EMT NOTES – Communication (Chapter 4)

Types of Communication Devices:
  • Base station
    • at a fixed location
    • transmitter and receiver
  • Mobile radio
  • Portable radio
  • Repeater
    • receives and automatically re-transmits on a different frequency
    • special type of base station radio
  • Trunking systems
    • computer finds open frequencies for user
    • allows greater radio traffic and easier use-don’t have to worry about finding an open frequency
  • Mobile Data Terminals (MDT’s)-small display/computer in ambulance that receives info from dispatch center

 

  • Keep in mind that radio communications can be overhead with a scanner device
    • Avoid saying patient name over radio
  • FCC (Federal Communications Commission) controls all radio communication
    • need license from FCC to get your own frequency (ex. 100.3 FM) and callsign (ex. WHTZ)
    • special “MED” channels reserved for EMS use
  • Simplex-push to talk, release to listen (typical radio/walkie talkie)
  • Duplex-simultaneous talk-listen (like your cell phone)
  • Patient Report follows format given by local EMS system
  • Standing Orders
    • “back up” protocol/plan signed by medical director
    • gives instructions, permissions, and protocol for patient care


Patient Care Report (PCR) -page 119

  • Purpose:
    • Continuity of Care
    • Legal Documentation
    • Education
    • Administration
    • Research
    • Quality Improvement
  • Info found on PCR:
    • chief complaint
    • location
    • mental status
    • vitals
    • demographics
    • narrative section-**important**-page 122:
      • time of events
      • assessment findings
      • care provided
  • **always take vitals**
  • MCI (Mass Casualty Incident)-different reporting protocol to be followed