Emergency Management Department - REMSA Helpdesk

**If you are experiencing ePCR or Elite/Elite Field issues (including those that could be related to system changes and updates described below), please contact the on-call ePCR HelpDesk administrator at (951) 840-0675 - Thank you for your continued participation in the Riverside County EMS System! We also appreciate your quick ImageTrend Elite bug reports. **  

03/25/2023: Major Form Upgrades and Changes (Vetted and Approved by PLN Group prior to implementation)

    Added "Determination of Death button" in Base Hospital Contact Type

            After consulting with the PLN group workflow upgrades to better identify the determination of death calls were created with workflow requirements for Primary Impression to require some form of Arrest whether it's Cardiac or Traumatic. Specific fields are required as well regarding cardiac arrest including types of resuscitation and a timestamp for ending resuscitation measures.

    Procedures Ordered Required when Determination of Death is selected.

            Procedure ordering determination of death as ordered by a base hospital physician has been added to clarify the orders being administered by a base hospital in its correct field. (Reviewed and Approved by the PLN group)

    Added Required Specialty Care Activation Times when CVA/STEMI is Primary Impression

            Data elements are being left blank to figure out when the MICN activated certain specialty care teams. We know this is occurring anyways but the lack of timestamps is not allowing for monitoring and tracking of those activities.

    STEMI if 12-lead Transmitted Physician Name interpreting required

            It is standard practice for any Base Hospital that is receiving 12-lead transmissions from the field for a Physician to review that 12-lead. This requested data element allows and required the MICN to document that physician name for record-keeping if the call was to be QA/QI.

      Added Medications Ordered Approved/Denied Section

        Added a Medications Ordered to allow the MICN to document requested Medication orders from the field and allow the clarification that it was approved or denied to allow for a base hospital to document and review requested orders for medications.

        Added Validation Rules for common missed required elements

            After a review of Base Hosptial data, Unit contacting and patient demographics are missing often, and losing valuable tracking data for Base hospital performance and awareness of which agencies contact which base hospitals. Validation rules have been added to ensure those data elements are recorded. If the call is an MCI/MPI those patient demographics of age and gender will not be required.     

                                                                    Archived Changes from 2021

10/04/2021: Added Blood glucose level to print reports.

    In a previous meeting, it was requested to add a Blood glucose check in the MICN log but failed to reflect the changes in the Print and CQI reports. That has been fixed and allowed for the PLN to conduct their relevant checks.

08/12/2021: Splash House Event.

    Added Specialty question regarding all patient contacts from the Splash House event being held from 8/13/2021-8/16/2021. All patient contacts including Report/AMA/Base orders will be tracked and aggregated across all Desert Base Hospitals.

08/10/2021: Changed Age to "Age in Years" on MICN MCI/MPI Tracking sheet.

    Changed to age in years for clarification. If under a year old expected to put 0 and add the patient age under disposition below for best tracking practices.

05/14/2021: Added Imperial County Hospitals to Facility Contacting.

    RH El Centro Medical Center, and RH Pioneers Memorial Hospital added.

05/11/2021: Modified Auto Number to reset every day to 001.

    Set a daily reset in the autonumbering when creating records. Otherwise, we have a continuous number getting longer and longer. That was not the intent. All Base Hospitals have been fixed.

02/22/2021: Added MPH for Trauma cases where cause includes vehicle

    The element for numerical capture of MPH of the vehicle involving trauma patients where the "Cause of Injury" includes a vehicle of some type. Not required but available for Base Hospitals to capture and CQI on cases of trauma activation.

0211/2021: Removed Base Hospital Clear Time Stamp

    After review and reasons to have it removed by the PLN Group. REMSA agrees and will remove the time clear stamp at the bottom of the form. Contact time will remain.

01/05/2021: Removed not value for Length Based tape for peds

    With the above 36Kg option the not values won't be available anymore to not cause confusion.

12/28/2020: Added above 36kg element in the length based tape for pediatrics

    This addresses situations where pediatrics are either too tall or weigh more than pediatric dosing and requires adult dosage.

12/17/2020: added Unknown value for LOC for Trauma Patients.

    Requested by RCH and applied to the whole form. Added unknown value for Loss of Consciousness? 

11/10/2020: Alphabetized the eInjury.01 dropdown.

Reorganized the Cause of Injury data element to be in alphabetical order for easier use without using predictive text.

10/22/2020: Moved MICN Grid to the main page and removed the second tab.

    Removed redundancy and streamlined the MICN taking the call in the main page above where the communications clear timestamp is. Refer to picture below.

10/19/2020 Print Report for Base Hospital Log Complete including CQI Module

Recreation of the print report and only have the applicable fields that are now in the Base Hospital Log. Please see the dummy report with fictitious data to demonstrate how it will look.

10/08/2020: Multiple changes per feedback from the MICN's

• Added Temperature to vitals when applicable at the bottom including methods such as Tympanic, Oral etc...
• Added Type of specialty care activation on the main page so if you have multiple activations or atypical presentation that still activates you have the ability too.
• Added Blood Glucose procedure under Procedures ordered.
• Added all Riverside County hospitals and some San Bernardino hospitals as contacting the agency to assist with call taking for facilities receiving ED to ED transfers and a higher level of care for specialty services.

09/30/2020: Time logic validation rule added.

    Negative times were showing up in reports. After research, several records times were illogical were clear times happened before picking up the phone (contact time). Validation rule to prevent that, as well as contacts lasting longer than 60 minutes, are more than likely a mistake and won't be allowed. PLN's please contact the epCR Helpdesk if you need further assistance.

09/15/2020: Cardiac Arrest/Respiratory Arrest/Traumatic Arrest fields added to the main page.

    Cardiac Arrest fields have been added to the main page from the side panel. In the event of Traumatic Arrest, both trauma and cardiac arrest fields will become available as they apply. Also, discontinuation of resuscitation methods time stamp will be available if Traumatic arrests are called in the field in addition to standard Cardiac arrests.

Added "report given to" in Destination consults.

    To provide better data collection for QI and better clarification during Destination Consults. The base provides a turn over report to the receiving hospital via contact by phone. This will allow us to capture who they are talking to in providing the report. This will be on the main page and required to be filled out if contact time is present where the base contacts a different facility.

09/13/2020: Added Time for vital signs in Grid.

    Added date/time of recorded vital signs so the time index match between the time the Base Hospital contact and clear times.

09/05/2020: Added offline function to generate an incident number in Elite field for Base Hospitals

    During training, it was identified that using the Elite field with the Auto-Generated incident number would be difficult. However now if you are using the Elite field and a mobile tablet if the MICN when opening a record and the incident number is blank you can select the button below it and it will generate an incident number that the online service will send down. This should enable DRMC and other hospitals wishing to use the Elite field for its speed in generating records.

09/03/2020: Added additional agencies to "Agency Contacting" grid

    Added Arrowhead Regional, Loma Linda University, Hi-Desert Medical Center, Palomar Medical Center to Agency Contacting. Recent additions include AMR-Imperial County for Desert Base Hospitals for incoming patients from Imperial County.

09/02/2020: Added Time to destination in minutes on the main page

    added the destination in minutes from destination consult on the main page for report only as well. Requested by DRMC but now you will be able to calculate the general time notification versus transport time for all calls which will show the performance of prehospital providers giving adequate notification.

08/28/2020: Added 12-lead grid to Chest Pain

    To allow the form to be more flexible the 12-lead STEMI grid will become available for the MICN to document pertinent 12 lead information if the Primary impression is Chest pain or STEMI.

8/28/2020: Added ECG Rhythm in Vitals grid for Base Hospital Log

    Added eVitals.03 in the vitals grid right below pulse rate as the provider frequently reports this detail and requested. No requirements just optional at this time.