Version 5.0

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Version 5.0
Field Bridge Webpage Module II
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From Scene Tab
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Image Trend Ver. 5.0Training

• From Scene

• From Scene

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Image Trend Ver. 5.0Training

• From Scene Patient Transport / Positioning

• All three fields must be completed for
  transports.
• Patient moved to Ambulance
• Select from dropdown.
• Patient position in Transport
• Semi-Fowlers is the DEFAULT, Change if
  necessary.
• Patient Moved From Ambulance
• Stretcher is the DEFAULT, Change if necessary.

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Image Trend Ver. 5.0Training

• From Scene Transport Mode From Scene

• Select the correct type of mode.
• DEFAULT - No Lights or sirens

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• From Scene Destination Name

• Select the correct destination.
• Select the appropriate hospital from the
  dropdown.

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• From Scene Destination Type

• Select the correct destination type.
• Select the appropriate destination type.

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• From Scene Destination Determination

• Select the correct destination determination.
• Select the appropriate destination determination.
  

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Image Trend Ver. 5.0Training

• From Scene Mileage

• Enter correct mileage from the odometer and it
  must include tenths. This is a NIMSIS
• Starting Mileage Odometer reading from the
  station or your beginning location with tenths.
  Example-12034.7
• At Scene Odometer reading at the scene of the
  incident. with tenths Example-12040.2
• At Hospital Odometer reading at the hospital.
  with tenths Example-12050.4
• Ending Mileage Odometer reading when you are
  back at the station or your original starting
  place. with tenths Example-12060.9
• Enter LOADED mileage carefully. These are
  billed miles and subject to audit.
• If you do not transport, you still need the
  Beginning and Ending Mileage.

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Image Trend Ver. 5.0Training

• From Scene Narrative

• Enter your narrative.
• Free form text with spell check. Be specific in
  your narrative.
• You can use the CHARTED narrative option,
  HOWEVER, it must be updated and reviewed prior to
  completion.
• Remember, if you make note of a Procedure, an
  EKG, a set of Vitals, or Meds administration, YOU
  MUST document it under the Vitals, Meds,
  Procedures TAB.
• Also remember
• If you didnt document it , in the court of law,
  it didnt happen.
• Its not what you remembered, its what you wrote
  down.

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Image Trend Ver. 5.0Training

• From Scene Valuables

• Enter any valuables, belongings the patient may
  have entrusted you with.
• You can select from the dropdown, or enter others
  not listed.

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Image Trend Ver. 5.0Training

• From Scene Delay

• Document any delays you may have encountered.
• DEFAULT is set to NONE on all four.
• Really only need to document significant delays.
  
• Delays by a one minute train passing versus a
  stopped train.
• Delays by having to run from outside versus you
  were coded.
• Delays by taking extra time to load a patient
  versus waiting for animal control to gain access
  to a patient.
• Delays by taking extra time to complete a long
  narrative versus hospital not finding you a room
  for 10 minutes.

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Signature Tab
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Image Trend Ver. 5.0Training

• Signatures

• Signatures

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Image Trend Ver. 5.0Training

• Signatures Patient Signature

• Signatures
• Select the HIPAA Consent-
• Try to explain what HIPAA is.
• Select the Authorization to Billing.
• Try to explain Fauquier County Compassionate
  Billing policy.
• Billing agency will bill your insurance company
  first.
• If no insurance they will bill the patient---
  BUT if they are unable to pay, the bill is
  waived.
• Select the Waiver of Liability only of you obtain
  a Patient Refusal.
• Have Patient sign whenever possible.
• If not possible (unresponsive)- Just take the
  pen and put your initials in the field.

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Image Trend Ver. 5.0Training

• Signatures Against Medical Advise

• If Patient Refuses transport.
• Check the box in the top left called Attach AMA
  to this Incident.
• Fill out as much information as possible.
• Remember this is to cover you.

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Image Trend Ver. 5.0Training

• Signatures Technician Signature

• Technician signs all reports.

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• Signatures Hospital / Receiving Agent Signature

• Signature obtained by nurse you are turning
  patient over to.
• If only BLS procedures performed, this is the
  only signature you need from the hospital.

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Image Trend Ver. 5.0Training

• Signatures Medical Control / Physician Signature

• Signature obtained by any ER Doctor.
• If ALS procedures performed, you must obtain a
  signature from the Doctor.

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Image Trend Ver. 5.0Training

• Signatures Controlled Substance Waste Signature
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• Signature must be obtained by any ER nurse if you
  waste NARCOTICS.
• If NARCOTICS are used, you must obtain a
  signature from the Doctor.
• When replacing the NARCOTICS box
• Box must contain all narcs not used or wasted.
• Red tag.
• Printed copy of the Run Sheet with a signature of
  the Doctor. If you have unused narcotics, the
  run form must also contain the signature of the
  nurse that witnessed you waste these narcotics.

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Image Trend Ver. 5.0Training

• Signatures Controlled Substance Waste Signature
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• Narcotics that were wasted must be listed below
  in the dropdown.
• If more than two narcotics were partially used,
  document in the narrative and let Image Trend
  Administrator know.

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POWER TOOL BARDown Left Side of Screen
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• Power Tools

• GCS
• Select the blue button for each test
• Eye
• Verbal
• Motor
• Qualifier
• Your GCS score is totaled and posted in the
  Vitals tab automatically.
• Verify your times field.

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Image Trend Ver. 5.0Training

• Power Tools

• VITALS
• Enter appropriate data for each check
• Pulse
• Respirations
• Blood Pressure
• BP Location
• SpO2
• Blood Glucose
• Your Vitals are posted in the Vitals tab
  automatically.
• Verify your times field.

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Image Trend Ver. 5.0Training

• Power Tools

• PQRST
• Select the blue button for each test
• Provoked
• Quality
• Region
• Radiation
• Duration
• Severity
• Narrative Short informative comments only.
• Your information is posted in the Vitals tab
  automatically.
• Verify your times field.

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Image Trend Ver. 5.0Training

• Power Tools

• CARDIAC
• Select the correct medication as it is
  administered. It will display meds and times to
  the right.
• Press OK at the bottom and your meds information
  is posted in the Vitals tab automatically.
• Verify your times field.

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Image Trend Ver. 5.0Training

• Power Tools

• MEDS
• Select the green button for each Medication
  administered
• Medication
• Dose
• Unit of measure
• Route
• Site
• Response
• Your MEDs are posted in the Vitals tab
  automatically.
• Verify your times field.

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• Power Tools

• PEDIATRIC
• Select the correct weight of the child Example
  26-30 lbs
• Correct doses are displayed for that size child.
  No need for the Pediatric Emergency Tape. (AKA
  Broselow)

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• Power Tools

• Same as under the Vitals, Meds, Procedures Tab.
• Click on the anatomical location of the medical
  incident and add information.
• Open with caution in public.

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• Vitals, Meds, Procedures Assessments Injury

• Same as under the Vitals, Meds, Procedures Tab.
• Click on the anatomical location of the injury
  and add information.
• Open with caution in public.

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Image Trend Ver. 5.0Training

• Power Tools

• Same as under the Vitals, Meds, Procedures Tab.
• Click on the anatomical location of the burn.
• One click causes 1st degree.(purple)
• Two clicks displays 2nd degree.(yellow)
• Three clicks displays 3rd degree.(red)
• System also calculates BSA as you click.
• Open with caution in public.

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Down Right Side of Screen
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Image Trend Ver. 5.0Training

• Right Side of Screen

• Response Times
• All fields should auto-fill from the CAD data
  with the exception of
• Arrived Patient
• Only needed if you made patient contact.
• In Service
• If you POST before you enter the In Service time,
  GO BACK AND FIX and RE-POST.
• This is one of the single most points of STATE
  failure.
• Loading CAD data again here is a good idea.

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Image Trend Ver. 5.0Training

• Right Side of Screen

• Validation
• Now we are synchronized with the state codes If
  you reach 100 here, we actually are 100 with
  the state.
• By selecting this tab, you can see why we are not
  100 complete and how many points the STATE takes
  off.
• It will take you to the screen with the missing
  field(s).

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Image Trend Ver. 5.0Training

• Right Side of Screen

• Active Protocols
• Select this tab and you get a dropdown where you
  can select active protocols.
• Placing a check mark in the fields will auto-fill
  the vitals tab.

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• Right Side of Screen

• JotPad
• Free form note pad. These notes become part of
  your overall report.

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Across the top
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• Laptop screen overview

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Image Trend Ver. 5.0Training
Top Line View

• Save Button Saves the report to the laptop
  only.

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Image Trend Ver. 5.0Training
Top Line View

• CAD Button Loads CAD data to the report.
• Can be used anytime during the call.
• Will only overwrite the fields supplied by CAD.
• Incident number
• Location of call
• Times
• Will not overwrite the any other fields you
  entered.

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Image Trend Ver. 5.0Training
Top Line View

• POST Button Prepares report to be uploaded
  (POST) to Minnesota (Rescue Bridge).

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Image Trend Ver. 5.0Training
Top Line View

• POST Button Note that the system is uploading
  to Rescue Bridge.

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Image Trend Ver. 5.0Training
Top Line View

• POST Button Note that the system is validating
  the report for Rescue Bridge.

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Image Trend Ver. 5.0Training
Top Line View

• POST Button Posting is now complete.
• HOWEVER Remember the POST/SYNC does two things.
  
• POST Posts the report to Rescue Bridge.
• SYNC Synchronizes the Field Bridge.
• If the POST fails SYNC will still show 100
  complete.
• Dont be fooled.

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Image Trend Ver. 5.0Training
Top Line View

• PRINT Button Prepares report to be printed.
• This may take a few seconds because it is
  generating a PDF file.
• Print one copy for the hospital.
• If you used NARCs print two copies.
• One for the hospital.
• One to accompany the NARCs to the Pharmacy.

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Top Line View

• MORE Button
• History
• Tracks all activity for the report.

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Top Line View

• MORE Button
• Transfer Run
• Ability to send data to another agency.
• Example -
• Catlett starts a call and Medic 1 rendezvous.
  Catlett can upload the data they have acquired
  and Medic 1 can complete from there.

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Image Trend Ver. 5.0Training
Top Line View

• MORE Button
• Attach
• Can attach additional documents to the report.
  Currently not used.

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Top Line View

• MORE Button
• Delete
• You can delete the entire report if desired.
• Not recommended.

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Top Line View

• CLOSE Button
• Closes that report
• Returns you to the Dash Board.

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Image Trend Ver. 5.0Training
Verify POST complete

• Dash Board will display a check mark next to the
  run.

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Any Questions ?