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FH Medic User`s Guide

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1. 3 Under Intubation enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option The type of intubation performed endotracheal nasotracheal and so forth Technique The intubation technique used standard blind digital and so forth 74 FH Medic User s Guide paa Jiroro ea SSS Sze mesze orire tue nsore auingtre maton ETCO2 The end tidalcarbon dioxide EtCO2 level in the patient s res piration Checks A list of the checks performed on the patient to verify that the intub ation is working as expected Tube Secured An indication of how the tube is secured in position Performed By The person who performed the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears FH Medic User s Guide 75 Administer transcutaneous pacing TCP to the patient Transcutaneous pacing TCP is for temporary management of symptomatic bradycardia includ ing heart blocks adults adolescents and children with a heart rate less than 60 beats per minute 1 If you have not done so already Do the following a Add anew incident or open an existing incide
2. FH Medic X In the upper left corner of the interface click View Narcotic At any screen a Choose FH Incident Forms except the Incidents screen The Forms screen appears Forms Forms for this Incident PCR mSupplemental _ Controlled Su Pages gme Edit Selected b Under Forms for this Incident click Controlled Substance c Inthe lower right corner of the interface click View Selected FH Medic User s Guide 139 Any controlled substance usage or waste information you added to the incident appears viewer viewecs view narco Controlled Substance Usage Wastage Patient Name Incident Medication Administered Amount Used Unit Amount Wasted Unit Usaz Standing PARAMEDIC SIGNATURE x 2 Optional Do any of the following To do this Fax the con a Inthe center of the top of the interface click Fax trolled sub The No Destination Specified enter fax number dialog box stance appears usage wastage form to a per No Destination Specified enter fax number son or facility Send Fax Cancel Choose Other Location Click Choose Other Location The Select Location dialog box appears If any fax numbers are already defined in FH Medic a list of them appears in the dialog box 140 FH Medic User s Guide To do this Select Location Rex Hospital Waka Me
3. If multiple units responded to an incident you can transfer an incident to another unit so that other crews can contribute information to the incident All participating crew members are documented on the patient care report 1 If you are not at the Incidents screen In the upper left corner of the interface click the FH logo and then choose Incidents Incidents a Crew Incident gt Info Minimize Exit Strtr 2 From the list select the incident you want to transfer to another unit 3 At the bottom of the interface click Transfer The Transfer Ticket to Unit dialog box appears Transfer Ticket to Unit ee o i Transfer 4 From the menu select the unit you want the incident to be transferred to and then click Transfer A confirmation dialog box appears Transfer Ticket Are you sure you want to transfer the ticket with Incident number to Unit Medic 1 The incident disappears from your incident list The Get Transfer Tickets button appears in the upper right of the Incidents screen for the receiving unit When the recieving unit clicks this button the incident appears in their incident list 10 FH Medic User s Guide Understand the interface and data entry in it Once you have logged into FH Medic and added a new incident the interface is organized into several discrete components e A menu under the FH logo e Tabs organizing data into large groups e Sub tabs to fu
4. List patient symptoms 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab and then click the Symptoms sub tab Fields for gathering information related to patient symptoms appear on the left side of the interface Patient Symptoms General Respiratory Cardiovascular Neurological Head Neck Gl GU GYN Musculoskeletal Metabolic 3 Under Patient Symptoms enter data as described in Understand the interface and data entry in it on page 11 Field Information needed e A list of general symptoms from the patient such as chills dizzi ness weakness excessive sweating thirst and so forth Respiratory A list of symptoms from the patient s respiratory system such as a Cheyne Sokes breathing pattern stridor coughing sputum pro duction and so forth Cardiovascular A list of symptoms from the patient s cardiovascular system such as edema numbness or tingling cardiac arrhythmia nausea vomiting chest pain and so forth Neurological A list of symptoms from the patient s neurological system such as headache or migraine unsteady gait vertigo impaired speech or vision unlateral weakness aphasia and so forth Head Neck A list of symptoms from the patient s head and neck such as ear pain difficulty swallowi
5. tsinns Hozd Neck DifP ultv Swale vinn 126 FH Medic User s Guide 8 Scroll to the bottom of the screen and locate the Amendments section of the PCR Change Made Input changed from bank to Last Edted at 6 17 2013 2 34 11 PM Assessment Input changed from Normal to Not Done Assessment Input changed from Normal to Not Done Assessment Input changed from Tender Para spinous to Pain to ROM Tender Para spinous Assessment Input changed from Weakness to Normal The changes you made to the incident appear in the Amendments section FH Medic User s Guide 127 Add view fax and print forms At any point in time with your data entry you can validate your data to see if there are any incom plete or invalid entries that need to be addressed Add forms to the incident 1 Choose FH Incident Forms The Forms screen appears Forms Q co Back Forms for this Incident PCR ggSupplemental PCS Available Forms Controlled Su Pages EgmMvc View Selected Edit Selected 2 Under Available Forms select the form you want to edit In the lower right corner of the interface the View Selected button grays out and the Edit Selected button is renamed Add Form 3 Click Add Form The dialog box related to the form you selected appears Example If you added the Controlled Substance the Controlled Substance Usage Waste Form dialog box appears Controlled Substance Usage Waste Form Witn
6. 142 FH Medic User s Guide View the procedure for treating a symptom 1 Choose FH Incidents Protocols A list of symptoms appears Airway Drug Airway Adult kit gt Airway Allergic Altered Mental a Abdominal Pain a Airway Adult Assisted Airway Pediatric p gintrne Mailed Pct ia coe Envennantions Bradveardia Intubation Burns Chemical Burns Thermal Behavioral Asystole Back Pain Electrical Click the symptom you want to see procedural steps for A screen showing a flowchart diagram or series of steps appears depending on the established protocol for treating the symptom you selected Example If you click Airway Drug Assisted Intubation the Airway Drug Assisted Intubation screen appears containing a flowchart of steps questions medication to administer Airway Drug Assisted Intubation P Preoxygenate 100 O2 Legend P Ensure Adequate IV Suction Equipment Evidence of Y ee Head Injury or Stroke EMT P Y Medical Control n Repeat Lidocaine 1 5mg kg Etomidate 0 3mg kg IV a Cyce Usual Adult Dose 100mg IV Usual Adult Dose 20mg One Time y Cricoid Pressure Criteria v 1 Patient Requires Intubation to Maintain their gt Succinylcholine 1 5mg kg Airway ie Head Injury lt LOC etc IV 100mg for Average Adult v Intubate
7. Manually entera 1 Click the button with the greater than symbol gt Jto the right of time the time field you want to fill A number pad with additional buttons and a blank time display appears in the data selection entry area Dispatched Time Call Received 09 54 53 Dispatched En Route OIE At Scene At Patient all Depart Scene Arrive Destination DEE Transfer Care 0 Unit Clear Beginning Mileage a Sa Sa Sa Sa Sa 2a Sa 2a 2a At Home 2 Doany of the following e Click Now to enter the current system time on your com puter e Click 5 min ago or 10 min ago to enter the current system time on your computer minus five or ten minutes respect ively 20 FH Medic User s Guide 4 e Click the number buttons to enter a time 3 Optional Adjust the time displayed with the 1 min or 1 min buttons Note Some of the fields have an additional mileage field below the number pad so that you can record the odometer reading on the apparatus at various points of travel during the incident Field Information needed Call Received The time the phone rings 911 call to public safety answering point or other designated entity requesting emergency medical service EMS support Dispatched The time dispatch was notified by the 911 call taker if a separate entity The time the unit responded the time the vehicle starte
8. Notes 7 8 9 10 min Lae Prior To Arrival ago 0 Clear Enter FH Medic User s Guide 89 3 Under Traction Splint enter data as described in Understand the interface and data entry in it on page 11 Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option An indication of which side of the body was immobilized in a traction splint The person who performed the treatment Any additional information related to the treatment Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Perform an obstetrical delivery for the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Obstetrical Delivery Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Obstetrical Delivery o
9. Performed By The person who performed the treatment bystander family mem ber medical personnel and so forth Performed By The name of the person who performed the person Name Number of The number of times the AED was used to shock the patient Shocks FH Medic User s Guide 97 Field Information needed Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Document field termination for a patient Field termination is the cessation of treatments to the patient when such as signs of obvious death obvious mortal wounds and vital organ destruction and resuscitation efforts would endanger responders are apparent 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Field Termination Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Fiel
10. The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Contacted Medical Control Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Contacted Medical Control Time _ 1 Performed By 1 2 3 Now min Physician Name 5min 1 4 5 6 ago min Notes Prior To Arrival 7 8 9 ago 0 3 Under Contacted Medical Control enter data as described in Understand the inter face and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option FH Medic User s Guide 99 Field Information needed Performed By The name of the person who obtained medical control also known as medical direction to gain approval for certain treatments or guid ance in performing a treatment Physician Name The name of the physician who granted approval or provided guid ance to the medic in the field Notes Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Perform a 4 lead ECG electrocardiograph
11. The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option An indication of the type of restraint used on the patient soft restraints plastic straps handcuffs and so forth Locations A list of the portions of the patient s anatomy that were restrained Applied By The person who applied the restraints Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Apply bandages to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Bandage Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Bandage oss F Time Types 2 3 Now a 1 Location 4 5 e 1 ago min Performed By Notes 7 8 3 fago Prior To Arrival 0 Clear Enter 88 FH Medic User s Guide 3 Under Bandage enter d
12. qj Time Delivery 1 2 3 Now of Complications 5 min 1 6 5 6 ago min APGAR 1 MINUTE APGAR 5 Minute Performed By 0 Clear Notes Enter Prior To Arrival 90 FH Medic User s Guide 3 Under Obstetrical Delivery enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option A list of the procedures that occurred during the birth of the infant Complications A list of the delivery complications occurred during the birth APGAR The APGAR rating Appearance Pulse Grimace Activity Res 1 Minute piration of the infant one minute after delivery APGAR The APGAR rating of the infant five minutes after delivery 5 minutes Performed By The person who performed the treatment Notes Any additional information related to the treatment Prior To Arrival ndicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears FH Medic User s Guide 91 Perform a 12 lead EKG electrocardiography on a patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By
13. the list A dialog box for specifying the amount of the dose and fre quency appears Ambien Dosage Amount mg O Units Occ O gram O meg Frequency per Day per Week per Month Other b Specify the amount and frequency the patient takes the med ication For Amount click the field and then use the keyboard that appears to type the amount of the medication the patient takes each time From the list below Amount select the units for the amount taken In Frequency click the field and then use the keyboard FH Medic User s Guide 35 To do this that appears to type the number of times the patient takes the medication From the list below Frequency select the time interval the patient takes the medication in Click Continue The medication is added to the list in the upper left corner of the interface Ambien 500mg 1x daily Delete Selected Drug Repeat steps a b as needed to list all the medications the patient is taking Add a medication Click in the field for the keyboard to the right of the med which is not listed ication list and type the name of the medication the patient Ca Ba a MONO MHOr 8a ee HAEA ce b Click Add This A dialog box for specifying the amount of the dose and fre quency appears 36 FH Medic User s Guide To do this Ambien Dosage Amount mg O units cc gram meg Frequency per Day O per Week
14. 2 22 e cece cece ee ceceeceeeeeeeessseeeeees 88 Apply a traction splint to the patient 202 0200 e ccc ee cece cece eeccccccececcccceccecececcceeeeeeseuce 89 Perform an obstetrical delivery for the patient 0 00000000 2c ecco cece cece cece eee ccceeeeeeeeeeeees 90 Perform a 12 lead EKG electrocardiography on a patient 00 020000 e eee cece eeceee eee 92 Employ a CPAP continuous positive airway pressure treatment 22 20000 cece eee eee 93 Document alleged or suspected abuse or neglect 0 02 e cece ee cececeeeeceeeeees 94 Apply thermal treatments to the patient 0000 0000 e cece eeeeeeeeeeeeeees 95 Use an air adjunct device on a patient 2 2 00 c eee c cece cece oraora roaraa 96 Apply an AED automated external defibrillator to a patient 0000000000 c cece cece eee eee eee 97 Document field termination for a patient 2 2 2 2 2 22 cece cece cc cccccececcccecccecccceccecceceeeeeeeees 98 Contact medical control fora patient 2 2 00 2 2 ccteeeeeceeeecceeeees 99 Perform a 4 lead ECG electrocardiography on a patient 0 0 0220000 e eee eee ceeeeeeee 100 Use a medical alert for a patient 2 22 2 cece cc cee c ence cc ceceeceeeeeeeeeeeeeeeeeeeees 101 Record vitals data 22 2 202 6 Agee ose He bos ag Sas od Ke dee ed 103 FH Medic User s Guide vii Import vitals data from an EKG device 2 2 0 222 cece cc cece cece cece ccc ceeeeececeecec
15. ARRIVES AT DESTINATION 17 07 12 UNIT AT SCENE 17 12 00 Treatment Clear Airway Method Head Tilt Chin 17 12 29 Treatment Chest Decompression Site Left Anteri 17 12 47 Treatment CPR Performed By Family Performed 17 21 20 Treatment CPR Performed By Family Performed Oom zm Qm FH Medic User s Guide 129 3 Optional Do any of the following To do this Filter the inform ation displayed Edit a data item in the summary Delete a data item 1 Above the summary list depending on the summary inform ation you want to view click one of the following buttons e Show Only Call Times e Show Only Vitals e Show Only Assessments e Show Only Treatments Protocols Inthe list of summary items select the item you want to edit In the lower right corner of the interface click Edit The tab or sub tab containing the field for the data item appears Change the value in the field as needed In the list of summary items select the item you want to delete In the lower right comer of the interface click Delete The data item disappears from the patient summary and the val ues are cleared in the tab or sub tab corresponding to the deleted item 4 Inthe upper left corner of the interface click Go Back to return to working in FH Medic 130 FH Medic User s Guide View fax or print the patient care report PCR 1 Depending on where you are in the FH Medic interface do one of th
16. Lee Je Ihe Lo JiwjLe JiR itjty Jl JL jlo jie J ee la js JLo JLF ie Jia JL k Ile z Jb JLe Jv Ibs Jin Jim JL JL z ps JLA 12 FH Medic User s Guide If this is the case Pre defined val ues exist in FH Medic This happens Example If you click Address a keyboard appears and you can type in the street address where the incident occurred If you do not want to enter a value for the field you can leave the field blank and click Submit After you click Submit if the system requires only a single value for the field FH Medic automatically moves on to the next field and displays either a list of pre defined choices for the field in the data selection entry area or a keyboard for the field A list of pre defined choices for the field in the data selection entry area Example If you click Zip alist of the available zip codes appears in the data selection entry area Location Incident Zip Address 2244 120th St Zip City State Location Type Map Page Comments Incident Incident Number Date of Service Transport Type Dispatch Complaint Scene Information lt gt If only one of the pre defined values is permitted for the field after you click a value from the list of pre defined values FH Medic automatically moves on to the next field and displays either a list of pre defined choices for the fie
17. The circumstance in which an injury occurs If you click MVC motor vehicle crash a new set of fields appear on the right side of the interface which are specific to this type of incident Information on specifying data for these fields is avail able in Add motor vehicle crash MVC details on page 60 If you click Fall Burns Stabbing or Gunshot a dialog box appears showing a human body and you need to specify more details about the injury Depending on the MOI you clicked inform ation on specifying these details is available in Add fall or burn injury details on page 63 and in Add stabbing or gunshot injury details on page 65 Type of Activity A description of the activity the patient was involved in when the injury occurred Incident A description of where the patient was when the injury was sus Location tained Incident Type An indication of whether or not the injury was work related Intent of Injury A description of the intent behind the injury unintentional assault legal intervention and so forth Patient Exposure A list of items the patient was exposed to as causing the injury or as a result of the injury such as blood chemicals disease body fluids and so forth FH Medic User s Guide 59 Add motor vehicle crash MVC details 1 If you have not done so already Begin describing the patient s injury as outlined in Describe patient injuries on page 58 2 Under Injury click MOI The Mechan
18. a patient on page 98 e Contact medical control for a patient on page 99 e Perform a 4 lead ECG electrocardiography on a patient on page 100 e Use a medical alert for a patient on page 101 70 FH Medic User s Guide Ventilate the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Ventilation Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Time Ventilation fl Time a ae 1 2 3 Now Rate Breaths min 4 5 6 foe ae 02 Flow aa 10 min Performed By 7 8 9 ano Notes Prior To Arrival 3 Under Ventilation enter data as described in Understand the interface and data entry in it on page 11 Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Type The type of bag valve mask used in the treatment adult pediatric or infant Rate Breaths The number of breaths administered per minute
19. an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click CPAP Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment CPAP Time 1 02 Flow Rate 1 2 3 Now ae Performed By 5 min 2 ee ago min Notes Prior To Arrival 7 8 9 cee 0 Clear 3 Under CPAP enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option 02 Flow Rate The rate of oxygen being used to create the mild positive air pres sure needed to keep airways open in the patient es ie Enter Performed By The person who performed the treatment Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears FH Medic User s Guide 93 Document alleged
20. another group for quality assurance and quality improvement QA QI review or billing Complete You have entered all the required incident data validated the data and marked the incident as complete The incident remains in the list for a specified amount of time can be accessed by an administrator for QA QI review and can be exported for billing You may view but not edit a completed incident Review The incident has been through a QA QI review and then sent back to you for modi fication After you make the changes you can complete the incident again Transfer The incident was created by another unit and then transferred to you the current unit A transferred incident lists crew members from both units and can be com pleted as a normal incomplete incident FH Medic User s Guide 7 1 Depending on whether you want to add a new incident or edit the data in an existing incid ent do one of the following Add anew incident e At the bottom of the screen click Add New A new blank incident is created Add a practice e At the bottom of the screen click Add Practice incident A new practice incident is created which follows all of the same rules as a regular incident except that it is not exported and does not appear in reports or incident counts This feature lets you practice using FH Medic without impacting your real data Copy an existing e At the bottom of the screen click Copy Incident to New incident and
21. cece ccc ee cece cece ccceeeeceeeeeees 134 View or print a Physician Certification Statement PCS 00000 e cece cece ee eeeee eee 137 View fax or print the Controlled Substance Usage Waste form 0 02 2 e cece ee eee ee 139 Attach files to or delete files attached to an incident _ 2222000 142 View the procedure for treating a symptom 00 00 0 000000 e cece ee eeeeeeeee 143 View installation and synchronization information 0 000 c ccc cece cece cece e cece ee ees 144 Minimize or exit FH Medic _ 2 22 22 200 eee 145 viii FH Medic User s Guide Introduction FH Medic a powerful cloud based electronic patient care reporting ePCR system is engin eered to meet the needs of emergency medical service EMS organizations nationwide from large scale agencies to the smallest most basic services FH Medic is gold compliance certified by the National EMS Information System NEMSIS The FH Medic User s Guide is designed to help you record crew member response and patient data on the incident scene to generate reports and forms from the data entered and to send the necessary information to the appropriate individuals and facilities Caution The FH Medic User s Guide documents FH Medic with its default display settings and field labels If an FH Medic administrator uses the FH Medic administration web site to hide fields or change field labels not all the fields referenc
22. changes between Ibs and kg to indic ate the current unit for the weight iz ls Tip If you cannot establish the patient s weight click UTO unable to obtain DL Number The patient s driver s license number The patient s Social Security Number SSN Tip If the SSN is not available click UTO unable to obtain 26 FH Medic User s Guide Search for a patient If the patient already exists in FH Medic from a previous incident you can call up his existing information instead of re entering it again for the current incident 1 At the bottom of the tab click Lookup Patient The Search Existing Patients dialog box appears Search Existing Patients Search by SSN Search by Name and DOB SSN A Search Select This cosak Ow 2 Doone of the following To do this Find a patient Click Search by SSN by their Social The dialog box updates to display the SSN field Security Num ber SSN Click SSN The Patient Social Security Number dialog box appears Patient Social Security Number m suomi Use the keypad to type the patient s SSN then click Submit The value you specified appears in SSN Click Search If an SSN matching your entry is found the patient s record appears in the list in the dialog box FH Medic User s Guide 27 To do this Find a patient Click Search by Name and DOB by their name The fields in the dialog box update to display the Fi
23. contained in the downloadable files or that such Licensed Software will meet your requirements The Licensed Software is licensed as is We will however attempt to correct or bypass any actual reproducible and significant error in the software provided you notify us and describe it in writing within 90 days from the date of receipt of the mater ials and we will within a reasonable time at our option provide either a corrected copy or work around instruc tions This does not cover altered software or require us to customize our software to meet your hardware or operating system requirements Section 11 specifies your exclusive remedy for any breach by us of this section No dealer company or person is authorized to expand alter this section or any other provision of this agree ment Any such agreement will not bind Xerox XEROX MAKES NO OTHER WARRANTIES WHATSOEVER EXPRESS OR IMPLIED WITH REGARD TO THE SOFTWARE LICENSED UNDER THIS LICENSE IN WHOLE OR IN PART XEROX EXPLICITLY DISCLAIMS ALL WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR A PARTICULAR PURPOSE XEROX EXPRESSLY DOES NOT WARRANT THAT THE LICENSED SOFTWARE IN WHOLE OR IN PART WILL BE ERROR FREE WILL OPERATE WITHOUT INTERRUPTION OR WILL BE COMPATIBLE WITH ANY HARDWARE OR SOFTWARE OTHER THAN THE EQUIPMENT LICENSEE WAIVES ANY CLAIM THAT THE LIMITED WARRANTY SET FORTH IN THIS SECTION OR THE REMEDY FOR BREACH OF SUCH LIMITED WARRANTY FAILS OF ITS ESSENTIAL PURPOSE Limitation of
24. eave View Selected Edit Selected b Under Forms for this Incident click Supplemental c Inthe lower right corner of the interface click View Selected Any supplemental information you added to patient care report such as injury markers on a human body diagram vehicle crash data automatic narrative and so forth appears Supplemental Form Incident Number Date of Service Unit Medic 1 Patient Last Name Chief Complaint Crew 2 Injuries 1 Front Left Upper Leg Gunshot 2 Front Head Fall Fracture 5 Front Head Fall Sweling 6 Left Chest Fal Fracture 7 Left Chest Fall Sweling 8 Front Left Knee Fall Contusion 9 Front Left Knee Fal Abrasion 10 Front Left Foot Fall Te s 11 Front Left Foot Fall Di 12 Front Left Hand Burn 13 Front Left Lower Arm Burns 2nd Degree 14 Back Neck Fall Contusion 15 Left Upper Back Fall Contusion Auto Narrative Dn EME ba i rarmanded te a e l with z i Eappalsiet af Mate at hae es kan ds allar si e Fax the sup a Inthe center of the top of the interface click Fax plemental The No Destination Specified enter fax number dialog box forms to a per appears son or facility No Destination Specified enter fax number Send Fax Cancel Choose Other Location Click Choose Other Location The Select Location dialog box appears If any fax numbers are already defined in FH Medic a list of them appears in the dialog box Sele
25. insur ance information as described in Attach a Physician s Certification Statement PCS form on page 47 8 Inthe lower left corner of the screen for Hospital Face Sheet select Yes or No to indic ate whether or not to include a cover sheet for the health insurance documentation 44 FH Medic User s Guide Attach an Advanced Beneficiary Notice ABN An Advance Beneficiary Notice ABN also known as a waiver of liability is a notice that sup pliers and other medical providers are required to give a patient when they offer services or items that they know or have reason to believe Medicare will determine to be medically unnecessary for the patient and therefore will not pay for Providers are not required to give a patient an ABN for services or items explicitly excluded from Medicare coverage items that are never covered by Medicare even if medically necessary such as hearing aids In addition ABNs only apply if the patient is in Original Medicare not if the patient is in a Medicare private health plan HMO PPO or PFFS 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected Click the Patient tab and then click the Insurance sub tab Fields appear for specifying the information about any insurance the patient has In the lower right corner of the interface unde
26. is available in View the automatic narrative for the incident on page 118 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Summary tab and then click the Narrative sub tab The Medic Narrative and Auto Narrative sub tabs appear and the Medic Narrative tab is selected by default Disposition Signatures Narrative CPR Quick Actions Validate ViewPCR PT Summan y Medic Narrative Auto Narrative Scratch Pad Keyboard Copy to Narrative Check Spelling 3 On the Medic Narrative tab click in the large text area or click Keyboard at the bottom of the tab A keyboard appears over the screen Tip If you copied the automatic narrative to the medic narrative you can edit the text in the medic narrative as needed 4 Use the keyboard to type a narrative describing the incident and then click Submit 5 Inthe lower right corner of the tab click Check Spelling 116 FH Medic User s Guide If spelling errors are found in your text the Check Spelling dialog box appears Check Spelling Not in Dictionary paa Ignore All Suggestions A Pog piggIs PCEN Change All Add words to Suggest Help Cancel Change 6 Ifthe Check Spelling dialog box appears Use the dialog box to correct any spelli
27. list of descriptions will vary depending on whether you are adding details about a fall or a burn Burn Details Fracture Laceration Abrasion Swelling Burn Details Hemorrhage Tenderness 1st Degree 2nd Degree 3rd Degree Contusion Dislocation Pain Burns Amputation Deformity Thermal Chemical Penetration Cancel Electrical Inhalation 5 Click a description of the injury at the point you clicked on the human body diagram Tip If you are adding burn details you also need to click Continue FH Medic User s Guide 63 A white X in a red circle appears on the human body diagram at the point you clicked Add Fall Show Back Continue 6 Repeat steps 4 5 for each injury you need to indicate and describe for the patient 7 Click Continue to close the human body diagram dialog box and return to entering inform ation about the patient injuries 64 FH Medic User s Guide Add stabbing or gunshot injury details 1 If you have not done so already Begin describing the patient s injury as outlined in Describe patient injuries on page 58 2 Under Injury click MOI The Mechanism of Injury MOI choices appear on the right side of the interface 3 On the right side of the interface click Stabbing or Gunshot The Add Stabbing or Add Gunshot dialog box appears showing a
28. mark it FH Medic copies an existing incident s information and call as a new incident times up to the at scene time This feature is useful if you have an incident with multiple patients requiring treatment you can start a new incident without having to re enter the incid ent information for every patient and only edit the differences for the next patient Edit the datainan 1 Select the incident you want to edit the data for Px Ungnade 2 At the bottom of the screen click Edit Tip Click Refresh Incidents to download transferred calls and update status changes from the FH Medic Cloud The Response screen appears EHT me Response ion Events Incident Information Call Times NFIRS Incident Narrative Quick Actions Validate ViewPCR PT Summary Location Address Zip City State Location Type Map Page Comments Incident Incident Number Date of Service Transport Type Dispatch Complaint Scene Information 8 FH Medic User s Guide 2 Optional Continue with Understand the interface and data entry in it on page 11 3 Enter or edit the data you need for the incident e e e Specify response information on page 16 Record patient information on page 25 Assess the patient s situation on page 50 Document treatments and vitals data on page 69 Describe the outcome of the incident on page 108 FH Medic User s Guide 9 Transfer an incident to another unit
29. or suspected abuse or neglect 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Alleged or Suspected Abuse or Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Alleged or Suspected Abuse or Neglect i Prior To Arrival 1 2 3 Now od Enter 3 Under Alleged or Suspected Abuse or Neglect enter data as described in Under stand the interface and data entry in it on page 11 Field Information needed The time the alleged or suspected abuse or neglect was noted By default this value is populated with the computer s system time when you selected this treatment option Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears 94 FH Medic User s Guide Apply thermal treatments to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing inci
30. per Month Other c Specify the amount and frequency the patient takes the med ication as described above in the instructions for adding medications the patient is taking to the list Delete a medication a Inthe list in the upper left corner of the interface select the from the list the medication you want to delete pament taking Click Delete Selected Drug The medication disappears from the list FH Medic User s Guide 37 List any allergies the patient has 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Allergies sub tab Fields for specifying the information about allergies the patient has appear on the left side of the interface Allergies Medications Environment Food Insects 3 Under Allergies enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Medications A list of medications penicillin aspirin morphine and so forth which trigger an allergic reaction in the patient Environment A list of environmental factors dust latex pollen and so forth which trigger an allergic reaction in the patient A list of foods shellfish gluten dairy and so forth which trigger an A list of insect bites or stings from ants bees spid
31. performed the treatment Notes Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Apply a splint to the patient 1 If you have not done so already Do the following a Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Splint Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Splint f aele pala Li j s 4 s e a Thermal Treatments pees 0 Clear Prior To Arrival e Enter 86 FH Medic User s Guide 3 Under Splint enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Type The type of device used to immobilize a portion of the patient s ana tomy
32. s personal items have been given to for safe keeping Escorted By The individual who escorted the patient from the incident scene The condition of the patient when they arrived at a medical facility Arrival 5 Under Diverted enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Fac Diverted From The medical facility the patient was originally en route to for addi tional care Fac Divert Time The time the patient was diverted from the original destination medical facility Reason Diverted The reason the patient was diverted from the original destination medical facility 6 Under Air EMS enter data as described in Understand the interface and data entry in it on page 11 Field O Information needed Air EMS Contacted The time the air emergency service EMS was contacted Air EMS Arrival The time the air EMS transport arrived on the scene Air EMS Depart The time the air EMS transport left the scene Air EMS Company The name of the air EMS company used 7 Under Alerts in EMS Exposure select all infectious diseases that EMS personnel may have been exposed to during the incident FH Medic User s Guide 109 Acquire and delete signatures Depending on the outcome you select for a patient the label on any button representing a required signature is red to indicate that the signature is required 1 If you have not done so already Add a new inc
33. should be included in the narrative includes obser vations and actions taken They should be reported in a logical order usually chronological You should use the narrative report to describe scene conditions including property damage Also describe the condition of the premises when you left report any remaining hazards and sum marize the incident 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Incident Narrative sub tab A large text area for entering text about the incident appears Incident Narrative Scratch Pad Keyboard Check Spelling 3 Click in the large text area or click Keyboard at the bottom of the tab A keyboard appears over the screen 4 Use the keyboard to type a narrative describing the incident and then click Submit 5 Inthe lower right corner of the tab click Check Spelling If spelling errors are found in your text the Check Spelling dialog box appears Check Spelling Not in Dictionary pigays Ignore All Suggestions a piggy Change iggish he pag Change Alll Add words to J Suggest Help Cancel FH Medic User s Guide 23 6 If the Check Spelling dialog box appears Use the dialog box to correct any spelling errors in your text 7 Optional Add hand written notes or sketches to the incident nar
34. the name of the user you want to log in as in one of the following ways Tip Several logins are available for evaluating a demonstration copy of FH Medic a Click Last Name or First Name to list the users alphabetically by their last or first name b Optional In the blank field above the keyboard type part or all of the user s last or first name depending on your selection in the previous step The list of user names automatically filters as you type to display only the user names matching the characters you have entered 2 FH Medic User s Guide Tip You can click Back to delete the last character in the string in this field or you can click Clear to erase all the characters at once Note The Add This button is reserved for other functionality in the application and does not affect the characters you have typed or the list of user names c From the list of user names select the one you want to log into FH Medic with d Inthe upper right corner of the dialog box click Submit The login screen reappears with your selection listed for User Name 6 Click in Password A keyboard appears on the screen amp Password lejla le i7 le le lo Q iw Le LRILTJLy Jiu jit jolle ee LA Js LD LF L jLH JL y JL JL ZJ gt xJleJiv Jia Jin jim jl JL CD C se JEE 7 Use the keypad to enter the password and then click Submit Fo
35. the treatment information you entered The Treatments tab reappears 102 FH Medic User s Guide Record vitals data Note If vitals data was recorded on an EKG device you can import the data into FH Medic instead of entering the data manually Information on importing the data is available in Import vitals data from an EKG device on page 106 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Events tab and then click the Vitals sub tab Fields for gathering information related to the treatment appear on the left side of the inter face and a summary of the vitals information you enter appears at the bottom of the inter face Because you may assess the patient s vitals multiple times during treatment you can record the vitals data for each of these assessments Note The first time you access this screen a new blank vitals entry is automatically added to the vitals summary listing Vitals 06 01 29 T Time Taken 06 01 29 7 El BP Sys 1 2 3 Now S BP Dia 4 5 6 5 min 1 ago min HR BPM 7 8 9 10 min RR BPM ago Enter SP02 0 Clear ETCO2 CBG mg dL Temperature Position EKG lt gt Add Impot als Dis ma Gove Time HR RR_ BP BPDia SP ETCO2 Glucose Temp Position 06 01 29
36. tube FH Medic User s Guide 77 Field Information needed Performed By The person who performed the treatment Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Decompress the patient s chest 1 If you have not done so already Do the following a Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Chest Decompression Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Time Chest Decompression kii ae Hogar Performed By e ts e Attempts 0 Enter Clear Prior To Arrival 3 Under Chest Decompression enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected thi
37. 2 To Maintain Adequate Ventilation Oxygenation ie Respiratory Depression Respiratory Distress and Respiratory Failure fe COPD lt Rasriraten Mrive CHF anc T ee eee 3 Optional Print the protocol 4 a Inthe upper right corner of the interface click Print A standard Print dialog box appears b Make selections in the dialog box as normal and then click Print In the upper left corner of the interface click Go Back to return to the list of symptoms FH Medic User s Guide 143 View installation and synchronization information You can view information about your FH Medic installation and discover at a glance whether or not the mobile computer is sending data to the FH Medic Cloud as expected 1 Inthe upper left corner of the interface click the FH logo A menu appears Re Incidents Crew Incident gt Info Minimize Exit 2 Choose FH Info The Status Information screen appears listing information about your FH Medic install ation The value in the Queued Data Count field indicates whether there is data on the mobile computer that has not yet synchronized with the FH Medic Cloud which can indic ate whether or not the computer has an active Internet connection Status Information Data Information Queued Data Count 0 FH Medic Version 2 1 2 0 900006 License FH SYLT3 5662U M12L WR9M 3 Optional On the far right side of the screen click Refresh t
38. 3 If this is not the first time you accessed the Vitals tab At the bottom of the interface click New A new listing for the vitals information you will record appears at the bottom of the inter face and a blank set of fields appear on the left side of the interface FH Medic User s Guide 103 4 Under Vitals enter data as described in Understand the interface and data entry in it on page 11 Note Optional You can also add detailed information to specific patient vitals inform ation In the right pane if a numerical key pad appears the Details button appears in the upper right corner of the keypad a Click Details The Details dialog box appears Clear Refused Palpated Auscultated b Select the detail button for the information you want to add and then click Continue Field o O Information needed Time Taken The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option BP Sys The patient s systolic blood pressure BP The patient s diastolic blood pressure HR BPM The patient s heart rate HR in beats per minute BPM RR BPM The patient s respiratory rate RR in breaths per minute BPM SP02 The patient s blood oxygen saturation SP02 ETCO2 The patient s end tidalcarbon dioxide EtC 02 the level in the patients 104 FH Medic User s Guide Field O Information needed C
39. BG mg dl The patient s capillary blood glucose CBG level The patient s body temperature The patient s position such as standing sitting supine ina Fowler s position and forth An indication of cardiac performance from an EKG elec trocardiography device Performed By The person who performed the treatment Pain Scale The patient s description of how much pain they were experiencing ona scale of 0 to 10 SPCO The patient s carboxyhemoglobin SpCO levels Prior To Arrival Indicate whether or not actions were performed on the patient SPMET The patient s methemoglobin SpMet levels before you arrived on the scene 5 Under Revised Trauma Score or RTS enter the numerical score from 0 12 cal culated from the Glasgow coma scale systolic blood pressure and respiratory rate Note When you fill in the necessary fields under Vitals and Glascow Coma Score FH Medic calculates the RTS for you 6 Under Glascow Coma Score enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Motor Response A numerical rating of the patient s ability to obey commands and responses to pain Verbal A numerical rating of the patient s ability to comprehend and Response respond to questions clearly and coherently Eye Response A numerical rating of the patient s ability to open their eyes spon taneously in response to speech or in response to pain FH Medic U
40. Diverted From Fac Divert Time Reason Diverted 3 Under Details enter data as described in Understand the interface and data entry in it on page 11 Field Information needed How the incident ended with respect to the the patient the patient was transported transferred refused treatment and so forth Destination The medical facility the patient was transported to Location Choice The influencing factor in choosing the medical facility the patient was transported to the patient the patient s family EMS protocol proximity and so forth 108 FH Medic User s Guide Field o Information needed Priority to An indication of how important it is to transport the patient to the des Destination tination medical facility Code to An indication of whether lights and or sirens were used when trans Destination porting the patient A code of 380 Initial Lights and Sirens Dwngrd indicates that no lights or sirens were used A code of 2 indicates that lights but no sirens were used and a code of 3 indicates that both lights and sirens were used 4 Under Patient Information enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Personal Items _ List any personal items cell phone cash ring backpack and so forth that belonged to the patient and that have been collected dur ing the incident by EMS personnel Items Given To The individual the patient
41. Family Member Patients personal items included Briefcase which were given to Family Member The condition of the patient upon arrival was Deteriorated The unit was clear at 15 55 51 Scratch Pad Keyboard Copy to Narrative Check Spelling 4 Optional To copy the automatically generated narrative to the Medic Narrative tab at the bottom of the screen click Copy to Narrative The text on the Auto Narrative tab is instantly copied to the Medic Narrative sub tab You can then edit and add to the information on the Medic Narrative sub tab as needed to fill out information about the patient 118 FH Medic User s Guide Add CPR cardiopulmonary resuscitation information Cardiopulmonary resuscitation CPR is an emergency procedure attempting to restore spon taneous circulation and breathing by performing chest compressions with or without ventilation in an effort to manually preserve intact brain function until further measures can be taken 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Summary tab and then click the CPR sub tab The CPR page appears Disposition Signatures Narrative CPR CPR Cardiac Arrest Cardiac Arrest Etiology Resuscitation Attempted Arrest Witnessed First Monitored Rhythm Spontaneous Circu
42. Foot Fall Swelling No Obvious Trauma Clear Drawing Free Draw View injury e At the bottom of the interface click Show Back markers on the other side of the body The human body diagram changes to show the back of the body and the label on the button updates to Show Front To return to the front view of the body click Show Front Indicate sus In the lower left corner of the interface click Suspected Internal pected internal Injuries injuries A new entry for internal injuries appears at the bottom of the list Remove an Inthe injury list on the left select the injury you want to remove injury In the lower left corner of the interface click Remove Selected Injury The injury disappears from the list Draw on the In the lower right corner of the interface click Free Draw and body diagram then drag the mouse pointer to draw on the human body dia FH Medic User s Guide 67 To do this Add an injury 68 FH Medic User s Guide gram to indicate information related to the injuries Note You can remove any markings you draw on the body dia gram by clicking Clear Drawing Click the human body diagram at the location you want to add an injury A dialog box of injury descriptions appears The list of descrip tions will vary depending on whether you are adding details about a fall or a burn Front Right Upper Leg Select injury type Fracture Laceration Abrasion Swelling Hemorrha
43. Guide 15 Specify response information Response information for an incident includes its location basic incident information call times National Fire Incident Reporting System NFIRS information and a narrative Add location and incident data 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected and fields for entering location and incident data appear on the left side of the interface Fields with red text indicate required information z hi ah EG esponse Patient Situation Events Summary Incident Information Call Times NFIRS Incident Narrative Location Address Zip City State Location Type Map Page Comments Incident Incident Number Date of Service Transport Type Dispatch Complaint Scene Information 2 Under Location enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The street address where the incident occurred The name of the state where the incident occurred and the numer ical code assigned by the U S Postal Service to all U S jur isdictions City The name of the city where the incident occurred Note If the incident occurred in an unincorporated area use the city found in the mailing address for the incident location The name of the state
44. J FIREHOUSE FH Software A Xerox Solution FH Medic User s Guide 1993 2014 Xerox Government Systems LLC All rights reserved 2900 100th St Suite 309 Urbandale IA 50322 WSpell ActiveX Spelling Checker 1997 2002 Wintertree Software Inc PDF Rasterizer NET 2001 2005 TallComponents BV FIREHOUSE Software is a registered trademark of Xerox Government Systems LLC All rights reserved Microsoft MS MS DOS Microsoft Visual FoxPro and Microsoft Access are registered trademarks Windows is a trademark of Microsoft Corporation CAMEO isa registered trademark iPad is a registered trademark of Apple Inc All other products or services mentioned in this manual are identified by the trademarks or service marks of their respective companies or organizations Xerox disclaims any responsibilities for specifying which marks are owned by which companies or organizations FIREHOUSE Software is protected by the copyright laws that pertain to computer software It is illegal to make copies of the Software except for backups It is illegal to rent lease sublicense or otherwise transfer any of the materials It is illegal to remove or obscure pro prietary notices It is illegal to duplicate and distribute the Software by any other means including electronic transmission To protect trade secrets contained in the Software you may not decompile reverse engineer dissemble or otherwise reduce the Software to human per ceivable
45. Liability XEROX S LIABILITY INCONNECTION WITH THE LICENSED SOFTWARE UNDER THIS LICENSE OR ANY OTHER MATTER RELATING TO THIS LICENSE WILL NOT EXCEED THE FEE THAT YOU ACTUALLY PAID TO XEROX FOR THE SOFTWARE GIVING RISE TO THE LIABILITY REGARDLESS WHETHER ANY REMEDY SET FORTH HEREIN FAILS OF ITS ESSENTIAL PURPOSE OR OTHERWISE IN NO EVENT WILL XEROX BE LIABLE TO YOU FOR ANY SPECIAL INCIDENTAL OR CONSEQUENTIAL DAMAGES WHETHER BASED ON BREACH OF CONTRACT TORT INCLUDING NEGLIGENCE PRODUCT LIABILITY INDEMNIFICATION OR OTHERWISE AND WHETHER OR NOT XEROX HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE YOU ACKNOWLEDGE THAT XEROX HAS SET ITS FEES AND ENTERED INTO THIS LICENSE IN RELIANCE UPON THE LIMITATIONS OF LIABILITY AND THE DISCLAIMERS OF WARRANTIES AND DAMAGES SET FORTH IN THIS LICENSE AND THAT THE SAME FORM AN ESSENTIAL BASIS OF THE BARGAIN BETWEEN THE PARTIES Remedy In the event that Xerox breaches this agreement your sole remedy is to notify us of such breach within the applicable warranty period and we will at our sole option either cure the breach or refund the license fee paid to us for the materials In no event will Xerox be responsible for any damage beyond the amount of the license fee or for any indirect special incidental consequential or similar damages or profits to you or any other person or entity regardless of the legal basis even if Xerox has been advised of the possibility of such dam ages except to the extent ap
46. ack Notes about what aid was given to the patient before the medics arrived Aid Record call response times 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Call Times sub tab Fields for specifying a variety of times appear on the left side of the interface Call Received Dispatched En Route At Scene At Patient Depart Scene Arrive Destination Transfer Care Unit Clear At Home GUE FH Medic User s Guide 19 3 For each of the fields do one of the following To do this Enter the current 1 Click the button for the field system time on The current time appears in the field to the right of the button and your computer a number pad with additional buttons and a time display appears in the data selection entry area Call Received Time 09 43 14 Call Received 09 43 14 Dispatched En Route 1 2 3 Now At Scene At Patient 5 min 4 3 bed Depart Scene 10 min Transfer Care 0 Clear Unit Clear At Home EEE EE a Sa EIEE If necessary Adjust the time displayed with the Now 5 min ago 10 min ago 1 min or 1 min buttons Optional Click Clear and then click the number buttons to re enter a time
47. appears Incidents screen Forms _ Forms for this Incident PCR Supplemental PCS _ Available Forms _ Controlled Su Pages gme View Selected Edit Selected b Under Forms for this Incident click PCR c Inthe lower right corner of the interface click View Selected The Patient Care Report screen appears Patient Care Report T FH Medic YY Incident Number 12 00010 Date of Service 06 01 2012 Chief Complaint Trauma Respiratory Distress Unit Crew Engine 1 FH Guest Guest Patient Information Last Name First Name MEP DOB UTO Phone 555 555 5555 SSN 55 55 5555 NC Addre Insurance Cty Raleigh S Patient Allergies Environmental Animals Mold Pets work Food None NO Mango Mik or Dairy Medicatio NKDA ACE Inhibitors Ciprofloxacin Codeine Patient History Cardio NO Anemia Blood Disorder High Cholesterol High Blood Pressure Palpitations Cardiac Arrest Arrythmia Cancer Prostate Neuro Recurrent headaches GI Digestive Problems lGenitourinary Sexually Transmitted Disease Urinary Tract Infections Infectious HIV Hepatitis C Metabolic Endocrine Obesity Respiratory Asthma Emphysema Psych Depression Eating Disorder Insomnia Womens Health None Patient Svmrtare Ganeral ight Headed Rew iratorv Anormal Res Pattern 7bored Breathina Shares nf Breath Whe zina Neurninriral Memon Problem
48. arrative Comments Scene Information Incident Treatments Medication Administration Dose Units Ro Medication Administration Dose Units Ro 2 Inthe list click an item you want to complete or correct The tab containing the incomplete or invalid information appears 3 Complete or correct the incomplete or invalid entry 4 Repeat steps 1 3 until a message that all the required fields are satisfied appears Ba All of the required fields have been satisfied Would you like to continue documentation or complete the report a Continue OR Documentation FH Medic User s Guide 121 5 Depending on what you want to do do one of the following Enter more data e Click Continue Documentation for the incident The normal interface for entering data into fields reappears Close the report e Click Complete Report On the Incidents screen which lists all of the incidents and their current status the status changes to Complete in the incid ent list and the report is ready for review by administration on the FH Medic Cloud The report can no longer be edited in FH Medic once it is marked as complete Complete an incident When you have successfully validated your data you can choose to complete the incident Inform ation on validating your data is available in Validate data on page 121 1 Inthe upper right corner of the interface click Validate Quick Actions Validate View PCR PT Summary If al
49. ata as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option A list of the types of bandages applied to the patient s injuries The location on the patient s anatomy where the bandage was applied Performed By The person who performed the treatment Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Apply a traction splint to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Traction Splint Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Traction Splint f Side 3 sox za Performed By 5 min 4 5 6 ago min
50. ated with the computer s system time when you selected this treatment option Type An indication of how the oxygen was administered with a mask a nebulizer a nasal cannula and so forth Rate LPM The number of liters per minute LPM through the oxygen device s flowmeter Performed By The person who performed the treatment Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears FH Medic User s Guide 73 Intubate the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Intubation Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment a Intubation Type 1 Ea we min Technique 4 5 6 on EE Successful ajeje Enter ane 0 Clear Tube Depth cm Location ETCO2 Checks Tube Secured Performed By Prior To Arrival X 4 es al i
51. cher while in motion Condition is such that patient risks injury during No vehicle movement despite safety belts Patient Safety Danger to Self Behavioral cognitive risk such that patient requires stretcher side monitoring No Tip You can print the PCS by clicking Print at the top right of the interface and then fol lowing the prompts that appear 13 Inthe upper left corner of the interface click Go Back FH Medic User s Guide 49 Assess the patient s situation When you assess the patient s situation you can record critical patient information such as the chief complaint the onset provocation palliation quality region radiation severity and time OPQRST of the complaint the assessment of the patient symptoms and injury descrip tions locations Identify the chief and secondary complaints The chief complaint is a concise statement describing the symptom problem or condition that is the reason for a medical encounter A secondary complaint is a second less severe problem with the patient which may or may not be directly related to the chief complaint 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab By default the Chief Complaint sub tab is selected the Primary Impression selection button below the sub tab i
52. cribed in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab and then click the Assessment sub tab An interface for adding a new patient assessment appears on the left side of the interface and asummary of any assessment information you enter appears at the bottom of the interface Because you may assess the patient s condition multiple times during treat ment you can record your findings for each of these assessments Add New Assessment Add New Assessment x Delete Time Skin Head Face Neck Chest Lungs Left Eye Right Eye 3 Click Add New Assessment 54 FH Medic User s Guide The interface updates and fields for entering assessment information appear on the left side of the interface The Date Time of Assessment field is selected by default anda number pad for entering the time the patient was assessed appears on the right side of the interface Assessmen Skin HeadiFace Neck ChestiLungs Heart LU Abdomen LL Abdomen RU Abdomen RL Abdomen GU i Date Time of Assessment Within Normal Limits t Date Tirr 1 min min 0 Clear Enter lt ssment Time Skin Head Face Neck Chest Lungs LeftEye Right Eye 4 For Date Time of Assessment do one of the following e Click Now to enter the curre
53. ct Location Rex Hospital Wake magical Wake Med Apex Wake Med Cary Center Cancel FH Medic User s Guide 135 To do this If the fax number you need is listed Click the pre defined fax number If the fax number you need is not listed In the blank field type the number of the fax machine to send the supplemental forms to Click Send Fax A confirmation message dialog box appears Ts x Fax document sent to queue Click OK Print the sup Inthe upper right corner of the interface click Print plemental A standard Print dialog box appears forms Make selections in the dialog box as normal and then click Print The supplemental forms you filled in are sent to the printer or fax machine for trans mission 3 Inthe upper left corner of the interface click Go Back to return to working in FH Medic 136 FH Medic User s Guide View or print a Physician Certification Statement PCS 1 Depending on where you are in the FH Medic interface do one of the following If you are here At Incidents a At the bottom of the interface click View PCR screen The Patient Care Report screen appears Patient Care Report In the upper left corner of the interface click View PCS At any screen Choose FH Incident Forms except the Incidents a screen Forms for this Incident PCR Supplemental Pcs sg SUPE The Forms screen appears Available Forms Co
54. cy procedure attempting to restore spon taneous circulation and breathing by performing chest compressions with or without ventilation in an effort to manually preserve intact brain function until further measures can be taken 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click CPR Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment CPR Time Performed By 1 2 3 Now usb Performed By Name 5 min 1 go min Prior To Arrival 84 FH Medic User s Guide 3 Under CPR enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Performed By The person who performed the treatment a bystander family mem ber medical personnel and so forth Performed By The name of the person who performed the treatment Name Prior To Arrival Indica
55. d EKG and vitals files Choose Patient Record Time PatientID Last Name Recent Cases View Selected File Show All Cases Selected Case Information i Patient Name Vitals Import Record Select which reports to attach to PCR Close View This Case 4 Under Choose Patient Record select the name of the patient you want to import and then click Import Record The vitals information imports as patient data and all other records for the patient import as attachments to the patient s care record 5 Click Close FH Medic User s Guide 107 Describe the outcome of the incident At the end of the incident you can record information about the patient as they exit the scene where they were sent and any resulting alerts that EMS personnel need to deal with Record patient disposition information 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Summary tab and then click the Disposition sub tab Fields for gathering information related to the patient as they leave the scene of the incid ent appear Details Outcome Destination Location Choice Paramedic Choice Priority to Destination Code to Destination Patient Information Personal Items Items Given To Escorted By Condition on Arrival Diverted Fac
56. d Termination D Time Cog Enter 1 Reason for Termination 1 2 3 Now min Performed By 5 min 1 4 5 6 ago min Notes 10 min Prior To Arrival 7 8 9 ago o 3 Under Field Termination enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option A list of the reasons the treatments in the field were ended such as 98 FH Medic User s Guide Field o O Information needed signs of obvious death obvious mortal wounds and vital organ destruction and resuscitation efforts would endanger responders Performed By The name of the person who determined that treatments in the field should end Notes e Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Contact medical control for a patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab
57. d moving At Scene The time the responding unit arrived on the scene the time the vehicle stopped moving At Patient The time the responding unit arrived at the patient s side Arrive The time the responding unit arrived with the patient at the des Destination tination or transfer point Transfer Care The time the patient was transferred from this EMS agency to another EMS agency for care Unit Clear The time the responding unit left the scene started moving At Home The time the responding unit was back in their service area In agencies who utilize Agency Status Management home location is the service area as assigned through the agency status man agement protocol In the lower left corner of the screen enter data as described in Understand the inter face and data entry in it on page 11 Information needed Responding The odometer reading on the unit before leaving to respond to the Mileage incident At Scene The odometer reading on the responding unit when it arrived on the Mileage scene At Destination The odometer reading on the responding unit when it arrived with Mileage the patient at the destination or transfer point Clear Mileage The odometer reading on the responding unit when it left the scene FH Medic User s Guide 21 Add NFIRS data You can also record data for National Fire Incident Reporting System NFIRS in FH Medic 1 If you have not done so already Add a new incident or open an
58. d the patient s information from their driver s license as described in Read information from a driver s license on page 29 3 Scroll down through the fields until the Home Address section appears Home Address Address 1 Address 2 Zip City State County Resident or Non resident Financial Guarantor 4 Under Home Address enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Address 1 The patient s home mailing or street address Address 2 Tip When you click this field the Copy Address from Incident and UTO buttons appear in the data selection entry area You can click the first button to copy the information from the Response tab Location sub tab If you click UTO unable to obtain the address fields are no longer required The patient s home ZIP code of residence This is the numerical code assigned by the U S Postal Service to all U S jurisdictions The patient s home city township or residence Note If the patient lives in an unincorporated area use the city found in the mailing address for the patient 30 FH Medic User s Guide Field Information needed The home state territory or province or District of Columbia where the patient resides The patient s home county parish or residence Resident or An indication of whether or not the patient is a resident in the area Non resident district county zone city and so forth where
59. default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click 12 Lead EKG Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment 12 Lead EKG Time lt Interpretation al z 3 Now a Performed By a EA 6 oe fh Notes 1 Prior To Arrival EA 8 9 Ee 3 Under 12 Lead EKG enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Time The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Interpretation A list of the interpreted results of the electrocardiography Performed By The person who performed the treatment Notes O Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears 92 FH Medic User s Guide Employ a CPAP continuous positive airway pressure treatment 1 If you have not done so already Do the following a Add anew incident or open
60. dent as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Thermal Treatments Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Thermal Treatments p Time 1 Type 1 2 3 Now min Location i 5 min 1 4 5 6 ago min Performed By _ 7 8 9 10 min ago Notes Prior To Arrival 0 Clear 3 Under Thermal Treatments enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option A list of the hot warming cold or cooling devices used on the patient Enter Location A description of where on the patient s anatomy the thermal treat ments were applied Performed By The person who performed the treatment Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment informati
61. dical Wake Med Apex Wake Med Cary Center Cancel If the fax number you need is listed Click the pre defined fax number If the fax number you need is not listed In the blank field type the number of the fax machine to send the supplemental forms to Click Send Fax Aconfirmation message dialog box appears TS x Fax document sent to queue Click OK Print the con Inthe upper right corner of the interface click Print trolled sub A standard Print dialog box appears stance usage wastage b form Make selections in the dialog box as normal and then click Print The supplemental forms you filled in are sent to the printer or fax machine for trans mission 3 Inthe upper left corner of the interface click Go Back to return to working in FH Medic FH Medic User s Guide 141 Attach files to or delete files attached to an incident 1 Choose FH Incidents Attachments The Attach Files to screen appears Attach Files to File Name Time Added _ N Back Delete Selected Add File Note Maximum file size for each attachment is 1 5 MB 2 Click Add File A file browser appears 3 Use the file browser to navigate to and select the file to attach to the incident The file is added to the list on the Attach Files to screen 4 Optional Select the file you want to delete and then click Delete Selected The file disappears from the list and is no longer attached to the incident
62. dule You may not make use of any object code for any component s or modules s for which you have not expressly obtained a license for use under this Agreement Any rights not expressly granted in this Agreement are expressly reserved You agree not to a rent lease sublicense assign or otherwise transfer the Licensed Software including any of the materials or your rights hereunder b remove or obscure our proprietary notices c translate alter decompile or disassemble any of the materials d copy any of the materials without our prior written consent e use the software for other agencies You shall have no right to access copy or otherwise use the source code for software licensed under this license You are prohibited from causing or permitting the reverse engineering disassembly or decompilation of the soft ware licensed under this license You are prohibited from modifying improving or otherwise enhancing the soft ware licensed under this license Terms This license is effective until terminated You may terminate it at any time by destroying the materials and all copies of any material made from the original materials and notify Xerox immediately This license ter minates automatically upon breach of any of the conditions of this license Upon termination you agree to des troy all copies of the materials Use of the materials without a valid license of the materials is unauthorized and may subject you to monetary penalties C
63. e and Auto Narrative sub tabs appear and the Medic Narrative sub tab is selected by default 3 Click the Auto Narrative sub tab The tab displays the automatically generated narrative Ah ES Fa Response Patient Situation Events Summary Disposition Signatures Narrative CPR Quick Actions Validate ViewPCR PT Summary Medic Narrative Auto Narrative On 06 17 2013 EMS Unit responded to a call with a chief complaint of Cardiac Arrest Patient was a 44 year old Male Patient has no known drug allergies None Patient gave the following medical history to EMT personnel Current medications being taken include NONE Patient was assessed with the following responses noted The following 4 treatments were performed on the patient Clear Airway was administered at 17 12 00 The following details were noted for this treatment Method Head Tilt Chin Lift Performed By Newby Ima Chest Decompression was administered at 17 12 29 The following details were noted for this treatment Site Left Anterior Midclavicular Performed By Newby Ima CPR was administered at 17 12 47 The following details were noted for this treatment Performed By Family Performed By Name Jane Smith CPR was administered at 17 21 20 The following details were noted for this treatment Performed By Family Performed By Name Jane Smith Outcome for this incident Patient Transported Patient was transported to Iowa Lutheran Hospital Paramedic Choice escorted by
64. e following At Incidents e Atthe bottom of the interface click View PCR x Copy Belos Dej Bie Ar screen On any data e Inthe upper right corner of the interface click View PCR entry tab i oa Quick Actions Validate View PCR PT Summary At any screen a Choose FH Incident Forms except the The Forms screen appears Incidents screen ao Oe Forms for this Incident PCR gSupplemental _ PCS Available Forms Controlled Su _Pages gme View Selected Edit Selected b Under Forms for this Incident click PCR c Inthe lower right corner of the interface click View Selected The Patient Care Report screen appears View Supplemental View PCS eneon Patient Care Report a s x T FHMedic Incident Number 12 00010 Date of Service 06 01 2012 Chief Complaint Trauma Respiratory Distress Unit Crew Engine 1 FH Guest Guest Patient Information Last Name First Name MEP Phone UTO Insured SSN UTO Private Ins Name Aetna Insi Patient Medications Valtrex 250mg 1x dally gibberish 350grams gggggg Acetaminophen Codeine Patient Allergies Environmental Animals Mold Pets work Food None NO Mango Mik or Dairy Medications NO NKDA ACE Inhibtors Ciprofioxacin Codeine Patient History Cardio NO Anemia Blood Disorder High CI ol High Blood Pressure Palpitati
65. ears from the list FH Medic User s Guide 113 Provide a signature for a patient If a patient is unable or unwilling to sign forms a medic from the incident needs to sign the Patient Unable Unwilling to Sign Reason form 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Summary tab and then click the Signatures sub tab Buttons for different types of signatures that you may need appear Disposition Signatures Narrative CPR Choose a Signature Type to Add Person Entity Parent Patient Refused Secondary Patient Refused ees Patient Primary Medic ae Witness Transport Medic TEM Other Parent Guardian Refusal for Minor Quick Actions Validate ViewPCR PT Summar y 3 Onthe right side of the interface click Patient Unable or Unwilling to Sign The Patient Unable Unwilling to Sign Reason dialog box appears Patient Unable Unwilling to Sign Reason Choose Reason Medic Signature My signature below indicates that at the time of service the patient was physically or mentally incapable of signing and that no responsible parties were available or willing to sign on the patient s behalf 4 Click Choose Reason 114 FH Medic User s Guide The Select Reason dialog box appears Select Reason Pat
66. ed in this User s Guide may be available to you Contact your FH Medic administrator about possible changes if you are not able to find fields referenced in the User s Guide FH technical support staff is available to answer your questions by telephone or email Technical support hours are from 7 00 A M to 7 00 P M Central time Monday through Friday and from 8 00 A M to 12 00 P M on Saturday Call 800 921 5300 option 2 You can also send an email to support firehousesoftware com Log into FH Medic 1 Depending on whether you installed a demonstration copy of FH Medic or a purchased copy do one of the following Demonstration copy e Choose Start Xerox FH Medic FH Medic Purchased copy e Choose Start ACS Inc FH Medic FH Medic The FH Medic login screen appears Password 2 Click in Unit or click Choose to the right of Unit FH Medic User s Guide 1 The Select Unit list appears Select Unit Medic 1 Medic 2 Engine 2 Engine 3 3 Click the name of the unit you want to work with The login screen reappears with your selection listed for Unit 4 Click in User Name or click Choose to the right of User Name The Choose User dialog box appears Choose User Four Medic Paramedic MedicFour Guest FH EMT Guest One Medic EMT MedicOne Three Medic Paramedic MedicThree Two Medic Paramedic MedicTwo A Filter List by L mams e JAAA e AATA JAE e 5 Specify
67. eeceeeeeeeceeceeeeeeeeeeecerees 71 Clear the patient s airway 0 0c ccc cece cece cece eee c cece eeeceeceeceececceeeeeeeeees 72 Administer oxygen to the patient 22 00 22 e cece cece cece cece ccc cece ccc cceeceeeeeeeeees 73 Intubate the patient 0 222 cece cc cece ccc cece cece cece cece ee eeeeeeeeeceeceteettettetttttteees 74 Administer transcutaneous pacing TCP to the patient 0 00000 0200s 76 Monitor the EtCO2 level of the patient 22 02 22 cco cece ccc ccc nce ccccecccceeeeeeees 77 Decompress the patient s chest 2 2 0 2 0 0 02 00 coco eee ccc a cece cece cece cece cecceeeeeeeeeeeeees 78 Provide IV intravenous fluids to the patient 2 00 20 2 2 cece cece e eee e cece eceeceeeeeeeeees 79 Administer medication to the patient 0 0 ccc cccccccccccccccecccceeccecceceetteteceteteetteeeeees 81 Perform cardioversion or defibrillation on the patient cece cee cece ec cccccceeeceeeee 82 Perform IO intraosseous infusion on the patient 2 2 22 0 220 000 c eee cece eeeceeeeeeeee 83 Perform CPR cardiopulmonary resuscitation on the patient 00 0 0 22 cece cece e eee cece eee 84 Immobilize the patient s spine 2222 cece eee cece cece cc cc cece eecceeecceeeeeeeeeeeeeees 85 Apply a splint to the patient 0 eee see eee i cee Ae See eee ee 86 Restrain the patient tons eid aa e cece cece eee e eee a cceeeeeeeeeeeeees 87 Apply bandages to the patient
68. eeeeeeeeeeeeeeeeseees 16 Add location and incident data 2 20 02 ccc ccc ccc cece cence ence cece nee eecceneeeeceenseeeeeneeeeees 16 Record calliresponse tim S ities eee enue e lel cee et A ee ie tc ee a 19 Add NEIRS data is occ soRedidcs kelvin e GaN sha er aad aa dosent aa dedslied Se thoes eons bd 22 Enter an incident narrative 0000000000000000000000aa 011a iia iiano n aaraa a inaaianei ranno nannan 23 Record patient information _ 2 2 0 2 2 occ occ cece eee 000000000000000 ccc eeeeeceeeecceeeeeeeees 25 Specify the patient s personal information 000 0000222 c cece cece cece ccc ccc ccc cece cece eeeeeeeeeees 25 Search fora Patent osans bio ted Sareea ks een bao rosa es baie a A she ane be ics al 27 Read information from a driver s license _ 2 22 2 2002 29 Specify the patient s home address 10 0 eee e cece cece cece ccc ccceccccceceeeeececeeeeeeeeeeeeeeeees 30 Specify the patient s financial guarantor 2 0 0 2222 e eee e cece cece eceeeeeeeceeeeceeeeeeees 31 Collect the patient s medical history 0000 0c cece cece cece cece eeceecccccceeccceeeeeees 32 List the patient s medications 2 2 0 2 2 ccc e eee ccc cence cece cece eee ecceeececeeeeeeeeesecseees 34 List any allergies the patient has 2 2 e cece eee eeececccccccececcceeeeees 38 Specify insurance information 2 2 2 0 2 2 c cece cece cece eee ceeeeeeceeecccecceceeeeees 39 Attach an Advanced Beneficiary No
69. eeteeeees 106 Describe the outcome of the incident _ 8 2 2 2 108 Record patient disposition information 22 22222 cece cece cece cece cece cece ccceeeecceeeeeseeees 108 Acquire and delete signatures 2 20 22 22 c cece cece cece cece ccc cece cece eee aaraa aa aanraai 110 Provide a signature for a patient 2 2022 c cece cece ccc ce cece cece cece cceeeeeeeeeeeees 114 Provide a medic s narrative for the incident 2 0 2 0 eee eee cece eee cece cece eee eeeeeeeeeeeeeesees 116 View the automatic narrative for the incident 2 2 22222 118 Add CPR cardiopulmonary resuscitation information 0 0 00 e cece eeeee 119 Validate data 228222220 121 Complete an incident 20 ok eee ee Soe eas se Ae Ss ses seca ete E 122 Review and respond to QA QI notes 202 2222 cc cece cen e cece cece ccceeeeeeeeeeseeees 123 Amend a patient care report PCR 00 0222 22 ccc cece ccc cece cece ccc cece cece eeeeeeeeeeeeees 125 Add view fax and print forms _ 2 22 22 2 2 2 0 2 2 eee ccc ccc cece eee e cece ce ceeeeeeceeeeeeeees 128 Addiformsto the Mede 22 sete ean no ena ao ke tec oe cote ane glo hee a 128 View the patient SUMMAary 2 2 e ccc cece cece eee aa adea aaien cece eee c eee eeeeeeeeteeeeeees 129 View fax or print the patient care report PCR 00 0222 2 ec eee cece cece cece cece cece eeceeeees 131 View fax or print supplemental forms 2222222 c cece
70. erienced after FH Medic User s Guide 81 Field Information needed Treatment the medication was administered medication the medication was administered administered Prior o Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Perform cardioversion or defibrillation on the patient Cardioversion is a procedure that can restore a fast or irregular heartbeat to a normal rhythm Defib rillation is a therapeutic dose of electrical energy to an affected heart with a defibrillator 1 If you have not done so already Do the following a Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Cardioversion Defibrillation Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Cardioversion Defibrillation p Time n 1 Type 1 2 3 Now min Energy 4 5 6 5 min H ago min Performed By m 10 min Prior To Arrival 7 8 9 ago le Enter 3 Under Cardio
71. ers and so forth which trigger an allergic reaction in the patient fe allergic reaction in the patient 38 FH Medic User s Guide Specify insurance information 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Insurance sub tab Fields appear for specifying the information about any insurance the patient has Add Insurance Type Medicare a Private Other Payer or Medicaid ingursnea Self Pay Not Obtained Type Information Forms 3 Under Add Insurance Type add insurance information in one of the following ways To do this Add other 1 Click Not Obtained payer or self pay information A field for indicating why you could not obtain the information appears Add New Insurance Not Obtained Reason Click Not Obtained A list of reasons appears in the data selection entry area for why insurance information could not be obtained In the data selection entry area click the reason that applies to the patient FH Medic User s Guide 39 To do this Add Medi 1 Click Medicare care insur Fields appear for specifying Medicare information ance Add New Insurance Medicare Medicare Payer Medicare ID 2 Under Medicare enter data as descr
72. es issue driver s licenses that can be read by driver s license scanner 1 At the bottom of the tab click Scan Drivers License The Swipe Driver s License dialog box appears Swipe Driver s License Patient s ID Responsible Party s ID 2 Depending on whose driver s license you will scan click either Patient s ID or Respons ible Party s ID 3 Swipe the driver s license through the scanner and follow any directions provided with the scanner for its operation If the scanner can read the information on the driver s license data appears in the Swipe Driver s License dialog box 4 Click Close The Demographics sub tab reappears If the driver s license was successfully read the patient s data populates the fields FH Medic User s Guide 29 Specify the patient s home address 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Demographics sub tab Fields for specifying the information about the patient appear on the left side of the inter face Fields with red text indicate required information Tip If the patient already exists in FH Medic from a previous incident you can pull up the patient s existing data as described in Search for a patient on page 27 If you havea driver s license scanner available you can rea
73. escribed in Understand the interface and data entry in it on page 11 Field Information needed Time The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Side An indication of the side of the body the IV needle was inserted into A description of the location where the IV needle was inserted hand forearm jugular and so forth Successful An indication of whether or not the insertion of the IV needle was successful Attempts The number of attempts made in inserting the IV needle Size gauge The gauge size of the needle used for the IV treatment The type of fluid administered to the patient through the IV The drop rate of the IV such as TKO to keep open or bolus a single dose of medication Performed By The person who performed the treatment gtts min The number of drops per minute of the fluid administered to the patient Total Volume The total volume of fluid absorbed by the patient Infused ml The number of drops per minute that the patient recieves through a drip set the hypodermic needle tubing air chamber and other parts needed to administer IV fluids Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears 80 FH Medic User s Guide Admin
74. essed Medication Amount Used Unit Amount Wasted Unit Usage Wastage O o O O O m Orders Standing Physician Physician Name Cert Cert Get Administering Get Usage Witness 1 Paramedic Signature Signature Get Wastage Witness Box Number Signature View Form 4 Fill out the form with data as needed for the incident 5 Click Submit The form disappears under Available Forms and appears under Forms for this Incident 128 FH Medic User s Guide View the patient summary 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Inthe upper right corner of the interface click PT Summary The PCR Summary screen appears and provides an informal synopsis of all the response times assessment information treatments and so forth for the patient Demographics Past History Meds Allergies Insurance Quick Actions Validate View PCR PT Summary Z PCR Summary Highlight an Item to Edit or Delete Show All Show only Show Only Show Only Treatments Show Only Ttems Call Times Vitals Protocols men Time Type l Description Unknown Assessment Skin Pale Head Face Asymmetric Smi 15 30 18 UNIT DEPART SCENE 15 55 51 Unit Clear 17 06 59 UNIT DISPATCHED 17 07 02 UNIT ENROUTE 17 07 06 UNIT
75. existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the NFIRS sub tab Fields for specifying NFIRS data appear on the left side of the interface NFIRS Incident Type Alarm Type Aid Given Received Property Use Action Taken 3 Under NFIRS enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Incident Type A description of the actual situation emergency personnel found on the scene when personnel arrived Alarm Type The definition of an alarm determined at the local level Aid Given An indication of whether assistance was given or received from Received another fire department to help resolve an incident That assistance can be in the form of personnel or equipment from one or more departments Property Use A description of the type of location where the incident occurred Action Taken The duties performed at the incident scene by the responding per sonnel 22 FH Medic User s Guide Enter an incident narrative The incident report is an official record of an incident and must accurately describe the incident and the actions taken to mitigate it While many facts can be recorded in code fields some inform ation can be presented only in a detailed narrative Critical information may be left out unless the narrative report is completed Information that
76. form You may not modify adapt translate rent lease or create derivative works based upon the Software or any part thereof Xerox warrants the original media are free from defects in material and workmanship assuming normal use for ninety 90 days from the date of purchase Except for express warranty of the original media set forth above Xerox grants no other warranties express or implied by statute or otherwise regarding the media related materials their fitness for any purpose their quality their merchantability or oth erwise The liability of Xerox under the warranty set forth above shall be limited to the amount paid by the customer for the product Inno event shall Xerox be liable for any special consequential or other damages for breach of warranty 2014 Xerox Government Systems LLC Printed in the United States All rights reserved No part of this work covered by copyright hereon may be reproduced in any form by any means graphic electronic or mechanical including photocopying recording taping or storage in any information retrieval system without the written permission of the copyright owner ii FH Medic User s Guide FIREHOUSE Software License Agreement Carefully read the following terms and conditions before installing software from FIREHOUSE Software Only an Authorized Representative of the purchaser should install the software Installing the software indicates acceptance of these terms and conditions
77. ganization that received the patient The blank field to the left of Clear updates to reflect your selections Optional Click Clear to remove the selection displayed in the field to the left of Clear In the upper right corner of the dialog box click Continue The Person Entity dialog box closes and the signature type you specified appears under Signature Type in the Person Entity Receiving Patient Signature dialog box Optional In the Person Entity Receiving Patient Sig nature dialog box click Clear to remove the selection dis played under Signature Type Read the legal information provided Tip To more easily read the legal information to the right of the text click Expand The View Text dialog box appears and displays the text in a larger font on a white background The dialog box closes and a small image of the signature appears in the list at the bottom of the interface 4 Optional Delete one of the signatures a If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab is selected b Click the Summary tab and then click the Signatures tab A list of the signatures you have acquired already appears at the bottom of the inter face oo c Select the signature in the list that you want to delete and then click Delete Selec ted The signature disapp
78. ge Tenderness Contusion Dislocation Amputation Deformity Penetration Cancel Click the button corresponding to the injury you want to add to the human body diagram A new injury marker appears on the body diagram and a cor responding new entry appears in the injury list on the left Document treatments and vitals data You can document the treatments administered to the patient during the course of those treat ments Record treatments to the patient 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Events tab and then click the Treatments sub tab A list of possible treatments appears Treatments Supplies Etco2 Chest monitoring ssi Medication y Clear Airwa ox s a Ventilation Clear Airway ygen Admini Intubation ATE Vv ARDA Cardioversion Defibrillation Spinal Obstetrical Immobilization gig lo CPR Bandage Traction Splint Baiat 12 Lead EKG CPAP Alleged or Suspected Thermal Air Adjunct Ase or Treatments Termination aan 3 Click the button for the treatment administered to the patient Fields for gathering information related to the treatment appear on the left side of the in
79. he patient already exists in FH Medic from a previous incident you can pull up the patient s existing data as described in Search for a patient on page 27 If you have a driver s license scanner available you can read the patient s information from their driver s license as described in Read information from a driver s license on page 29 Field Information needed Last Name The patient s last family name first given name and middle ini First Name tial if any Middle Initial FH Medic User s Guide 25 Field Information needed The patient s date of birth Note If you are not able to obtain the patient s date of birth in the number pad on the right side of the interface click UTO unable to obtain FH Medic automatically calculates the patient s age and displays it in Age The division of time years months days hours minutes to asso ciate with the value in Age The identification of the race of the casualty based on U S Office of Management and Budget OMB designations Sex The patient s gender The patient s home or primary telephone number Tip If the phone number is not available click UTO unable to obtain Height The patient s height in feet and inches feet inches The patient s weight in pounds or kilograms Tip To indicate the units you are using for the patients weight click the button to the right of the field in the data selection entry area The label on this button
80. he required sub tabs have data the name and icon of the primary tab turns blue Note As soon as you enter data it is relayed to the server using a wireless connection elim inating the need to save data as you work FH Medic is set up to help you enter data as quickly and efficiently as possible by grouping the data on tabs sub tabs and fields Tabs and fields with red text indicate required information when entering data for an incident By default the incident data screen that appears is the Response tab with the Incident Inform ation sub tab selected and fields for entering location and incident data will appear on the left side of the interface kia ah Ty EG Fa Response Patient Situation Events Summary Incident Information Call Times NFIRS Incident Narrative Quick Actions Validate ViewPCR PT Summary Location Address Zip 27601 City Raleigh State Location Type Map Page Comments Incident Incident Number Date of Service Transport Type Dispatch Complaint Scene Information When you click a field on the left side of the interface depending on the type of data needed for the field and whether pre defined values already exist in FH Medic one of the following things appear for data entry eel iis hanvene case No pre defined A keyboard appears on the screen and you can use it to enter the value values exist in needed and then click Submit FH Medic Sp Password LOLs JL
81. her or not the patient began breathing more culation than an occasional gasp coughing or movement and if spon taneous circulation did occur whether or not it was before med ical personnel arrived Neurological Out A simple validated neurological score such as the Cerebral Per come formance Category CPC should be recorded if available Time of Arrest An indication of how long it has been since the arrest happened to the time EMS personnel arrived Time of Resus The date and time the person performing CPR stopped resus citation Dis citation continued Reason CPR Dis An indication of why the person performing CPR stopped continue Cardiac Rhythm An indication of what kind of rhythm the patient s heart had after CPR had stopped 120 FH Medic User s Guide Validate data At any point in time with your data entry you can validate your data to see if there are any incom plete or invalid entries that need to be addressed 1 Inthe upper right corner of the interface click Validate Quick Actions Validate View PCR PT Summary The Incident Validation screen appears listing any items that are incomplete or which have invalid data entered Q Incident Validation The following fields have not been populated Select an input to modify Required for All Incidents Code to Destination Outcome EMS Exposure Outcome Outcome Outcome Destination Outcome Location Choice Outcome Condition on Arrival Outcome N
82. hoose FH Incidents The Incidents screen appears listing all the available incidents 2 Click an incident that has a status of Review The Review Notes page appears displaying any messages from the QA QI reviewer on the FH Medic administration site A Review Notes Cose 6 17 2013 2 fh_tyates Review and update injury d 10 19 2013 Newby Ima Reviewed injury descriptions Respond to Admin Send To Pamir Message Send 3 Read the notes about the changes that are needed 4 Optional Under Respond to Admin respond to the person who sent the message a From Send To select the person you want to send a reply to b In Message type a message and then click Send A confirmation dialog box appears C xi Message Sent c Click OK 5 Inthe upper right corner of the interface click Close 6 Make the changes requested in FH Medic 7 Depending on where you are in the FH Medic interface do one of the following FH Medic User s Guide 125 If you are here At Incidents e Atthe bottom of the interface click View PCR screen D Copy EJ ore A car lt gt ve gt foe gi Pellent E to New z On any data e Inthe upper right corner of the interface click View PCR entry tab ee eee Quick Actions Validate ViewPCR PT Summary At any screen a Choose FH Incident Forms except the The Forms screen
83. human body Add Stabbing Show Back Continue Tip To access the back of the body in the dialog box click Show Back 4 Click a point of injury on the body in the dialog box FH Medic User s Guide 65 A white X in a red circle appears on the human body diagram at the point you clicked Add Stabbing Show Back Continue 5 Repeat steps 3 4 for each injury you need to indicate on the patient 6 Click Continue to close the human body diagram dialog box and return to entering inform ation about the patient injuries 66 FH Medic User s Guide Work with the injury summary 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab and then click the Diagram sub tab A summary of injury information entered when you described the patient s information appears A numbered list of the injuries you entered on the Injury tab appears on the left side of the interface and a human body diagram appears on the right side of the interface with numbered markers corresponding to the list on the left Information on entering injury data is available in Describe patient injuries on page 58 Front Head Fall Fracture Abdomen Fall Tenderness Front Left Knee Fall Fracture Front Left Elbow Fall Pain Front Left
84. ibed in Understand the inter face and data entry in it on page 11 Field Information needed Medicare Payer The health care program that is submitting the medical bills for the patient to Medicare Medicare ID The number that uniquely identifies a health care provider and is used on billing forms sub mitted to Medicare Add Medi 1 Click Medicaid caid insur Fields appear for specifying Medicaid information ance Add New Insurance Medicaid Medicaid Payer Medicaid ID 2 Under Medicaid enter data as described in Understand the inter face and data entry in it on page 11 Field Information needed Medicaid Payer The list of insurance companies working with Medicaid to submit the medical bills for the patient to Medicaid Medicaid ID The number that uniquely identifies a health care provider and is used on billing forms sub mitted to Medicaid 40 FH Medic User s Guide To do this Add private 1 Click Private Insurance ne nIAnee Fields appear for specifying private insurance information Add New Insurance Private Insurance Company Name Subscriber ID Group Number Insurance Phone Plan Type Insured Name Insured SSN Insured DOB Under Private Insurance enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Company Name The name of the patient s insurance company Subscriber ID The patient s identification n
85. ic Administrator s Guide at http www fire housesoftware com webhelp FHMedic Default htm After you provide data for all of the fields on a sub tab FH Medic automatically moves on to the next sub tab of fields After you provide data for all of the sub tabs on a tab FH Medic auto matically moves on to the next tab of data needed In this manner you enter the data for an incid ent with a minimum of clicks and keystrokes Return to the list of incidents While you are entering or editing data for an incident or looking at any other screen in the interface you may want to return to the Incidents screen to access a different incident e Choose FH Incidents The Incidents screen appears listing all the available incidents 14 FH Medic User s Guide Change the crew member list 1 Depending on where you are in the FH Medic interface do one of the following If you are here At Incidents e Inthe upper right corner of the interface click Change Crew Sean i Change CREW Guest FH caw Status Incomplete Incomplete On any data entry e Choose FH Crew tab The Update Crew dialog box appears Primary Newby Ima Non System User Name gt l F Remove Select as Make Add Non System User Selected oc Primary 2 Follow the directions in Specify crew members for the unit on page 4 to use the options and fields in the dialog box to change the list of crew members FH Medic User s
86. ide Add or edit an incident After you specify which crew members are associated with a unit the Incident screen of FH Medic appears If incidents have already been added a summarized list of them appear in the Incidents screen A CREW Guest FH Medic One Medic Two ch Refresh Incidents Medic Three Medic Four Trainee 1 crew incidents Number Description DOS Age Status 8 3 15 2013 12 00 00 AM 46 days Incomplete 8130751 2244 120th St Cardiac Arrest Smith 44 M 2 25 2013 12 00 00 AM 64 days Incomplete 13 88888 2244 120th St Allergic Reaction Doe 44 F 2 21 2013 12 00 00 AM 68 days Review 6 Allergic Reaction 12 10 2012 12 00 00 AM 141 days Incomplete 8 Allergic Reaction 1 17 2013 12 00 00 AM 103 days Incomplete 8 Abdominal Symptoms Gastrointestinal nausea vomiting 1 17 2013 12 00 00 AM 103 days Incomplete gt fo e lo o laz m If information has been entered for an incident the Incidents screen lists the incident s number description the provider impression and the patient s last name age and gender incident date of service DOS incident age and incident status An incident can have one of the following statuses Incomplete You created a new incident and begun entering data for it but have not finished entering data validating the data and marking the incident as complete The incid ent remains in the list until it is completed and can not be released to
87. ident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected Click the Summary tab and then click the Signatures sub tab Buttons for different types of signatures that you may need appear and the labels on but tons representing required signatures are red Disposition Signatures Narrative CPR Quick Actions Validate ViewPCR PT Summary Choose a Signature Type to Add Patient Witness Primary Medic Person Entity Receiving Patient Patient Refused Transport Patient Refused Treatment Other 3 For each of the signatures that you need to acquire do the following a Click the signature type button you need A dialog box containing fields needed for the signature appears This dialog box always contains Cancel Clear Signature Save Signature Type Name and Please Sign Here Additional fields and read only information may also appear depending on the type of signature you clicked Example If you click Parent Guardian the Parent Guardian Signature appears containing the additional legal information and the Relationship to Patient field If you click Patient the Patient Signature dialog box appears containing addi tional legal information If you click Primary Medic the Primary Medic Signature dialog box appears containing the additional Crew Names butto
88. ient Patient Physically unable to Sign Patient Mentally unable to Sign Patient With Unwilling to Hector Sign Patient Patient Patient Care Restrained Deceased Transferred Patient Refused See Narrative Language 2 apoE In Custody Bamar Minor Child Physical Disimpairment Unconscious Visually Impared of Extremities 5 Click one of the reason buttons to indicate why the patient cannot or will not sign the nor mal form 6 In Medic Signature use your finger a stylus or a mouse to write your signature in the box Tip If the person signing the form is dissatisfied with the appearance of their signature at the top of the dialog box click Clear Signature and then ask them to sign the form again 7 Click Save Signature The dialog box closes and a small image of the signature appears in the list at the bottom of the interface FH Medic User s Guide 115 Provide a medic s narrative for the incident An automatic narrative is generated by the software based on the information you entered in the other tabs in FH Medic However this automatic narrative may not capture critical information observed at the scene or through interacting with the patient and should be supplemented with medic s narrative when necessary Tip You can copy the automatic narrative to the medic s narrative and then add to it and edit it as needed for a more detailed medic s narrative Information on the automatic narrative
89. in the blank field type a relationship iv Click Continue Note If the patient is unable or unwilling to provide the neces sary signature see Provide a signature for a patient on page 114 instead e Read the legal information provided Tip To more easily read the legal information to the right of the text click Expand The View Text dialog box appears and displays the text in a larger font on a white background Primary Medic i Ifthe name supplied in Type Name is not the name of the primary medic at the incident Click Crew Names A list of the crew members responding to the incident appears FH Medic User s Guide 111 Signature type Additional fields ii Click the name of the crew member who will sign as the primary medic Person Entity i Receiving Patient Other Patient Refused Transport Patient Refused Treatment Parent Guard ian Refusal for Minor e Click Save Signature 112 FH Medic User s Guide Click the Signature Type field The Person Entity dialog box appears Person Entity Clear Doctor Nurse Coroner PD Unit Other Do one of the following e Click the Doctor Nurse Coroner PD Department or Other buttons to quickly select the title of the person or organization such as the police department that received the patient Click the blank field to the left of Clear and use the keyboard that appears to type the title of the person or or
90. incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Meds sub tab Fields for specifying any medication the patient is taking appear on the left side of the inter face and alist of medications for you to quickly choose from is listed in alphabetical order at the bottom of the interface Back Clear Add This il ial aa Lil all al CeJEs Ibe Jb Ile Jb JL Jb JL z x lt v e N m Space TRA Delete Selected Drug None Acetaminophen Cod i ss Aciphex Actonel Actos Acyclovir 3 Albuterol Nebulizer Adderall XR Advair Diskus Albuterol Aerosol Sol Allegra Si Allegra D 12 Hour Allopurinol Alphagan P Alprazolam Amaryl mbien Amiodarone Amoxicillin Tip You can scroll backward and forward through the list of medications by clicking the right and left arrow buttons below the list 34 FH Medic User s Guide 3 Do any of the following Indicate the patient e Below the list in the upper left corner of the interface click is not taking med None ication The word NONE appears in the medication list NONE Delete Selected Drug Add medications the a Scroll through the list of medications as needed and click a patient is taking to medication the patient is taking
91. ing or I medications requirec O yes No therapy Restrained Danger to Self or others O Yes No Actively Chemically restrained O Yes No Orthopedic device Halotraction O Yes No EMTALA physician directed transfer O Yes No backboard etc Risk of falling off wheelchair or stretcher while in motion Condition is such that patient risks injury O Yes No during vehicle movement despite safetybelts Patient Safety Danger to Self Behavioral cognitive risk such that patient requires stretcher side O Yes No monitoring for safety cannot travel by wheelchair or unattended stretcher van O Yes No Flight risk Behavioral cognitive risk such that patient requires attendant to assure patient does Airway control positioning required Condition is such that patient requires constant airway monitoring O yes No Isolation Patient must be isolated from public or whose medical condition must be protected from public exposure O Yes No Patient Size Morbid obesity which requires additional personnel or equipment to transfer O Yes No Positioning Specialized Handling 1 Special handling to avoid further injury e g gt grade 2 decubiti on buttocks 2 Positioning in wheelchair or standard car seat inappropriate due to contratures 3 Recent O Yes No extrimity fractures requiring patient to remain supine immobile during and for period of time after transport Bed Confined If no other condition applies please describe
92. ious Trauma Stings symptoms ayes earls oner Unresponsive Cardiac Arrest Lightning Injury Trauma Back Pain Dizziness Hypothermia Pain Weakness Drowning Near Tracma Mye Drowning Behavorial k Poisoning Trauma Trauma Psychiatrie Ear aymptoms Hypovolemia Drug Ingestion Electrical Injury Obvious Death Disorder Cardiac Environmental Respiratory ORAE DAN BES OB Gyn Other peie Trauma Fall Trauma Other 50 FH Medic User s Guide 4 Click one of the selections to describe the primary problem Your selection appears on the Primary Impression button 5 Optional In the upper right corner of the interface click Quick Actions Quick Actions Validate View PCR PT Summary The Quick Buttons dialog box appears listing action plan information such as treatment processes and medications that you may administer based on the selected primary impression Quick Buttons ide Allergic Reaction Treatments ECG 4 Lead Drugs 2S Diazepam Ipratropium Nitroglycerin Valium Atrovent Paste a Select the treatment and or medication that was administered to the patient The time is automatically recorded for that treatment or medication and auto matically added to the events log where the patient s vitals procedures and med ications are recorded b Click Hide to close the dialog box 6 Click the Secondary Impression sub tab 7 Repeat steps 3 5 to identify the secondary impression 8 Depending on
93. ir way device was used An indication of whether the device was successfully applied to the patient ice hesiedttiesmeydeven o Nos Anyainalinvorstonreltesiotevement 96 FH Medic User s Guide Field Information needed Le you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Apply an AED automated external defibrillator to a patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click AED Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment AED Time Performed By 1 2 3 Now a Performed By Name 4 5 6 5 min 1 ago min Number of Shocks Notes 7 8 9 pe Prior To Arrival 0 3 Under AED enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option
94. is Phone 800 796 1614 530 621 0981 Phone 888 362 4446 508 362 4446 Fax 530 626 8582 Fax 508 362 5932 Jim Brandariz firehousesoftware com Peter Eleftherakis firehousesoftware com AZ CA NV OR WA CT MA ME NH NY RI VT Ontario Mike Rogers Forest Nace Phone 888 941 3473 214 504 0242 Phone 800 285 8685 Fax 214 504 0244 Fax 724 283 9086 Mike Rogers firehousesoftware com Forrest Nace firehousesoftware com AR KS LA MO MS OK TX DE IN KY MD NJ OH PA VA WV Roger DeDoncker Rebecca Sanger Phone 800 921 5300 ext 1 Fax 515 288 4825 fhsales xerox com AK AL CO GA FL HI ID IA IL MI MN MT NC ND NE NM SC SD TN UT WI WY International FH Medic User s Guide v Table of Contents vi IMCFOGUCTION 5 arr the he EA he EE ag a e Sa nto BA Ae eas LIE i on It ey 1 Log into FR MediC neos satcase toed Ga aod cant cea at age Aeon ee on cepa ad Rayne 1 Specify crew members for the unit 00 000000 aaora aaora oad raiar oraora nrnna 4 Add or edit an incident _ 22 22 2222 ee 7 Transfer an incident to another unit 2222222220 10 Understand the interface and data entry in it 2 00 00000 eee eee cece eeeee 11 Return to the list of incidents _ 222 22 2 22 14 Change the crew member list 00 00000020 o coco ccc ccc ccc ccc ccc ce cee cee cece ee eeteeeeeeeeeeeeeeees 15 Specify response information 0 0 0000000 c occ ec eee cece cece eeee
95. ism of Injury MOI choices appear on the right side of the interface 3 Onthe right side of the interface click MVC A new set of fields appear on the left side of the interface which are specific motor vehicle crashes MVC and motor vehicle accidents MVA MVC MVA Details Vehicle Image a S MVC Patient Position Free Draw Clear Draw Vehicle Type Sedan Details Safety Equipment Extrication Ejected from Vehicle Collision Airbag Deployment Vehicular Injury Indicators Continue 4 Inthe upper right corner of the interface click Vehicle Type and then select the type of vehicle the patient was riding in when they were injured Quick Actions Validate View PCR PT Summary Free Draw Clear Draw Vehicle Type Continue o 60 FH Medic User s Guide 5 Optional In the upper right corner of the interface click Free Draw and then drag the mouse pointer to draw on the vehicle image to indicate information related to the crash Note You can remove any markings you draw on the vehicle image by clicking Clear Draw 6 Under Vehicle Image click MVC Patient Position A white X in a red circle appears by default in the driver s seat of the vehicle image and the value for MVC Patient Position is automatically set to the driver s seat 7 Ifthe patient was not in the driver s seat during the crash Click the vehicle image on the seat the patient occupied during the crash FH Medic U
96. ister medication to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Medication Administration Fields for gathering information related to the treatment appear on the interface Add New Treatment Medication Administration Time 4 Drug Name 1 2 3 Now at Dose min 4 5 6 pe me Units Route 7 8 9 aoa Enter Performed By 0 Clear Pain Prior to Treatment Pain after Treatment Prior To Arrival 3 Under Medication Administration enter data as described in Understand the inter face and data entry in it on page 11 Field Information needed The time the medication was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option The name of the medication administered to the patient The size of the dosage administered to the patient Dose units Themis the oseasmeasuredin o Route How hemeicaionwas adrinsteedtothepalont Treatment before the medication was administered A rating on a scale of 1 10 of the pain the patient exp
97. it would appear if you print it appears in FH Medic eon venres Physician Certification Statement FH Medic Medicare covers non emergency ambulance transportation only if the patient s medical condition is such that other means of transportation are contraindicated Non emergency ambulance transportation is appropriate if either the beneficiary is bed confined and it is documented that the beneficiary s condition is such that other methods of transportation are contraindicated or if the medical condition is such that transportation by ambulance is medically required Medicare defines bed confined as The inability to get up from bed without assistance and the inability to ambulate and the inability to sit in a chair or wheelchair Patient Name Date of PCS Certification Date of Birth Medicare Number Medical Necessity Information Please select the condition s service s which requires ambulance transport EKG monitoring required enroute Yes Suctioning required enroute Yes estate cependetz apnea meson ves Oxygen required not applicable to prescribed 02 as a y Suctioning self administered therapy IV monitoring or IV medications required Yes Restrained Danger to self or others No Actively Chemically restrained No Orthopedic device Halo traction backboard etc Yes EMTALA physician directed transfer Yes Risk of falling off wheelchair or stret
98. l your data is valid a message that all the required fields are satisfied appears _ All of the required fields have been satisfied Would you like to SA continue documentation or complete the report lt p Continue OR Documentation Complete Report 2 Click Complete Report On the Incidents screen which lists all of the incidents and their current status the status changes to Complete in the incident list and the report is ready for review by admin istration on the FH Medic Cloud The report can no longer be edited in FH Medic once it is marked as complete 122 FH Medic User s Guide Review and respond to QA QI notes Quality assurance QA measures compliance against certain necessary standards Quality improvement QI is a continuous improvement process QA is required and normally focuses on individuals while QI is a proactive approach to improve processes and systems Standards and measures developed for quality assurance can inform the quality improvement process When you complete an incident in FH Medic it is reviewed by administrators on the FH Medic Cloud Sometimes questions may arise concerning the incident and administrators can respond with questions and review notes which can be reviewed in FH Medic You can also respond to those questions and notes and view a history of the notes 1 Choose FH Incident Review Notes The Review Notes page appears displaying any messages from the QA QI reviewe
99. lation Neurological Outcome Time of Arrest 3 Under CPR enter data as described in Understand the interface and data entry in it on page 11 Field o Information needed Cardiac Arrest An indication of whether or not cardiac arrest occurred and if one did occur whether or not it was before EMS personnel arrived Cardiac arrest also known as cardiopulmonary arrest or cir culatory arrest is the cessation of normal circulation of the blood due to failure of the heart to contract effectively A cardiac arrest is different from but may be caused by a heart attack where blood flow to the muscle of the heart is impaired Cardiac Arrest The apparent cause or origin of the cardiac arrest such as an Etiology unexpected arrest trauma drowning electrocution and so forth Resuscitation The types of resuscitation attempted on the victim such as vent Attempted ilation chest compressions defibrillation and so forth A resus citation attempt the act of attempting to maintain or restore life by establishing or maintaining airway or both breathing and cir culation FH Medic User s Guide 119 Field o Information needed Arrest Witnessed An indication of whether or not the arrest was seen or heard by another person and by whom First Monitored The first type of cardiac rhythm present when a monitor or defib Rhythm rillator is attached to a patient after a cardiac arrest Spontaneous Cir An indication of whet
100. ld in the data selection entry area or a keyboard for the field Note If a blank field appears at the top of the list of pre defined values you have the additional option to click it and use the keyboard that appears to enter a value not included in the list of pre defined values When you enter a custom value FH Medic does not move automatically to the next field To enter the value for the next field you need to click the field on the right side of the interface If more than one pre defined value is permitted for the field you can make mul tiple selections in the data selection entry area The first time you select a but ton in the right side of the interface a green circle with a checkmark appears and the item is listed in the field at the top of the right side of the interface FH Medic User s Guide 13 nt e this happene case If you click a selected button a second time a red circle with an X appears and the listing at the top changes to indicate the selection does not apply for the field example NO Anemia If you click the button a third time the selection status clears entirely Cardiovascular History NO Anemia Cardiac Arrest Arrythmia None z Cardiac Arrest Defibrillator x Anemia o Arrythmia AMI Blood Disorder Bypass Surgery Pre defined values in FH Medic are set up by the FH Medic administrator Information on defining these values is available in the FH Med
101. ments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click 10 Fields for gathering information related to the treatment appear on the interface Add New Treatment 10 p Time Needle c 2 3 Now aa L i ocation 4 5 6 soa c 1 Side SS Performed By kal 8 EA pony notes 0 Clear Prior To Arrival 3 Under lO enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option FH Medic User s Guide 83 Information needed Needle The size of the needle used to inject fluid or medication into the bone marrow during the treatment The name of the bone the fluid or medication was injected into An indication of the side of the body the bone was in into which fluid or medication was injected Performed By The person who performed the treatment Notes Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Perform CPR cardiopulmonary resuscitation on the patient Cardiopulmonary resuscitation CPR is an emergen
102. n Parent Guardian Signature Patient Signature Primary Medic Signature z Qo sone Esse J one Q Omer Z Type Name Leona Newby Ima ere Eee tent ca Plea Clear ign Hore 110 FH Medic User s Guide b In Type Name enter the name of the person who will signed the signature form Tip If a different person than the one whose name is specified signs the form click Clear to the right of the Type Name field and then enter the correct name c In Please Sign Here use your finger a stylus ora mouse to write your signature in the box Tip If the person signing the form is dissatisfied with the appearance of their sig nature at the top of the dialog box click Clear Signature and then ask them to sign the form again d If additional fields appear in the dialog box Do the following Signature type Additional fields Parent Guard i Read the legal information provided ian Signature Tip To more easily read the legal information to the right of the text click Expand The View Text dialog box appears and displays the text in a larger font on a white back ground ii Click the field for Relationship to Patient The Relationship to Patient dialog box appears Relationship to Patient Parent Grandparent Legal Guardian Sibling iii Click the button corresponding to the signer s relationship to the patient or
103. n Scene Information Unit Name Select Unit Remove Time On Scene Submit Click Select Unit The Select Unit dialog box appears listing the units you can add to the scene Click the unit you want to add to the scene Under Crew click either List Unit Users or List All Users Depending on your selection all the crew members in FH Medic or only the crew members assigned to the unit you selected will be listed in the next step From the menu below List Unit Users or List All Users select the name of the crew member you want to add to the incident f Click Add The name of the selected crew member appears in the Crew list above List Unit Users or List All Users Repeat step f as many times as needed to list the additional crew members at the scene If you added a crew member who was not at the scene From the Crewlist select the name of the crew member you want to delete and then click Remove Click Time On Scene and then enter the time the crew member arrived on the scene Click Submit The name of the unit crew member and time the crew member arrived on the scene appear on the Scene Information screen Removea a Select the unit or crew member you want to remove unit or from the list 18 FH Medic User s Guide Field Information needed crew mem b Click Remove Selected ber from the scene 3 Inthe lower right corner of the screen click Go B
104. ng errors in your text 7 Optional Add hand written notes or sketches to the incident narrative a Inthe lower left corner of the tab click Scratch Pad A blank drawing dialog box appears Clear Close b Using your finger stylus or a mouse pointer draw or write in the scratch pad win dow A black two pixel line follows your movements Tip If you are unsatisfied with your results click Clear to remove all lines from the scratch pad window c Click Close The notes or drawings on the scratch pad remain available until the incident is closed and you can add to them as needed by repeating steps a c FH Medic User s Guide 117 View the automatic narrative for the incident An automatic narrative is generated by the software based on the information you entered in the other tabs in FH Medic Caution The automatic narrative may not capture critical information observed at the scene or through interacting with the patient and should be supplemented with medic s narrative when necessary Information on adding a medic s narrative is available in Provide a medic s nar rative for the incident on page 116 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Summary tab and then click the Narrative sub tab The Medic Narrativ
105. ng hearing trouble stiffness swollen tongue and so forth FH Medic User s Guide 57 Field Information needed A list of symptoms from the patient s gastrointestinal Gl tract such as abdominal cramping or distension bloody stool or con stipation flatulence heartburn incontinence and so forth GU GYN A list of symptoms from the patient s genitourinary and or gyneco logy systems such as contractions pelvic pain incontinence and so forth Musculoskeletal A list of symptoms from the patient s muscular and skeletal symp toms such as joint pain and swelling back pain muscular cramp ing and so forth Metabolic A list of symptoms from the patient s metabolic system such as dehydration hyperglycemia jaundice rashes hives and so forth Describe patient injuries 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab and then click the Injury sub tab Fields for gathering information related to a patient s injury appear on the left side of the interface Injury MOI Type of Activity Incident Location Incident Type Intent of Injury Patient Exposure 58 FH Medic User s Guide 3 Under Injury enter data as described in Understand the interface and data entry in it on page 11 Field O Information needed
106. nt as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click TCP Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment TCP Time 4 Rate 1 2 3 Now ae mA ES Capture Performed By 7 8 0 Notes Prior To Arrival 3 Under TCP enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Rate The pacing rate used for the TCP device mA The amount of current delivered until electrical and mechanical cap ture is achieved Capture An indication of whether electrical and mechanical capture is achieved as demonstrated by palpable pulses that correspond to electrical pacing spikes maximum 120 mA Performed By The person who performed the treatment Notes O Any additional information related to the treatment 76 FH Medic User s Guide Field Information needed Prior To Arrival ndicate whether or not actions were performed on the
107. nt system time on your computer e Click 5 min ago to enter the current system time on your computer minus five minutes e Click th e Adjust t e number buttons to enter a time he time displayed with the 1 min or 1 min buttons 5 Optional if all or most of the assessments you perform fall within normal limits for the patient In the upper left corner of the interface click Within Normal Limits All the assessment fields fill in with a value of Normal You can override this value for any individu al field with the step below FH Medic User s Guide 55 6 Forthe remaining fields enter data as described in Understand the interface and data entry in it on page 11 Field Information needed A description of the patient s skin appearance temperature and moisture level such as pale cold and clammy or mottled and warm Head Face Any visible injury to the patient s head such as a mass lesion or swelling and a description of their initial facial features such as asymmetric smile or droop A description of the patient s neck such as jugular vein dis tention JVD tracheal deviation the presence of stoma and so forth Chest Lungs A description of the patient s chest and lung function such as symmetrical rising falling with each breath the presence of sub cutaneous emphysema SCE SE or Sub Q air stridor or crep itus upon palpation Heart Pulse rate character rhythm and other information gathered
108. ntrolled Su Pages mme Under Forms for this Incident click PCS In the lower right corner of the interface click View Selected On any data Inthe upper right corner of the interface click View PCR entry tab A A i Quick Actions Validate ViewPCR PT Summary The Patient Care Report screen appears e ca Patient Care Report FHMedic In the upper left corner of the interface click View PCS FH Medic User s Guide 137 A Physician Certification Statement appears generated from the information you have entered when you attached a PCS form to the patient s insurance information Physician Certification Statement FHMedic Medicare covers non emergency ambulance transportation only if the patient s medical condition is such that other means oftransportation are contraindicated Non emergency ambulance transportation is appropriate if either the beneficiary is bed confined and it is documented that the beneficiary s condition is such that other methods of transportation are contraindicated or ifthe medical condition is such that transportation by ambulance is medically required Medicare defines bed confined as The in ambulate and ti sit in a chair ability to gat up from bed without assistance and the inability to hair wheolci Patient Name Charles Tomes Date of PCS Certification 10 26 2012 2 06 11 PM Date of Birth UTO Medicare N
109. number of the patient s employer Note If you are not able to obtain the phone number in the number pad on the right side of the interface click UTO unable to obtain Date of Birth The patient s date of birth FH Medic User s Guide 43 4 Inthe lower left corner of the interface click Submit The original interface for the Insurance tab reappears and the insurance information you entered appears in the list in the lower half of the tab Type Information Private Insurance Company Name Aetna Insurance Phone UTO Insured SSN UTO Other Payer or Self Pay First Name Ludwig Last Name Tomes Address 12345 First St City Raleigh State NC Zi Tip To change the information for any of the insurance types listed select the entry and then click Edit Selected The fields for that type of insurance reappear and you can edit the data as needed 5 Optional Delete an insurance type from the list a Select the entry you want to delete and then click Delete Selected The Delete Insurance Type dialog box appears Delete Insurance Type Are you sure you want to delete this Insurance Type b Click Yes The insurance type you selected disappears from the list 6 Optional Attach an Advanced Beneficiary Notice ABN form to the patient s insurance information as described in Attach an Advanced Beneficiary Notice ABN on page 45 7 Optional Attach a Physician s Certification Statement PCS form to the patient s
110. o update the information dis played on the page 144 FH Medic User s Guide Minimize or exit FH Medic 1 Inthe upper left corner of the interface click the FH logo A menu appears Re Incidents x Crew Incident gt Info 2 Depending on what you want to do do one of the following To do this Leave FH Medic e Choose Minimize running but min FH Medic continues running but is minimized and no longer imized appears on your working screen An icon for FH Medic appears in your status bar and your can click the icon to return FH Medic to normal use Exit FH Medic e Choose Exit FH Medic closes completely Note Because FH Medic automatically relays your data to the server using a wireless connection as you work you do not need to save data before exiting Caution Be sure to exit FH Medic before shutting down or restarting your computer FH Medic User s Guide 145
111. om Type select an option corresponding to the type of non sys tem personnel the individual is FH Medic User s Guide 5 To do this Example Non system individuals include trainees interns doc tors police officers explorers or additional fire personnel not nor mally assigned to the unit Note The options for this menu are defined by the FH Medic administrator on the FH Medic Cloud Information on defining these options is available in the FH Medic Administrator s Guide available at http www fire housesoftware com webhelp FHMedic Default htm d Click Add Non System User The name of the non system user appears in the crew member list in the dialog box Remove per From the list of crew members select the name of the individual sonnel from you want to delete from the crew the crew Click Remove Selected The name of the crew member disappears from the list 3 Inthe upper right corner of the Update Crew dialog box click Submit The Incidents screen of FH Medic appears and a summary of the crew members appears in the upper right corner of the user interface CREW Guest FH Medic One Medic Two Change Refresh Medic Three Medic Four Trainee 1 Crew Incidents Age Status Note To access the Update Crew dialog box again from the Incidents screen in the upper right corner click Change Crew From any other screen in FH Medic choose FH Crew 6 FH Medic User s Gu
112. on you entered The Treatments tab reappears FH Medic User s Guide 95 Use an air adjunct device on a patient Once an open airway has been established an oropharyngeal or nasopharyngeal airway device may be used to facilitate an open airway Both of these devices prevent the tongue from occluding the airway providing an open conduit for air to pass 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Air Adjunct Fields for gathering information related to the treatment appear on interface Add New Treatment Air Adjunct I Time 1 Type 1 2 3 Now min Successful 5min 1 4 5 6 ago min Size p 10 min Performed By if 8 9 ago Notes 0 Prior To Arrival 3 Under Air Adjunct enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Type An indication of whether an oropharyngeal or nasopharyngeal a
113. on you entered The Treatments tab reappears Use a medical alert for a patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Alerts Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Alerts Time 1 Type 1 2 3 Now min Performed By 5 min 1 4 5 6 ago min Prior To Arrival 10 min ago 0 Clear 3 Under ECG 4 Lead enter data as described in Understand the interface and data entry in it on page 11 Enter Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option The type of alert that was activated to obtain medical assistance FH Medic User s Guide 101 Field Information needed Performed By The name of the person who activated the alert Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save
114. onfidentiality You receive the right to use the Licensed Software and materials as specified herein but you do not become the owner of the Licensed Software and materials The Licensed Software and materials are exclusive property of Xerox and are protected by trade secret copyright and trademark law You acknowledge that the materials are Xerox property and contain valuable confidential unpublished information developed by Xerox at a great expense You agree to protect the materials from unauthorized reproduction distribution dis closure or use of publication You may not transfer any materials or software to anyone or entity without the writ ten consent of Xerox authorized personnel U S Government Restricted Rights The Licensed Software and documentation related thereto were developed at private expense and are provided with RESTRICTED RIGHTS Use duplication or disclosure by the Government is subject to restrictions as set forth in FAR 52 227 14 and DFAR 252 227 7013 et seq or its successor FH Medic User s Guide _ iii 8 10 11 12 13 Export Laws You may not export the Licensed Software and agree to comply with all laws regulations orders or other restrictions of the U S Export Administration Regulations Warranty We warrant the downloadable files to be free from material defect in normal use for 90 days from the date of receipt of materials We do not warrant the error free operation of the Licensed Software
115. ons Cardiac Arrest Arrythmia Cancer Prostate Neuro Recurrent headaches GI Digestive Problems Genitourinary Sexualy Transmitted Disease Urinary Tract In Infectious HIV Hepatitis C Metabolic Endocrine Obesity Respiratory Asthma Emphysema Psych Depression Eating Disorder Insomnia Womens Health None Patient Svmntome General light Headed Resriratory Anormal Reso Pattern t7 bored Breathinn Shortness nf Breath Whe zing Neurningiell Memon Problem w3inns Hozd Merk Diff uity Swale vinn FH Medic User s Guide 131 2 Optional Do any of the following To do this FaxthePCR a to a person or facility 132 FH Medic User s Guide In the center of the top of the interface click Fax The No Destination Specified enter fax number dialog box appears No Destination Specified enter fax number Send Fax Cancel Choose Other Location Click Choose Other Location The Select Location dialog box appears If any fax numbers are already defined in FH Medic a list of them appears in the dialog box Select Location Rex Hospital area Wake Med Apex Wake Med Cary Center Cancel If the fax number you need is listed Click the pre defined fax number If the fax number you need is not listed In the blank field type the number of the fax machine to send the PCR to Click Send Fax A confirmation message dialog box appears rumedc x Fax document sent to q
116. patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Monitor the EtCQ2 level of the patient EtCO2 is the end tidalcarbon dioxide level in the patient s respiration 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click EtCO2 monitoring Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment EtCO2 monitoring i is pj al Type 5min ai alsje sl a e afefe Prior To Arrival 0 uo Enter Clear 3 Under EtCO2 monitoring enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option ETCO2 The end tidalcarbon dioxide EtC O02 level in the patient s res piration Type The type of tube used while monitoring the EtCO2 level such as a nasal tube or endotrachial
117. plicable state law specifically prohibits such exclusion General System Only This license shall be governed by laws of the State of lowa All prior correspondence oral or written including without limitation all understandings with respect to the Licensed Software or materials relative thereto are hereby superseded This license constitutes your and our entire agreement and under standing regarding the Licensed Software and materials relative thereto General Evaluation Only This evaluation program is provided free of charge to the registered requestor of the evaluation software and is to be used solely as an evaluation copy Software Maintenance Agreement 90 days free phone support is provided with purchase of FIREHOUSE Soft ware A separate software maintenance contract is available for an additional charge This software main tenance contract is not mandatory but highly recommended The annual maintenance contract includes phone support and program updates The cost of the software maintenance contract is based on the type and number of modules installed In the event that the 90 day free support period has expired and no software maintenance contract has been established a per call fee will be billed to you for telephone or other technical support iv FH Medic User s Guide Technical support FH Technical Support Phone 800 921 5300 option 2 support firehousesoftware com Sales contacts Jim Brandariz Peter Eleftherak
118. quired for patients who are under the direct care of a physician and are required for scheduled and non scheduled non emergency ambulance trans ports The physician is responsible for supervising the medical care of the patient including reviewing the patient s program of care ordering medications monitoring changes in the patient s medical status and signing and dating all orders Note A PCS is not required for emergency transports or for non scheduled non emergency transports of patients residing at home or in facilities where they are not under the direct care of a physician 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Insurance sub tab Fields appear for specifying the information about any insurance the patient has 3 Inthe lower right corner of the interface under Forms click PCS Form Forms ABN Form PCS Form The Physician s Certification Statement dialog box appears Physician s Certification Statement View Form Close EKG monitoring required entroute O Yes No Suction Required enroute O Yes No entilator dependent apnea monitor Possible intubation needed or deep O Yes No Oxygen required not applicable to O Suctioning prescribed 02 as a self administered Yes No I monitor
119. r Signature FH Medic User s Guide 45 4 Fill out the fields in the form as appropriate 5 Under Signature of patient or person acting on patient s behalf have the patient or acting on the patient s behalf use the stylus their finger or the mouse pointer to write their signature in the box Tip If the signature is not satisfactory click Clear Signature and have the individual sign the ABN form again 6 Click View Form The form as it would appear if you print or fax it appears in FH Medic be View View View Signatures Supplemental _ Billing View PER print A Notifier B Patient Name C Identification Number good reason to think you need We expect Medicare may not pay for the D Advance Beneficiary Notice of Noncoverage ABN NOTE If Medicare doesn t pay for D ______ _ below you may have to pay Medicare does not pay for everything even some care that you or your health care provider have below D E Reason Medicare May Not Pay F Estimated Cost Tip You can fax an ABN to a destination or print the ABN by clicking Fax or Print at the x top center and top right of the interface respectively and then following the prompts that appear 7 Inthe upper left corner of the interface click Go Back 46 FH Medic User s Guide Attach a Physician s Certification Statement PCS form A Physician s Certification Statement PCS is re
120. r Forms click ABN Form Forms ABN Form The Advanced Beneficiary Notice of Noncoverage dialog box appears Advanced Beneficiary Notice of Noncoverage wwe eon Bins A Notifier B Patient Name C Identification Number NOTE If Medicare doesn t pay for D below you may have to pay Medicare does not pay for everything even some care that you or your health care provider have good reason to think you need We expect Medicare may not pay for the D below D Items or Services E Reason Medicare May Not Pay F Estimated Cost G Options Check only one box We cannot choose a box for you OPTION 1 1 want the D listed above You may ask to be paid now but also want Medicare billed for an official decision on payment which is sent to me on a Medicare Summary Notice MSN understand that if Medicare doesn t pay am responsible for payment but can appeal to Medicare by following the directions on the MSN If Medicare does pay you will refund any payments I made to you less co pays or deductibles O OPTION 2 I want the D listed above but do not bill Medicare You may ask to be paid now as am responsible for payment cannot appeal if Medicare is not billed O OPTION 3 I don t want the D listed above I understand with this choice I am not responsible for payment and I cannot appeal to see if Medicare would pay H Additional Information Signature of patient or person acting on patient s behalf Clea
121. r on the FH Medic administration site f Review Notes Close 6 17 2013 2 fh_tyates Review and update injury d 10 19 2013 Newby Ima Reviewed injury descriptions Respond to Admin Send To Pamir Message Send 2 Click an incident that has a status of Review The Review Notes page appears displaying any messages from the QA QI reviewer on the FH Medic administration site A Review Notes Close 6 17 2013 2 fh_tyates Review and update injury dw 10 19 2013 Newby Ima Reviewed injury descriptions Respond to Admin Send To Pamir Message FH Medic User s Guide 123 3 Read the notes about the changes that are needed 4 Optional Under Respond to Admin respond to the person who sent the message a From Send To select the person you want to send a reply to b In Message type a message and then click Send A confirmation dialog box appears rinedic ae Message Sent ea c Click OK 5 Inthe upper right corner of the interface click Close 124 FH Medic User s Guide Amend a patient care report PCR If you complete an incident and if it is returned from the FH Medic administrators with a status of Review you can amend the patient care report PCR FH Medic does not change the original PCR but lists the changes at the bottom of the PCR under the Amendments heading 1 If you are not already on the Incidents screen C
122. r the demonstration copy of FH Medic passwords for the sample logins are listed below Username Password The Incidents screen appears in FH Medic with the Update Crew dialog box displayed 8 Continue with Specify crew members for the unit on page 4 FH Medic User s Guide 3 Specify crew members for the unit After you log in the Update Crew dialog box appears automatically listing the crew member whose user name and password you logged in with as the primary medic The primary medic is responsible for documenting the incident the unit and its crew responded to Update Crew Add Personnel Sate Primary Newby Ima Non System User Name Type 4 gt H Remove Selectas Make Add Non System User Selected oc Primary You can add or delete crew members from the list specify who the office in charge OC is and change the primary medic You can also define non system individuals on a crew who participate in a medical dispatch but who are not regularly scheduled crew members 1 From Shift select the shift for the incident the data entry is occurring on 2 If necessary Edit the existing crew member list To do this Add personnel a At the top of the dialog box click Add Personnel to the crew The Choose User dialog box appears Choose User Four Medic Paramedic MedicFour Guest FH EMT Guest One Medic EMT MedicOne Three Medic Pa
123. ramedic MedicThree Two Medic Paramedic MedicTwo gt coc Filter List by il ail il at Lt Land Ll z DARFAR EE b Using the dialog box as you did when logging in select an indi vidual s name and then click Submit The name of the personnel member appears in the crew member list 4 FH Medic User s Guide To do this Define the officer in charge OC Change the primary medic Add non sys tem users to the crew From the list of crew members select the name of the individual you want to be the officer in charge Click Select as OC To the right of the crew member s name the abbreviation OC appears to indicate that the selected crew member is the officer in charge Primary Newby Ima oc From the list of crew members select the name of the individual you want to be the primary medic Click Make Primary A keyboard appears on the screen amp Password PEED emeeIe eee GS lz Ilev jis im JL JL Space BEET Use the keypad to enter the password and then click Submit sername p The list updates to indicate that the crew member you selected is now the primary medic In Name type the name of the non system user Optional In ID type an identification code appropriate for the non system user This identification code can be anything defined by the fire depart ment the state or another agency Fr
124. rative a Inthe lower left corner of the tab click Scratch Pad A blank drawing dialog box appears Clear Close b Using your finger stylus or a mouse pointer draw or write in the scratch pad window A black two pixel line follows your movements Tip If you are unsatisfied with your results click Clear to remove all lines from the scratch pad window c Click Close The notes or drawings on the scratch pad remain available until the incident is closed and you can add to them as needed by repeating steps a c 24 FH Medic User s Guide Record patient information Patient information includes demographic personal address and financial information past medical history medication allergies and insurance data Specify the patient s personal information 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Demographics sub tab Fields for specifying the patient s personal information appear on the left side of the inter face Personal Info Last Name First Name Middle Initial DOB Age Age Units Race Sex Phone Height feet inches Weight DL Number 3 Under Personal Info enter data as described in Understand the interface and data entry in it on page 11 Tip If t
125. rface and data entry in it on page 11 Field Information needed Days Hours The number of days hours and minutes that have elapsed since Minutes the patient began experiencing the complaint for this call Onset Date The date and time when the patient initially experienced the com Time plaint for this call Provocation A description of any movement pressure Such as palpation or other external factor makes the problem better or worse This can also include whether the symptoms relieve with rest Quality The patient s description of the pain sharp dull crushing burning tearing or some other feeling along with the pattern such as inter mittent constant or throbbing Radiation Where the pain is on the body and whether it radiates extends or moves to any other area This can give indications for conditions such as a myocardial infarction which can radiate through the jaw and arms Other referred pains can provide clues to underlying med ical causes Severity The pain score usually on a scale of 0 to 10 Zero is no pain and ten is the worst possible pain FH Medic User s Guide 53 Perform initial patient assessment The initial patient assessment also referred to as the primary survey is acritical component of pre hospital care This assessment is the basis from which all medical and trauma care decisions are made 1 If you have not done so already Add a new incident or open an existing incident as des
126. rst Name Last Name and DOB fields Click First Name A keyboard appears on the screen Use the keypad to type the patient s first name and then click Submit Repeat the previous two steps for Last Name Click DOB date of birth The Patient Date of Birth dialog box appears Patient Date of Birth _ al Bile pan 200E 0 Enter Clear Use the dialog box to enter the patient s date of birth and then click Submit Click Search If patient name or date of birth matching your specifications is found the patient s record appears in the list in the dialog box 3 Depending on whether the patient is found do one of the following Was the patient found e Inthe lower left corner of the dialog box click Go back to return to the Demographics sub tab The Demographics sub tab reappears with blank fields In the results list select the patient In the lower right corner of the dialog box click Select This Patient The Demographics sub tab reappears and the patient s data populates the fields 28 FH Medic User s Guide Read information from a driver s license If the patient or a responsible party for the patient has a driver s license and if you have a driver s license scanner available you can swipe the driver s license through the scanner and transfer the information on the license into FH Medic instead of entering it manually Note Not all stat
127. rther organize fields e A list of fields on each of the sub tabs e A data selection entry area for entering your data e Buttons for performing actions with your data menu ki ah ES a l Response Patient Situation Events Summary Incident Information Call Times NFIRS Incident Narrative Quick Actions Validate ViewPCR PT Summary Location Address Zip City State z data selection entry area Location Type Map Page Comments Incident Incident Number Date of Service Transport Type Dispatch Complaint Scene Information Lets you record Response Information about the incident itself call times National Fire Incident Reporting System NFIRS data and a narrative The demographics of the person their past medical history medications they are taking allergies they may have and insurance information Information about the medical or traumatic complaint the assessments symp toms and injuries Events The treatments and supplies used and record the patient s vital signs Summary Disposition information record signatures and add additional narrative inform ation FH Medic Users Guide 11 Tabs and fields with red text indicate required information when entering data for an incident As you enter data for the required fields the field names turn black When all of the required fields ona required sub tab have data the name of the sub tab also turns black When all of the required fields on all of t
128. s selected and the Medical sub tab under below Primary Impression is selected gt ah Response Patient Situation Chief Complaint OPQRST Assessment Symptoms Injury Diagram e Primary Impression e Secondary Impression MEDICAL TRAUMA Gastrointestinal Symptoms Abdominal Cardiac S mpc ts iAtvniez 5 OB Gyn Pregancy Respiratory Mistress 3 Determine whether the complaint is a medical issue or a trauma physical injury to the patient and then click either the Medical or Trauma sub tab Selections for specifying the problem the emergency medical services team was called for in one or two words appear Primary impression secondary Impress Primary impression MEDICAL TRAUMA MEDICAL TRAUMA Gastrointestinal OB Gyn Trauma sonnel eee Symptoms Pregancy Reece Plus Fracture Trauma Pain ymp Atypical Nau Vom Labor stress p Dislocation Trauma Abnormal Vital g HAZMAT OB Gyn Vaginal r Trauma atu Cardiac Arrest Einosins AAEN Seizure PP Trauma GSW panang 5 Trauma Allergic Choking Headache Obvious Death Stroke CVA Trauma Blunt Trauma Head Respiratory Reaction Airway Injury Injury Distress Altered Level of OD ETOH Trauma Trauma Consciousness Barral Bamonnsga Abuse ii MRC tes Hemorrhage Stabbing Animal Bites Diabetic Unconsc
129. s treatment option site Which side of the chest the decompression was performed on Size gauge The gauge size of the needle if used during a chest decom pression 78 FH Medic User s Guide Field Information needed Performed By The person who performed the treatment Notes Any additional information related to the treatment Prior To Arrival ndicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Provide IV intravenous fluids to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click IV Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment IV Time e Side 1 2 3 Now z Site 4 5 6 i Successful Attempts 7 8 9 yon Enter a Size gauge Type Rate Performed By gtts min Total Volume Infused ml Drip Set Prior To Arrival FH Medic User s Guide 79 3 Under IV enter data as d
130. ser s Guide 105 Import vitals data from an EKG device If vitals data was recorded on an EKG device and if you connect the EKG device to the mobile computer running FH Medic you can import the data into FH Medic 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Events tab and then click the Vitals sub tab Fields for gathering information related to the treatment appear on the left side of the inter face and asummary of the vitals information you enter appears at the bottom of the inter face Because you may assess the patient s vitals multiple times during treatment you can record the vitals data for each of these assessments Note The first time you access this screen a new blank vitals entry is automatically added to the vitals summary listing Vitals qj Time Taken 06 01 29 1 BP Sys 1 2 3 Now ts BP Dia 4 5 6 5 min 4 ago min HR BPM 7 8 9 10 min RR BPM ago Enter SP02 0 Clear ETCO2 CBG mgidL Temperature Position EKG v lt gt Add Import Vitals Ge Me Qee Time HR_ RR BP BP Dia SP ETCO2 Glucose Temp Position 06 01 29 3 At the bottom of the interface click Import Vitals EKG 106 FH Medic User s Guide The Choose Patient Record dialog box appears listing importe
131. ser s Guide 61 The position marker on the vehicle image updates accordingly as does the value for MVC Patient Position 8 Under Details enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Safety Equipment A list of any passenger protection restraints breathing apparatus flotation devices or protective equipment employed during the crash An indication of whether or not the patient had to be removed from the vehicle by bystanders or emergency personnel Ejected from An indication of whether or not the patient was ejected from the Vehicle vehicle during the crash A list of locations where the vehicle was impacted during the crash 9 Click Continue to return to entering information about the patient injuries 62 FH Medic User s Guide Add fall or burn injury details 1 If you have not done so already Begin describing the patient s injury as outlined in Describe patient injuries on page 58 2 Under Injury click MOI The Mechanism of Injury MOI choices appear on the right side of the interface 3 On the right side of the interface click Fall or Burns The Add Fall or Add Burns dialog box appears showing a human body Add Fall Show Back Continue Tip To access the back of the body in the dialog box click Show Back 4 Click a point of injury on the body in the dialog box A dialog box of injury descriptions appears The
132. specified in the License Agreement Xerox Government Systems LLC and the party who installs this software you hereby agree as follows 1 Licensed Software Licensed Software means the software component and modules ordered and paid for by you as listed in Xerox s client database of licensed products and as evidenced by your customer receipt Licensed Software includes all documentation relating to our software It also includes any upgrades modi fications and customizations collectively Improvements to our software should such Improvements be delivered to you ata later time End Users End User s means i your employees with a need to access the Licensed Software and ii third party consultants engaged by you who have a need to access the Licensed Software and who are fulfilling legitimate business functions for you on your behalf Materials This document contains links to downloaded files and applicable manual s relating to the Licensed Software License Grant Xerox hereby grants a revocable non exclusive non transferable license to use the Licensed Software on a single microcomputer in the United States of America The number of End Users authorized to access the Licensed Software concurrently is reflected on your invoice and in this License Agreement You may increase the maximum number of concurrent End Users by procuring additional licenses from Xerox based upon the then current license fee sche
133. such as a backboard aleg board a CID and so forth A list of the portions of the patient s anatomy that was immobilized Thermal A list of hot warm cold or cool devices used to treat the patient Treatments Performed By The person who performed the treatment Notes o Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Restrain the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Restraint Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Restraint I Time 1 Type 1 2 3 Now ae Locations 5 min 3 4 5 6 ago min Applied By 10 min Prior To Arrival 7 8 9 ago LSE Enter FH Medic User s Guide 87 3 Under Restraint enter data as described in Understand the interface and data entry in it on page 11 Information needed
134. t may have Neurological Any disorders of the body s nervous system the patient may have Gastrointestinal Conditions the patient may have relating to the stomach and intest ine and sometimes to all the structures from the mouth to the anus Genitourinary Conditions the patient may have caused by infections affecting the genital area and urinary system Infectious Any illness the patient may have that can be transmitted to people and organisms through the environment Metabolic Endo Conditions the patient may have which affect the body s pro duction of certain hormones or the body s ability to process certain nutrients and vitamins Respiratory Conditions the patient may have relating to the organs in the body that let the patient breathe Psychological Conditions the patient may have related to the mental and emo tional state of a person Women s Health Conditions the patient may have related to issues specific to human female anatomy These often relate to structures such as female genitalia and breasts or to conditions caused by hormones specific to females Surgical Types of surgery performed on the patient in the past An indication of whether or not if known the patient has been immunized and if those immunizations are up to date FH Medic User s Guide 33 List the patient s medications 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an
135. te whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Immobilize the patient s spine 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Spinal Immobilization Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Spinal Immobilization Time a Type 1 2 3 Now min Performed By 5 min 1 4 5 6 ago min Notes 10 min Prior To Arrival 7 8 9 ago Enter FH Medic User s Guide 85 3 Under Spinal Immobilization enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Type The type of device used to immobilize the patient s spine such as a cervical collar a backboard a CID and so forth Performed By The person who
136. ter face 4 Supply the necessary information for the treatment you selected e Ventilate the patient on page 71 e Clear the patient s airway on page 72 e Administer oxygen to the patient on page 73 e Intubate the patient on page 74 e Administer transcutaneous pacing TCP to the patient on page 76 e Monitor the EtCO2 level of the patient on page 77 e Decompress the patient s chest on page 78 e Provide IV intravenous fluids to the patient on page 79 Administer medication to the patient on page 81 e Perform cardioversion or defibrillation on the patient on page 82 FH Medic User s Guide 69 e Perform IO intraosseous infusion on the patient on page 83 e Perform CPR cardiopulmonary resuscitation on the patient on page 84 e Immobilize the patient s spine on page 85 e Apply a splint to the patient on page 86 e Restrain the patient on page 87 e Apply bandages to the patient on page 88 e Apply a traction splint to the patient on page 89 e Perform an obstetrical delivery for the patient on page 90 e Perform a 12 lead EKG electrocardiography on a patient on page 92 e Employ a CPAP continuous positive airway pressure treatment on page 93 e Document alleged or suspected abuse or neglect on page 94 e Apply thermal treatments to the patient on page 95 e Use an air adjunct device on a patient on page 96 e Apply an AED automated external defibrillator to a patient on page 97 e Document field termination for
137. terface and data entry in it on page 11 Field Information needed Last Name The full name of the financial guarantor of the patient First Name Relationship The relationship of the financial guarantor to the patient Address The home mailing or street address city state and zip code for the financial guarantor of the patient The phone number of the financial guarantor If this number is not available click UTO unable to obtain in the data selection entry area Collect the patient s medical history 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Past History sub tab Fields for specifying the patient s medical history information appear on the left side of the interface Patient Past Medical History Cardiovascular Cancer Neurological Gastrointestinal Genitourinary Infectious Metabolic Endocrine Respiratory Psychological Womens Health Surgical Immunizations 32 FH Medic User s Guide 3 Under Patient Past Medical History for each of the fields enter data as described in Understand the interface and data entry in it on page 11 Field Information needed sd needed err Coo the patient may have relating to the heart blood ves sels or the circulation Types of cancer the patien
138. the incident occurred You can use this information to analyze statistics cal culate applicable billing and so forth Specify the patient s financial guarantor A financial guarantor is a third party who promises to provide payment on a bond loan or other liability in the event of default While many guarantees apply to debt instruments they may also be used for day to day expenses such as those incurred during an incident 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Patient tab and then click the Demographics sub tab Fields for specifying the information about the patient appear on the left side of the inter face Tip If the patient already exists in FH Medic from a previous incident you can pull up the patient s existing data as described in Search for a patient on page 27 If you have a driver s license scanner available you can read the patient s information from their driver s license as described in Read information from a driver s license on page 29 3 Scroll down through the fields until the Financial Guarantor section appears Residence vi 1On fesidea Financial Guarantor Last Name First Name Relationship Address Phone FH Medic User s Guide 31 4 Under Financial Guarantor enter data as described in Understand the in
139. the reason Medical Condition non ambulance stretcher transport is contraindicated Facility or Hospital Faculty Position Get Faculty Signature v FH Medic User s Guide 47 4 Make selections in the form as appropriate 5 From Facility or Hospital Faculty Position select the type of faculty authorizing the ambulance transportation 6 Click Get Faculty Signation The PCS Faculty Signature dialog box appears PCS Faculty Signature x Clear Signature Ga Saye Signature Type Name Please Sign Here 7 Click the Type Name field and then use the keyboard that appears to type the name of the facility or hospital faculty who will sign the PCS Tip To remove the name from Type Name click Clear to the right of the field 8 Under Please Sign Here have the individual use the stylus their finger or the mouse pointer to write their signature in the box Tip If the signature is not satisfactory click Clear Signature and have the individual sign the form again 9 Click Save Signature The PCS Faculty Signature dialog box closes 10 Inthe Physician s Certification Statement dialog box click Get Patient Signature 48 FH Medic User s Guide The PCS Patient Signature dialog box appears PCS Patient Signature com w Clear Signature Save Signature Type Name Please Sign Here 11 Repeat steps 8 10 to get the patient s signature 12 Click View Form The form as
140. through auscultation with a stethoscope or other cardiac mon itoring systems LU Abdomen An assessment of all four quadrants of the abdomen for dis LL Abdomen tension tenderness a mass guarding entrance and exit RU Abdomen wounds evisceration painful areas distention and dis RL Abdomen coloration A description of the condition and any injuries to the patient s gen ital and urinary systems kidneys ureters urinary bladder and urethra Back Cervical Pain to range of motion ROM in the patient s back existence of Back Thoracic amass tenderness in the paraspinal muscles muscle tightness Back Lum and tendemess in the spinous process bar Sacral RU Extremities A description of any tenderness swelling weakness deformity RL Extremities contusions abrasions buns bruises wounds blood angu LU Extremities lations abnormal pulses or sensations for the patient L Extremities Left Eye An indication of whether the patient s pupils are equal and react Right Eye ive to light and accommodation PERLA discolored dialated and how far or irregular An assessment of whether the patient is alert and oriented to time person place and date A O x 4 or whether they are con fused hallucinatory combative or unresponsive Neurological Evaluation of the patient s nervous system including gait cranial muscle tone posture speech tremors or weakness on one side of the body 56 FH Medic User s Guide
141. tice ABN 00 00200222 e cee cece cece ccc cc ccc cece cece eeeeeeees 45 Attach a Physician s Certification Statement PCS form 2 eee ee eee cece eens 47 Assess the patient s situation __ 2 2 2 2202 c cece ence cece ccc cccceeeceeececeeceeereeeseeeeeees 50 Identify the chief and secondary complaints 00 0 02222 e cece cece cece eee cece cece cece cece eeeeeeees 50 Assess OPQRST symptoms 00 e cece cece cece eecccececcecceccseeeeeees 52 Perform initial patient assessment 2 2 2 222222 c cece eee cece cece eee anaoa a ororo rarnana 54 List patient Symptoms 00 000022 o cece ccc cee cece ee cece cece AAPA E a Aaaa raana nn 57 Describe patient inj ries iorra a a e ie adah Ere a peaa r A aaea aia haa 58 Add motor vehicle crash MVC details 0000000000000000000000000000000 000000 cece eeeeeeeeeeeeeeeees 60 FH Medic User s Guide Add fall or burn injury details 2 2 2 2 0 02222 o eee cece cece ccc ccc cece cece oaair arodu naaraana rannan 63 Add stabbing or gunshot injury details 22 0022 cece cece cece cece cece cc eceeecceeeeeeceeeees 65 Work with the injury Summary 000 000000 c cece cece ce cece eee cece eeeeeeeeeeeeeeceeeeseeeeeeees 67 Document treatments and vitals data __ 2 6 22 69 Record treatments to the patient 2 2 0 2 2c ccc cence cece cece anaana aooaa ranra nrn 69 Ventilate the patient 2 2 2 2 cece cece ccc ccccceccccceceeceeeeeeee
142. tient Last Name The last family name of the person paying the medical bills for the patient Address The home mailing or street address of the per son paying the medical bills for the patient City The patient s home city township or res idence Note If the patient lives in an unincorporated area use the city found in the mailing address for the patient 42 FH Medic User s Guide To do this Information needed The home state territory or province or Dis trict of Columbia where the person paying the medical bills for the patient resides The ZIP code of residence for the person pay ing the medical bills for the patient This is the numerical code assigned by the U S Postal Service to all U S jurisdictions Relationship The relationship of the patient to the primary insured person The home or other phone number of the person paying the medical bills for the patient Note If you are not able to obtain the phone number in the number pad on the right side of the interface click UTO unable to obtain Next of Kin The last family name first given name and middle initial if any of the patient s closest rel ative or guardian The home or other phone number of the patient s closest relative or guardian Note If you are not able to obtain the phone number in the number pad on the right side of the interface click UTO unable to obtain Employer The name of the patient s employer The phone
143. to the patient The rate at which oxygen flows into the patient through the vent ilator Performed By The person who performed the treatment Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears FH Medic User s Guide 71 Clear the patient s airway 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click Clear Airway Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Clear Airway D Time Method 1 min 5 min ago min Performed By Notes 10 min ago EEE E Prior To Arrival Enter Bee EEE Clear Le 3 Under Clear Airway enter data as described in Understand the interface and data entry in it on page 11 a Information needed The time the treatment was administered to the patient By default this value is populated with the comp
144. ueue ied f Click OK Print the PCR a Inthe upper right corner of the interface click Print A standard Print dialog box appears b Make selections in the dialog box as normal and then click Print The PCR and any supplemental forms you filled in are sent to the printer or fax machine for transmission 3 Inthe upper left corner of the interface click Go Back to return to working in FH Medic FH Medic User s Guide 133 View fax or print supplemental forms 1 Depending on where you are in the FH Medic interface do one of the following If you are here At Incidents screen At any screen except the Incidents screen 134 FH Medic User s Guide a At the bottom of the interface click View PCR 5 Add New Edit Transfer or cf Add Practice The Patient Care Report screen appears CH g a VIW PCR View PCS View Supplemental Patient Care Report Incident Numbe Date of Sei Chief Complaint Tra piratory Destress Unit Crew Engine 1 Guest Patient Information Last Names Patient Medications Patient Allergies Environ Petient Svmntone General Light Headed Rew iratory Anorral Re b Inthe upper left corner of the interface click View Supplemental a Choose FH Incident Forms The Forms screen appears Forms _Forms for this Incident PCR Supplemental PCS Available Forms Controlled Su
145. umber Medical Necessity Information Please select the conditon s service s which requires ambulance transport EKG monitoring required enroute Yes Suctioning required enroute Yes Ventilator dependent apnea monitor 7 7 Possible intutation needed or de p Oxygen required not applicable to prescribed 02 as a yo S selfadministered therapy uctioning TV monitoring or IV medications required Yes Restrained Danger to self or others No A aly Pena e arine ue Pairin tine SE Hanlon Fw i Information on attaching a PCS form is available in Attach a Physician s Certification Statement PCS form on page 47 2 Optional Print the PCS a Inthe upper right corner of the interface click Print A standard Print dialog box appears b Make selections in the dialog box as normal and then click Print 3 Inthe upper left corner of the interface click Go Back to return to working in FH Medic 138 FH Medic User s Guide View fax or print the Controlled Substance Usage Waste form Note To view fax or print this form you must have already added it to the incident as described in Add forms to the incident on page 128 1 Depending on where you are in the FH Medic interface do one of the following If you are here At Incidents a At the bottom of the interface click View PCR screen Edm Ege O gt foe The Patient Care Report screen appears Patient Care Report
146. umber to the insur ance company Group Number The identification number or name of the patient s insurance group Insurance The phone number of the insurance company Phone Note If you are not able to obtain the phone number in the number pad on the right side of the interface click UTO unable to obtain Plan Type The type of insurance plan the patient is covered under Insured Name The last family name first given name and middle name if any of of the person insured by the insurance company The Social Security Number SSN of the per son insured by the insurance company Note If you are not able to obtain the SSN in the number pad on the right side of the interface click UTO unable to obtain FH Medic User s Guide 41 To do this Field Information needed Insured DOB The date of birth DOB of the person insured by the insurance company Add other 1 Click Other Payer or Self Pay payer or self pay information Fields appear for specifying who is paying the medical bills for the patient Add New Insurance Other Payer or Self Pay First Name Last Name Address City State Zip Relationship Phone Next of Kin Phone Employer Employer Phone Date of Birth 2 Under Other Payer or Self Pay enter data as described in Under stand the interface and data entry in it on page 11 Field Information needed The first given name of the person paying the medical bills for the pa
147. uter s system time when you selected this treatment option The manner in which the airway was cleared of obstruction Performed By The person who performed the treatment Notes Any additional information related to the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears 72 FH Medic User s Guide Administer oxygen to the patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatmentssub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selec ted by default displaying a list of possible treatments 2 Click Oxygen Adminis Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment Oxygen Adminis Time e Type 2 3 E Rate LPM 4 5 6 os ee Performed By Notes K 3 ka 0 Prior To Arrival 3 Under Oxygen Adminis enter data as described in Understand the interface and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is popul
148. version Defibrillation enter data as described in Understand the inter face and data entry in it on page 11 Field Information needed The time the treatment was administered to the patient By default this value is populated with the computer s system time when you selected this treatment option Type An indication of whether a cardioversion or defibrillation treatment was performed on the patient 82 FH Medic User s Guide Field Information needed Energy The number of Joules delivered by the medical device during the treatment Performed By The person who performed the treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment information you entered The Treatments tab reappears Perform IO intraosseous infusion on the patient Intraosseous infusion IO is the process of injecting directly into the marrow of a bone to provide a non collapsible entry point into the systemic venous system This technique is used to provide fluids and medication when intravenous IV access is not available or not feasible 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treat
149. where the incident occurred Location Type A description of the location where the incident occurred Map Page The page number the location can be found on in the fire depart ment s map book Additional comments about the location of the incident 16 FH Medic User s Guide 3 Under Incident enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Incident A unique incident number assigned by the fire department or dispatch center Number for every incident to which the department is called Note You may need to obtain this number from an alarm or dispatch cen ter Date of The date the dispatcher was notified about the incident Service Trans The type of transportation used to take a patient to a facility for treatment port This is typically an Advanced Life Support ALS or Basic Life Support Type BLS apparatus The reason emergency personnel were initially dispatched to the scene A list of other units and crew members at the incident scene 1 Click Show The Scene Information screen appears CC Allergic Reaction PT Jane Doe 44 F on ee Other Units on Scene Unit Name 2 Doany of the following To do this Add aunit a Onthe right side of the screen click Add New to the The Unit on Scene Information dialog box scene appears FH Medic User s Guide 17 Field Information needed To do this Unit o
150. whether or not the primary impression is the actual chief complaint in the upper right corner of the interface do one of the following Quick Actions Validate View PCR PT Summary Chief Complaint i FH Medic User s Guide 51 Is the chief complaint the same as the primary impression e Click Same as Impression The selection listed on the Primary Impression button appears under Chief COmplaint No e In Chief Complaint type a description of the actual com plaint the patient suffers Assess OPQRST symptoms OPQRST is an mnemonic initialism used by medical providers to facilitate taking a patient s symp toms and history in the event of an acute illness Each letter stands for an important line of ques tioning for the patient assessment The parts of the mnemonic are Onset Provocation palliation Quality Region Radiation Severity and Time 1 If you have not done so already Add a new incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected 2 Click the Situation tab and then click the OPQRST sub tab Fields for gathering information related to the OPQRST symptoms appear on the left side of the interface Time Duration Days Hours Minutes Onset Date Time Provocation Quality Radiation Severity 52 FH Medic User s Guide 3 Under Time enter data as described in Understand the inte
151. y on a patient 1 If you have not done so already Do the following a Add anew incident or open an existing incident as described in Add or edit an incident on page 7 By default the Response tab and Incident Information sub tab are selected b Click the Events tab and then click the Treatments sub tab The Treatments and Supplies sub tabs appear The Treatments sub tab is selected by default displaying a list of possible treatments 2 Click ECG 4 Lead Fields for gathering information related to the treatment appear on the left side of the inter face Add New Treatment ECG 4 Lead H Time 1 Performed By 1 2 3 Now min Prior To Arrival j 5 min 4 5 6 ago min Enter LE 3 Under ECG 4 Lead enter data as described in Understand the interface and data entry in it on page 11 Field Information needed Time The time the treatment was administered to the patient By default this value is populated with the computer s system time when you 100 FH Medic User s Guide Field Information needed Le selected this treatment option Performed By The name of the person who obtained medical control also known as medical direction to gain approval for certain treatments or guid ance in performing a treatment Prior To Arrival Indicate whether or not actions were performed on the patient before you arrived on the scene 4 Click Submit to save the treatment informati

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