of the paper copy in secure shredding.
2. The Attendant is not a Siren system user (does not haver a Siren username and password.
3. MCI – you have multiple patients at once and need to do quick documentation. Enter the information into multiple paper PCRs, then at the end of the call, transfer the information into Siren PCRs for all patients and then dispose of the paper copies in secure shredding.
• The 3 main steps to completing a PCR are:
1. Once a CAD message comes in for a call, add a new PCR either manually or using CAD download.
2. Enter information, signatures and attachments
3. Review, finalize (and print if no SNB)
• Enter two items as soon as known: Receiving Facility and Impression (with type)
• When the receiving facility has SNB, the PCR will be received electronically – no printing required.
• When there is no SNB at the receiving facility, you will need to print two copies of the PCR: an admitting copy and a complete PCR.
• Once you have completed your Siren Field User training, you will be required to create all PCRs using Siren unless circumstances warrant the use of a paper PCR.
• Create a paper PCR if you cannot generate a printed copy of a Siren PCR for any reason, whether hardware failure, connectivity issues, printer malfunction, etc.