Best Practices

Battery Saver Settings

If you are utilizing a laptop and the battery is starting to run low, Windows 10 will begin to cut back on background services and other threads so you can squeeze more out of your battery life.

To enable Battery Saver:

  • Click on the Start menu
  • Click on Settings
  • Choose Systems
  • Choose Battery Saver

Battery Saver

 

The screen also shows how much battery life and estimated time you have remaining.

Starting a New IPPA Document without the Default Read-Only Limitation

Several officers have found that the IPPA documents found on Quicklinks are saved as read-only and then they have difficulty using (and editing) the documents. Here is your workaround:

  • Go to Quicklinks, expand the Human Resources Division menu and click the IPPA Forms and Documents link (or just click it here).
  • Find the rank-level evaluation you need on the right side of the page.
  • Click the link to download the file (likely saved to your Downloads folder). Alternatively, you may right-click the link and select (Save As…) to save the file in a specific place of your choice.
  • Go to the location of the saved document and double-click to open the document. Note the pop-up:
    Read Only Pop-Up
  • Click the No button to indicate you don’t want the document to be read-only.

Note: Some versions of Word will also prompt you with an Edit Document button near the top of the screen in the View tab. If you see that, click it.

Hiding and Showing the Left Pane in FireApp on the MDC

With the implementation of FireApp on MDCs, there is one minor change to the look and feel of the program (and it only shows up on the MDC version).

When you launch FireApp on the MDC, note the left pane:

FireApp Logon Screen MDC

 

The left-pointing double arrow, located above the Exit button in the left-side panel, will enable you to minimize the left pane and give you more room to work in FireApp (so you don’t have to scroll to the right side of the screen).

To see the full buttons again in the left pane and restore the full panel, just click the right-pointing double arrow.

FireApp Arrow Right

 

Until you get used to knowing which buttons are Validate and Lock without seeing the full buttons, you may want to use the new arrows.

 

Changing Outlook 365’s Reply Default Setting

With the recent (Fall 2015) changes to Outlook 365, the Reply button defaults to Reply to All, frustrating many and generally promoting bad netiquette. Here’s how to change the default:

  • Log into Outlook 365.
  • Note the default reply option on your O365 toolbar.

    Reply Drop Down Arrow
    (Note, if you wanted to keep things as they are but just choose alternatives based on the e-mail message, simply click the drop-down arrow).

  • Find and click the Settings icon in the upper right-hand corner.

    Settings Cog 

  • Select Options.
  • Choose Reply Settings.
  • Change the default setting from Reply All to Reply instead and save.

    Reply Setting

Recording Patient Hand-Over Times Accurately

PT handover times are increasingly more important and every minute counts!

The hand-over time for you to record in eMEDS refers to when the patient goes into the bed from the cot (not when you complete your report and not when you restock the unit).

Please try to record the time as close to the real time as you can.

 

Note from the EMS leadership: 

In reality, we know that you could get a room, put the patient in a bed and then sit there waiting for a nurse to take report and care of the patient for a long time.  A strict reading of Emtala would suggest that the hospital accepts the patient when the charge nurse takes a brief report and assigns a bed. However, when looking for a benchmark that we (MCFRS) and the hospitals could agree upon, the act of physically putting the patient on the bed seemed to be easiest and less prone to misinterpretation.

Entering 12-Lead and Cardiac Rhythm in eMEDS without Error

If you are entering a 12-lead in eMEDS, you want to make sure you do everything you need to do. Often, people only do half the work.

People typically remember to enter the 12-lead but that is not enough. You also need to record the cardiac rhythm with the vital signs.

Note: Please record the rhythm through the vital signs instead of simply adding it to the narrative. People who run reports can include data fields in their tabulations but the same cannot be said for data coming from the narratives.

 

Accessing EMRC via Radio

Notes from MIEMSS for Calling EMRC:

  • The initial call from the EMS unit should be “EMRC, this is <Jurisdiction Name> <Unit Number>.”
    • Do not expect EMRC to recognize NCR County codes. Multiple jurisdictions have unit numbers
      that start with 7 and 8.
    • While not mandatory, it is helpful to state during the initial call whether the provider is utilizing a UHF radio (EMRC Med Radio) or 800 MHz radio.
  • EMRC will respond and advise whether to go ahead with your request or to stand by.
    • Please do not make any requests until the EMRC operator acknowledges your unit number.
  • After EMRC has advised to go ahead with your transmission, state your request:
    • State the receiving hospital and whether a physician-consult is needed.
    • Noting if a physician consult is required will ensure that the EMRC brings an authorized
      consulting base station on the line. Some facilities are not authorized to provide online medical
      direction.
  • EMRC will then direct you to a med channel for connection with the hospital.
  • Upon changing to the med channel acknowledge that you are on the med channel with your unit
    identifier: “<Jurisdiction Name> <Unit Number> online”.

    • This is important when using the conventional EMS radios. Your transmission is needed to steer
      the automated electronic system to the correct radio tower for your area.
  • 6. Once a hospital announces they are on line identify your unit and proceed with your request or report.
    • If you are unsure you have the correct hospital(s) online, have them confirm their facility name.

Some Additional Important Notes:

  • Remember, EMRC services many jurisdictions. The initial call should be brief.
  • Always use plain language and avoid abbreviations or codes.
  • State the full hospital name being requested.
  • Please be extra cautious with the following common miscommunications:
    • Howard University Hospital vs Howard County General Hospital
    • Washington Hospital Center vs both the Maryland-based Washington Adventist Hospital and Fort Washington Hospital.
    • EMRC is often confused when units request “PG Shock Trauma”. The operator may bring up
      BOTH Prince Georges Hospital Center (PGHC) and R Adams Cowley Shock Trauma Center.
      Refer to the PGHC Trauma Center as “Prince Georges Hospital Center”.
    • MEDSTAR Trauma Center vs Washington Hospital Center Adult Emergency Department. Like
      University of Maryland Hospital and Shock Trauma, these are two separate facilities with
      separate lines. Please either use “MEDSTAR Trauma” or “Washington Hospital Center”.
    • The Children’s facility at United Medical Center is a separate facility with its own consultation
      line. Please specify to EMRC that would like “Children’s at United Medical Center” or
      “Children’s at Southern Avenue”.
    • The Children’s facility at United Medical Center is not a recognized base station and cannot
      provide medical direction. Simultaneous consultation is required with both a physician from
      Children’s National Medical Center (CNMC) and the Children’s Facility at United Medical
      Center.
    • CNMC utilizes their own radio operator to patch consults. Once EMRC connects a unit to CNMC
      you will be required to communicate your request a second time to the CNMC radio operator.

Marking a Message as Not Clutter

If you would like to keep a message from being marked as clutter in Outlook, either right click on the message and choose Mark as not clutter or just drag it to the Inbox. If Office 365 is missing messages you want marked as clutter, right click and choose Mark as clutter or drag it to the Clutter folder.

If you are using Outlook 2007, 2010 or 2013 (Desktop), simply drag a message to the Clutter folder to mark it as clutter or drag it to the Inbox to mark it not clutter.

By dragging messages to the Clutter folder you will train the tool to spot similar e-mail in the future. The tool gets smarter over time, learning from your prior actions with similar messages.