Scenario: You arrive at the scene to find the patient obviously deceased and the family member present said that the patient had a heart attack in his sleep. In this scenario, you did not attempt to resuscitate the patient. Here are the fields you will need to change in Elite that differ from the typical patient report, but this TechTip does not address all of the other fields you should be filling in that are typical of any call in your talented report writing skill.
|Call Info||Disposition||Primary Role||Non-Transport - Other Reason
|Call Info||Disposition||T&T Disposition||Dead at Scene Without Interventions (No Transport)
|Call Info||Conditions||Cardiac Arrest||Yes, Prior to EMS Arrival
|Chief Complaint||Date/Time of Onset||(Use, if known)
|Patient||Chief Complaint||Primary Symptom||Cardiac Arrest
|Patient||Assessment||Primary Impression||Obvious Death
|Patient||Assessment||Assessment||(Whatever led you to pronounce death)
|Patient||Cardiac Arrest||Resuscitation Attempted by 911||No
|Patient||Cardiac Arrest||End of EMS Event||Pronounced in Field
|Provider Actions||Vitals||Vitals||(Need one set, including 0 for pulse and 0 for respiration rate)
|Provider Actions||TOR/POD||Criteria for POD||Rigor Mortis
Scenario: Your patient is unconscious and has no ID in his wallet. Aside from being the worst mime act you have seen today, you have no information on him. How to record his name in Elite?
Contrary to what some will tell you, you should not call him John Doe (or anything punny but close) when you need to input a first and last name. Doing so implies that this is his actual name and you took that specific person to the hospital, as far as the people who are analyzing the reports are concerned.*
Instead, remember that you have options (Refused for people who refuse and Unable to Complete when you just don’t have the name and he is incapable of providing it).
Click the No/Not button next to the First Name.
Click the appropriate choice thereafter.
Repeat for the Last Name field.
Then again, if you actually run the real John Doe to the hospital, you should record the name. You just may want to reiterate in the narrative that it’s his real name.
* – Per EMS-Ops: “When you have not values available to you and you enter a name of John Doe, you are documenting that you took someone to the hospital whose name was John Doe, not that you took someone to the hospital whose name you do not know.”
Scenario: Your patient has a bottle of medicine that you need to record but one that is not in Elite. There’s no Other option in the drop-down list. How should you record it?
Click in the Other Medical History input box and add the medicine(s) there.
Follow this up with e-mailing the name of the medicine(s) to Tim Burns (Tim.Burns@montgomerycountymd.gov) and he will have the medicines added to the Current Medications drop-down list. Please double-check your spelling.
Scenario: Your patient has declined (however forcefully) to share his/her phone number with you and it’s a required field in Elite. What to do?
If you leave the field blank: You will lose five (5) points toward your completion total.
If you type all 9s (999-999-9999, consistent with the SSN approach): You will not lose any points toward your completion total but you will still get a validation error, which explains that is it preferable to get a valid phone number.
Scenario: You are an ALS provider who needs to report a downgrade in Elite. The BLS provider has transported the patient in his/her ambulance and you intend to try to return to Station 8 without being dispatched. What do you need to report?
Ensure you are writing the report with the Unit/Call Sign as the ALS unit on the call.
Switch to the Call Info menu and Disposition tab to change the Primary Role of the Unit at the End of Incident to Non-Transport-Other Reason and The Treatment & Transport Disposition field to Operational Support Provided – Patient Contact (if there was PT contact).
Leave the Patient Side Time blank. (Yes, it will be red, but it won’t trigger the additional validation rules this way.)
Remember, just as with the previous version of eMEDS, you still need to write a narrative to explain why you chose to downgrade the patient.
Are you trying to log onto Elite but getting an error of Initializing the Dashboard Resource Cache Manager? Are you frustrated and ready to inflict damage on the unsuspecting hardware?
Please don’t hurt the computer. This is a simple fix in Google Chrome and a quick one, at that.
- Press Ctrl-H on your keyboard. (This will bring up the browsing data/history.)
- Find and click Clear Browsing Data link on the left side of the screen.
- Make sure all of three items are checked (browsing history, cookies and cached images). They should be checked, by default.
- Click the blue Clear Data button.
- Ensure that you are in an area likely to get a good wireless connection.
- Reboot the computer
- Try logging in again.
Scenario: Your cardiac patient took aspirin prior to your arrival and you need to document this.
Change to the Provider Actions menu and Medication tab and click the Add button.
Fill in the necessary files. For the Crew Giving Medication field, use either Other Non-Healthcare Provider (for people unrelated to healthcare organizations) or Other Healthcare Provider (for doctors, nurses, hospital/urgent care personnel, etc).
Scenario: You have recorded 999-99-9999 for a patient’s social security number and Elite is flagging you with a red field.
What does this mean?
MCFRS now would like you to capture the patient’s medical record (MR) number whenever you transport and you are unable to obtain a valid social security number. The MR number is located on the patient’s wrist ID that hospital staff put on the patient.
Where to enter the MR number?
The CAD menu’s first screen shows the following (now required with the 999-99-9999 SSN) field:
Click the Add button.
Select Hospital Medical Record Number – Receiving and input the number found on the patient’s wristband.
Need help with eMEDS Elite? Here is a handy troubleshooting flowchart:
This TechTip could make a small part of your documentation easier. Take a minute to let that sink in — the technology provided to you for your job could be making that job a little easier. With Elite, you may scan a driver’s license for your patient report to fill in several Patient Info tab fields automatically.
The fine print: This works successfully with most drivers’ licenses but not every state has been checked.
Go to the Patient menu and the Patient Info tab but do not key in any information.
Scroll to the bottom of the screen (well, near the bottom); find and click the Driver’s License Strip/Barcode Scanner button.
Note the following pop-up dialog box that appears:
Find and press the A2 button on the ePCR Toughbook, located below the gray bar below the screen.
Find the red laser beam that will come shooting out of the top of the Toughbook. (Warning: No matter how excited you are by this, do not aim it into the eyes of your rookie.)
Find the barcode on the back of the driver’s license. Here is an example:
Hold the patient’s driver’s license so that the barcode (on the back of the license) makes contact with the red beam. If/when the scan is successful, you should her a zap sound and see a dialog box with a bunch of form fields filled in (complete with the patient’s information).
Click the OK button and verify that the information now appears in the related Elite fields.
Note: Please remember to give the driver’s license back to your patient.