**If you are experiencing PCR or Elite/Elite FIeld issues (including those you believe may be related to system changes described below), please contact the on-call ePCR HelpDesk administrator at (951) 840-0675**
3/14/19: Medical Devices/EKG Waveforms Added to Patient >> Assessment Panel
To facilitate EKG file uploads for providers having issues in the field, eDevice.04 and eDevice.05 were added to the Assessment Panel. This required Medical Device/EKG Waveforms grids to be added that would house them (they are not standalone fields and must be added along with their grids that contain them). They are inside an EKG Waveform subpanel, and allow for uploading of files, with eDevice.04 auto-populating when eDevice.05 has a file uploaded.
2/21-3/6/19: BLS Adjunct Monitoring Reconciliation, 5501 Appendix A
Changes were made adding multiple procedures and some medications for EMTs to be able to select when documenting BLS adjuncts, aligning the BLS column that is available in the appendix of 5501 with what's available in the system.
Added: “Monitoring of Hickman Catheter”
Added: “Monitoring of Central Venous Catheter”
Added: “Monitoring of PICC Line”
Added: “Monitoring of Intraosseous (IO) Access”
Added: “Monitoring of J-tube”
Added: “Monitoring of PEG Tube”
Added: “Monitoring of Jackson Pratt (JP) Drain”
Added: “Clamping of Urinary Catheter Tubing”
Added: “Monitoring of Wound Drain”
Added: "Monitoring Patient-Controlled Analgesia (PCA Pump)”
Ordered these all to 950.
Added in Epinephrine 0.01 mg/mL, 1:100,000
Added Ionosol T
Added: sodium chloride 0.225 % Injectable Solution, labeled "Quarter Normal Saline"
Added D5/0.2% Quarter Normal Saline
Added values already in the system from Restricted to Allowed for EMTs: Gastro Intestinal Tube Maintenance and Urinary Catheter Care, and Nasogastric Tube Maintenance.
2/11/19: Modified Validation Rules and Visibility Rules Relating to STEMI Center Destination with Base Hospital Contact
An issue was reported by field users where the system was requiring users to document Base Hospital contact if they selected STEMI as a Hospital Destination Capability, which is no longer required by EMS Policies. This was corrected by 1) removing the link between selecting STEMI as an Intended Hospital Capability that made it necessary to enter a Pre-Arrival Notification with STEMI as an option, 2) removing the requirement to enter Base Hospital information if STEMI was selected as a Pre-Arrival Notification, and 3) removing STEMI via visibility rules as an option for Pre-Arrival Notification. Documenting the hospital destination and hospital contact time is sufficient.
2/7/19: Modified Vital Signs Subpanels: Added Grip Strength
Vital Signs subpanels under Record >> Incident >> Vital Signs and also under Patient >> Assessment >> Vital Signs have been modified to include Grip Strength. This change is intended to make it easier for field personnel to enter all three fields needed for LAMS calculation if they do not use the mLAPSS >> Stroke Exam subpanel to document stroke-related vital signs. This is part of a larger effort to reconcile missing LAMS scores in PCRs that may include validation rules tied to Primary and Secondary Impression of Stroke/CVA or other pertinent impressions.
1/22/19: Facilities List Update to Match CEMSIS
The facilities available for destinations in Elite and Elite Field were updated to match CEMSIS records, and allow data to successfully post into the State repository.
1/8/19: System Update and ePCR Workgroup Changes
The Elite Update wadded some components of work from ongoing REMSIS enhancements, and development tasks related to the below were addressed:
REMSIS enhancements facilitated through the ePCR Working group:
*The Countdown timer has been added to Situation Tools for Medical and Cardiac Arrest.
*The crewmember selector has been added to Situation Tools for Medical and Cardiac Arrest.
*Validation rules for narrative and crew member signature were added at the request of transporting agencies.
*Staff Assessing data element has been added to the Stroke Exam to allow for the tracking of which crew member completed the mLAPSS/LAMS screening.
*”+Add Another” has been added to the mLAPSS/LAMS physical exam to facilitate repeated mLAPSS/LAMS exams.
Incident List Views: Updated the combined EMS / Fire Incident List by adding fire data to the below column, filter and criteria options. (159631)
Latest Export Status Export Endpoints Export Status Exported (Fire only criteria and filter option)
Dynamic / Situation Tools
Dynamic Power Tools: Added a Medical Device Crew Member ID field to the Medical Devices grid in Dynamic Power Tools. With this field, providers can select themselves as the provider that performed the action when they are not the primary caregiver. The provider selected in this field has their initials displayed in the timeline, in the Procedures grid and in the incident report.
Integrations/CAD
Added the below CAD field to include in CAD integrations. If the data is provided by your CAD vendor, you can populate this field through your CAD integration. Please contact ImageTrend support to include this field in your integration; we will need details on where this information exists in your CAD feed. EMS:(eScene.23) Incident Census Tract
Resolved REMSA impactive issues:
Configuration > Incident List Views - Some views were resulting in an error when attempting to load the total record count. Configuration > Incident List Views - Inactivating a system level view at the agency level view was inactivating the view for all the tiers and agencies in the system. Incident Form > Attachments - Uploading large attachments was sometimes crashing the browser but was indicating the upload was successful. Incident Form > Attachments - Imported files were sometimes adding a (eOther.FileGroup) tag to the imported file which resulted in blank attachments.