Tuesday, December 1, 2009

No Patient Found - Defining Response Dispositions

A new incident template has been created within ImageTrend to streamline the documentation of incidents when no patient is found. This template also provides for a signature block for a Witness to EMS Arrival that no care was requested or required. Below the screen shots are some considerations when using the template specifically pertaining to the definition and the intended use of Response Dispositions.

 

 

 

The current common treatment guidelines provide a definition of a patient as:

 

  • ANY INDIVIDUAL WHO ACTIVATES EMS FOR THEMSELVES
  • ANY INDIVIDUAL WITH AN INJURY OR ILLNESS
  • ANY INDIVIDUAL WITH A MEDICAL OR TRAUMATIC COMPLAINT
  • ANY INDIVIDUAL WITH A NEW ALTERED LEVEL OF CONSCIOUSNESS OR AMS
  • ANY INDIVIDUAL WHERE EMT / PARAMEDIC SUSPECTS INJURY DUE TO MECHANISM

 

Response dispositions provide for several options when documenting the disposition of the call.

 

  • Treated, Transported by EMS – When a patient is treated and transported by the reporting unit.    
  • Treated and Refused Transport  - When treatment is provided to a patient, but transportation is refused.    
  • Patient Refused Care – When a patient is identified based on the criteria above, but the patient refuses care.   
  • Treated, Transferred Care  - When a patient is treated and transportation is provided by other than the reporting unit.  
  • No Patient Found  - When no patient is found based on the criteria above.   
  • Cancelled – When a reporting unit does not arrive on scene.   
  • Dead at Scene  - When a patient is dead at scene, treated or not treated.