You attend a multi vehicle MVI with other crews, each crew is using the same event number for their patients.
IMPORTANT:
• If not receiving CAD data:
o To create a Practice PCR: Menu > Patient List > Click the Create Practice PCR (second button from right)
o Use Event # E180123456
• Enter your STORY at the top of the screen (comments bubble)
In addition to data entry, this scenario includes:
• Password reset
• Camera & Attachments
• Barcode Scan
• Items marked with an * will auto-populate from CAD in the live Siren system.
The Call: MVI Event (E180123456) |
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Location for Data Entry |
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You’re logged onto Siren but you remember that you need to change your Siren user account password, as your account password expires soon. |
Menu > File > Change Password (Optional) |
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*11:59: You’re en route to the incident, |
Incident > Times/Details > Times > |
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*Incident is at the intersection of Eckhardt Ave East and Main Street in Penticton. |
Incident > Incident Location > Address 2 |
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Incident > Incident Location > |
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Your route has been blocked by heavy traffic so you have to take a longer route to get there. |
Incident > Times/Details > Complications/Barriers > Scene Barrier |
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You’re the third ambulance to arrive, and you see that the Fire Department is on scene, too. |
Incident > Times/Details > |
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One of the other crews tells you that there are three patients |
Incident > Times/Details > |
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*12:01 – You arrive on scene |
Incident > Times/Details > Times > At Scene |
At Patient’s Side |
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12:03 – You arrive at patient’s side, |
Incident > Times/Details > Times > At Patient’s Side |
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Patient is in visible pain due to the injury to his scalp |
History > Symptoms > Pain > Head |
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You conduct a primary survey. Patient’s breathing and circulation are both normal Patient is alert and oriented X3, with some confusion to the situation. |
Primary > Primary Survey |
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Patient has a shallow 2cm forehead laceration that is oozing blood slightly |
Laceration: Assess/Tx > Anatomical |
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You conduct a rapid trauma survey, and in the course of the survey, you find the patient’s blood on your arm. |
Incident> Times/Details > Exposure > Add New |
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Based on the NEXUS criteria, you rule out the need for spinal motion restriction. |
Assess/Tx > Procedures > |
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Patient is feeling a little light-headed, but not dizzy. |
History > Symptoms > General |
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You receive a slightly confused account of the accident details Patient’s eyes only open when you’re directly engaging for an account of the crash Best verbal response: Confused (Irritable) Best Motor Response: Able to obey commands |
Vital Signs > Vital Signs > GCS |
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Patient takes 5 mg of Paxil once a day for anxiety |
History > Patient > Medications |
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No allergies |
History > Patient > Allergies |
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The driver of the car, Mary, tells you that the patient was using his seatbelt but the air bag did not deploy. She also tells you that she was travelling at 50km/hr when their car hydroplaned, striking a parked car. |
History > Injury > General |
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History > Injury > Cause of Injury |
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History > Injury > Intent of Injury |
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The patient was in the rear passenger-side seat and seatbelt was secured. The Fire Department tells you that the only damage to the car is on the front end |
History > Injury > General |
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History > Injury > Cause of Injury |
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History > Injury > Intent of Injury |
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Comments > Enter Narrative |
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Pertinent vitals from your baseline assessment are: · Heart rate : 90 · SP02: 99% · Respiratory rate: 19 · Blood pressure is 127 over 90 · Pain Scale: 4 out of 10 · GCS : 13 |
Vital Signs > Vital Signs |
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You apply gauze to the patient’s forehead to halt slight bleeding from the wound.
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Assess/Tx > Procedures > |
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STOP HERE and advise the leader that you’re ready for barcode scanning. You get Michel’s BC Services Card, and use the barcode scanner to obtain the information: (SCAN YOUR OWN CARD) · Michel does not identify as female or male · Michel’s last name is PracticePractice · DoB: March 29, 1955 · PHN is 987 654 3210 |
Patient ID > Identification > Menu > Scan > Verify Patient Information (edit as required) NOTE: For the purposes of this exercise, edit the information to what is shown on the left).
Patient ID > Health Card > Verify Information
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Your partner uses the Toughbook camera to take a picture of the crash scene. |
Take Picture: Windows > Camera > Take Picture |
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She attaches the picture to the PCR. |
Attach: Menu > Current ePCR > Attach/Detach |
En Route to Destination |
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You and Maya provide Michel with assistance while walking to the ambulance. |
Outcomes > Patient Outcomes > |
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You’ll transport Michel to Penticton Regional Hospital. |
Incident > Incident > Destination |
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*12:30 – you leave the scene and begin your transport |
Incident > Times/Details > Times > En Route to Destination |
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Michel lays on the stretcher while being transported. |
Outcomes > Patient Outcomes > |
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While on route, you record the chief complaint of Altered Level of Consciousness. |
History > Patient > Complaints > |
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You enter your Chief Impression of Injury to Head |
Impression > (add type: Prehospital) |
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You perform assessments for Michel’s breathing quality and find that their breathing rate has quickened. |
Assess / Tx > Assessments > Respiratory Quality |
At Destination |
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12:45: You arrive at the destination. |
Incident > Times / Details |
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As you pull into the hospital, you note that Michel’s breathing is becoming more rapid. |
Assessment > Assessment/Tx >
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You start Michel on 3 L/min oxygen with a nasal cannula. |
Assess/Tx > Procedures >
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You take Michel into triage on the stretcher. |
Outcomes > Patient Outcomes > |
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Your partner collects a second set of vital signs. |
Vital Signs > Vital Signs
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In the field, you will print the Admitting Report and provide to the Admitting Desk. During the field training, simply navigate using the information shown to the right and take a look at what’s there. |
Review > Print Preview > |
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You complete documentation of the patient event outcome, reflecting the event type, assessment, treatment and transport, and that there was no cardiac arrest prior to or during the event. |
Outcomes > Patient Disposition |
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13:05 – Michel is transferred to the hospital for care |
Incident > Times Details > Times |
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While providing your bedside report, you show the nurse the crash scene picture, to assist in explaining the mechanism of injury. |
Menu > Current ePCR > Attach/Detach |
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STOP HERE and advise the leader that you’re ready for review and finalize. You use the Required Fields section in the Review tab to complete data entry. |
Review > Required > Agency |
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You finalize the PCR. |
Review > Print Preview > Finalize |
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You print a copy of the PCR to provide a copy to the bedside nurse. |
Review > Print Preview > |