Indianapolis EMS

Right Care.  Every Patient.  Every Time.

 

ESO FAQ

 

QUICK FACTS

 

o   We have to report 225 data points to the State and Federal data systems.

o   The Federal Data System is called NEMSIS (National EMS Information System)

o   CAD import log should be empty by the end of your shift.

o   An ePCR should be generated for every dispatched call.

o   There should be no incident in your records with IEMS in the incident number

o   All runs need to be locked and synced before the end of your shift to ensure that they get sent to our billing company.

o   The patient signature is the most important signature and should be captured in the third section CUSTOM DOCUMENTS > BILLING SIGNATURES.

 

INCIDENT SECTION

 

o   Is better to use New Record or Import from CAD?

§  It is better to use Import from CAD to start a new record.   This will pull your CAD record for that call and not put in the generic number ending in IEMS in the Incident number.

 

o   How many times can I import the CAD?

§  CAD import can be refreshed multiple times throughout the call. 

 

o   What if my CAD import is not working?

§  This is likely a cell card issue.   If this occurs try again during the call at another spot.

 

o   What if the dispatch complaint is not in EMD Complaint pick list?

§  If the dispatch complaint is not in the pick list you can always use “No Other Appropriate Choice”

 

o   Why do I have to choose Responding From?

§  This is being removed.

 

o   Is it important to enter the responding fire apparatus?

§  Yes, this helps tracks any skills that the first response unit performs without having to know each crew members name.

 

o   Why is the zip code important?

§  We receive requests for calls by zip code on several occasions, this also means that the billing company is getting the incorrect information.

 

 

 

 

 

Indianapolis EMS

Right Care.  Every Patient.  Every Time.

 

o   What do the dispositions mean again?

§  Patient Treated, Released (AMA) = SOR

§  Patient Evaluated, No Treatment Transport Required = Crash Card

§  Patient Dead on Scene – No Resuscitation Attempted (Without Transport) = DOA

§  Patient Dead on Scene – Resuscitation Attempted (Without Transport) = 30 Min arrest

§  Patient Dead on Scene – Resuscitation Attempted (With Transport) = Coroner’s Office

 

o   Why do we need to get an MRN?

§  The hospital group asked if we could do this to assist them with looking up patients.  This will also help us with patient matching for research.  As we further develop ESO this will also help with patient feedback.

 

o   Where does the MRN get documented?

§  In Chart Number

 

o   What times do I have to manually enter?

§  At patient

§  Depart Scene (we are working with PSC to get this one corrected)

§  Transfer of patient

 

o   Why do we have to capture Transfer of Patient Time?

§  This helps to monitor any issues with delayed triage by hospital.

 

o   Why is there a Start and Finish mileage?

§  These are being removed and you only have to capture Scene and Destination.

 

PATIENT SECTION

 

o   Why is it important to get the patients PCP?

§  Our medical directors have said that this is helpful for them.

 

o   What if the patient’s medication is not in the pick list?

§  You can add this under Other.  This list is reviewed and any medications listed in other that are not found to be on the pick list will be sent to ESO to be added.

 

 

 

 

 

 

 

 

 

Indianapolis EMS

Right Care.  Every Patient.  Every Time.

 

VITALS SECTION

 

o   What if I don’t have a Vital Sign (ie: Crash card or pain scale not indicated)?

§  Use the UTO button and select which vital signs are not indicated. 

 

o   Where should I document my ECG?

§  This should be in the vital sections under ECG using Type and Rhythm.  Any time that an ECG is performed this should be completed.

 

o   When I upload the monitor it is making me fill out the Cardiac Arrest Form?

§  Be sur that when you upload to select “Exclude QCPR” data unless CPR was performed.

 

o   How can I see the ECG after import?

§  Click on the little heart next to the line.

 

FLOWCHART SECTION

 

o   When do we use the ALS Assessment button?

§  This is used when the run is dispatch as ALS (A-Code) and is transported BLS, the paramedic should document why the patient is not ALS. 

 

o   Why is there no Epinephrine 1:1000 or 1:10000?

§  This is a request we have made to ESO to correct and should be in an upcoming release.  Epinephrine 1:1 = Epinephrine 1:1000 and Epinephrine 1:10 = Epinephrine 1:10000

 

ASSESSMENT SECTION

 

o   Please be sure to use this section to complete a full primary and secondary survey

 

NARRATIVE SECTION

 

o   Why is the Primary Impression list limited?

§  This list is provided by NEMSIS, using ICD-10, and was reviewed by our doctors. 

 

o   Why are we only allowed five Signs/Symptoms?

§  This is a limitation within in the software that we have asked ESO to address.  Please take the time to look through this list to find all the variables

 

o   Why do we have to enter Final Patient Acuity?

§  This is a NEMSIS and State data point.

·      Critical (Red) = Emergent Transport

·      Emergent (Yellow) = ALS Patient

·      Lower Acuity (Green) = BLS Patient

·      Dead Without Resuscitation Efforts (Black) = DOA

 

Indianapolis EMS

Right Care.  Every Patient.  Every Time.

 

FORMS SECTION

 

o   When do I use the Acute Coronary Syndrome Form?

§  This should be used for any suspected MI patient.  If the patient is believed to be having a STEMI then 12-Lead section should be filled out.

 

o   When do I use the CPR-Cardiopulmonary Resuscitation Form?

§  This should be used on ALL patients in Cardiac Arrest patients.  We are working through a few issues with this form relating to the initial rhythm portion.  This document will be updated as we know more.

 

BILLING SECTION

 

o   What do I mark if the patient does not have insurance or their card is not available?

§  The Method of Payment should be marked as Self Pay.

o   What if they patient has Medicare and Medicaid which do I mark in Method of Payment?

§  This is their primary method, a hint from our billing company is that Medicaid is always the last method of payment.

 

SIGNATURES SECTION

 

o   What signatures do I need to get?

§  The patient signature is the most important signature and should be captured in the third section CUSTOM DOCUMENTS > BILLING SIGNATURES and NOT in the first section Billing Authorization.

 

o   Where does the ED Staff sign?

§  It is recommended we get a staff signature on our patients as well and this is obtained in Standard Signatures > Facility Signatures.   Be sure to type in the person’s name and title.