Give Siren a try! We haven’t worked through all of the tabs yet, but when you have access to Siren, test it out by entering the information in this scenario into a practice PCR. If you haven’t learned about a tab yet, that’s okay – go on in and see if you can locate the fields you need.
When you’re done, take a look at the PDFs of the admitting copy and the complete PCR on the Learning Hub course page.
1. You’re starting your shift, so you want to log in to Siren and set up your crew.
2. Your CAD call sign is 256A3D.
3. You are the attendant for the shift.
4. Your vehicle type is an ambulance.
5. Your partner, Jessica Bell has not been trained on Siren. She will be a non-system user.
6. Incident Date / Time: Use the current time Incident > General.
7. The Event Number for the call is E170078432. Incident > General > Event Number.
8. MPDS coding for the call is 17 card for a fall. Incident > General > MPDS Determinant.
9. The address is a home at 555 Elm Street, #307 Vancouver. Incident > Incident Location
10. Your response mode to the scene is Code 2. Incident > Mode > Response Priority.
11. 14:14 You are on route to scene. Times / Details > Times
12. 14:28 You arrive at the scene:
13. You arrive on scene, the patient's husband is out front, calling you from in front of building 550 – not 555. Incident > Revised Incident Location. NOTE: Use button labeled Same as Incident Location and then edit information as needed.
14. First Responders are at the scene. Times / Details > Scene Information
15. 14:29 You are at the patient’s side:
16. The patient, Mary, sneezes on you. Times / Details > Exposure > Infectious Disease (Select crew member).
17. Your Destination will be Vancouver General Hospital and your Reason for Choosing Destination is Closest Facility. Incident > Destination>Receiving Facility
18. You’re on route to the hospital: 14:49
19. You arrive at the hospital: 15:05
20. Mary PracticePractice was born on March 29, 1941. Identification > Patient.
21. Mary’s doctor is Dr. Feelgood. Identification > Contact Persons > Physician. (Press and hold to enter details).
22. On scene, you are given her BC Services Card. The PHN on the Care Card is 9876 543 123. Health Card > Provincial Health Number (Press and hold to enter details).
23. 14:29: You complete a primary survey. Mary’s ABCs are normal. She is Alert and Oriented x 4. Primary Survey
24. She is hard of hearing. Scene Findings > Barriers to Patient Care>
25. Mary was found inside. Scene Findings > Location Patient Found.
26. Mary tells you she tripped on the carpet. She complains of hip pain (musculoskeletal) x 4 hours. Patient > Complaints
27. Mary’s husband tells you her medical history. She has an allergy to Penicillin. If she takes penicillin, she breaks out in hives. Patient > Allergies (click pencil button for details)
28. You are given some pill bottles and you see that she takes 50mg Atenolol once per day. Patient > Current Medications (add details)
29. Mary's husband informed you that she had hypertension and spent 5 days in Lion’s Gate Hospital. Patient > Past Medical History > Medical / Surgical History.
30. You ask Mary if she has any weakness or paresthesia in her legs and she replies no (pertinent negatives). Symptoms > General and Symptoms > Neurological
31. She tells you most of the pain is in her left hip. Symptoms > Pain (add details)
32. You know from your Primary that Mary fell from standing onto a soft surface. Injury > Cause of Injury (add details)
33. During your PQRST / LOTARP exam, Mary tells you that the pain in her left hip started immediately after falling. PQRST > Onset > Onset
34. Pain is positional, and is made worse with movement. PQRST > Provocation
35. The pain does not radiate anywhere and is relieved by rest. PQRST > Radiation and Relieved By.
36. She rates it as an aching 6 out of 10 pain. PQRST > Severity.
37. 14:25: This is the time the first responder recorded the first set of vital signs. The patient had a regular pulse of 88 and a respiratory rate of 12.
38. 14:34: Your partner read off the first set of vitals:
• Heart rate: 90
• SP02: 99%
• Respiratory rate: 16
• Blood pressure is 124 over 90.
• GCS : 15.
• Visual Pain: 6 out of 10
• No other vital signs are pertinent.
38. 14:40 Before deciding on treatment and transport, you complete a secondary assessment on Mary.
39. During this assessment you discover that Mary has no Distal CMS deficiencies. Assessments>Search: Distal CMS
40. 14:42 In your Generalized Extremity Assessment, you observe that she has pain in her upper left leg. Assessments>Search: Generalized Extremity Assessment
41. During the assessment of Mary’s left hip, you discover three abrasions on her hip..
42. You notice there are no deformities.
43. You would like to splint Mary’s legs with blankets and trauma straps, but she says it’s too uncomfortable to move her legs. She refuses to let you do this.
44. Prior to transport, Mary starts complaining of feeling nauseous.
45. 14:48: You administer 25 mg\Gravol IM.
46. You note that after 10 minutes, Mary is no longer complaining of feeling nauseated and is resting comfortably. Select the recorded Drug Therapy Procedure > SaRC
47. You assessed, treated and transported Mary. Patient Disposition / Other
48. Her condition improved. Patient Outcomes > General
50. Prior to transfer of care, you remove Mary’s watch. (You will need to get a signature for that, and we will cover that in Lesson 12, Review). Patient Outcomes > General > Patient Personal Belongings.
51. Mary was moved on a Scoop (clamshell), laying supine and transported from the ambulance on a stretcher. Patient Outcomes > Patient Transport Details
52. You suspect that Mary has fractured her left hip, so your Impression Code is an Injury of Hip. Impressions > Provider's Impression
53. You recall that you’ve removed Mary’s watch and gave it to nurse Robert Lee. Review > Signatures & Waivers
54. After this call, you take a break and are available again at 16:06. Incident > Times / Details