Chapter Goal. Learning Objectives 9/12/2012. Chapter 14. Communications

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1 Chapter 14 Communications Chapter Goal Follow accepted format for dissemination of patient information in verbal form, either in person or via radio Identify importance of communications when providing EMS Identify role of verbal, written, & electronic communications in provision of EMS Diagram basic communication model Identify importance of proper verbal communications & terminology when communicating during an EMS event 1

2 List factors that impede & enhance verbal communications Identify components of local EMS communications systems, & describe their function & use Describe function & use of cellular phones in EMS communications Identify & differentiate among simplex, multiplex, & duplex communications systems; digital communications; & trunking Describe functions & responsibilities of Federal Communications Commission Identify importance of proper written communications during EMS events List factors impeding & enhancing effective written communications Recognize legal status of written communications related to EMS events State importance of data collection during an EMS event Identify technology used to collect & exchange patient and/or scene information electronically, including facsimiles (faxes) & computer communications Recognize legal status of patient medical information exchanged electronically 2

3 Describe phases of communication necessary to complete a typical EMS event Describe how emergency medical dispatcher functions as integral part of EMS team List appropriate information gathered by emergency medical dispatcher Identify role of emergency medical dispatcher in typical EMS events Identify importance of prearrival instructions in typical EMS events Describe purpose of verbal communication of patient information to hospital Describe patient assessment information verbally reported to medical direction Organize list of patient assessment information in correct order for electronic transmission to medical direction according to format used locally Introduction Effective communication essential to smooth & efficient operation Must be coordinated system Communication takes place between: Callers & dispatch center Dispatch center & EMT-Is EMT-Is & backup units EMT-Is working together on ambulance EMT-Is & emergency department 3

4 Introduction Communication takes place between: EMT-Is in field & EMS system administration Dispatch center & public safety units Dispatch center & disaster networks Emergency departments Communications Verbal Written Electronic Basic Communication Model Verbal Communication Semantics Meaning of words Noise Interference with receiving message 4

5 Communication Equipment Telephones Enhanced Dedicated land lines Cellular phones Better continuity Less formal Disadvantages Communication Equipment Radios Primary means of communications 3 primary components: Base station Mobile radios Portable radios Communication Equipment Radio system characteristics Both transmitter & receiver Operates in simplex, duplex, or multiplex mode 5

6 Communication Equipment Digital communications Trunking Radio frequencies Pagers Communication Equipment Pagers Repeater systems Recording equipment Federal Communications Commission Controls & regulates radio communications in U.S. Primary functions: Licensing & allocating frequencies Establishing technical standards Establishing & enforcing rules & regulations Monitors frequencies Spot-checks base stations & dispatch centers State & local governments may have additional requirements 6

7 Written Communications Convey information throughout system Document condition, cleaning, maintenance of equipment Record daily checks Incident reports Written Communications Call records Information required for system administration Most important documenting appropriate information regarding each emergency run Electronic Information Gathering Real-time capturing of information Biotelemetry Computers Facsimiles 7

8 Types of Communications Routine communications Phone, ambulance radio, portable radios, or written or electronic means Crew to dispatch center Dispatch center to crew Emergency communications From beginning of emergency until end Steps in progression of typical EMS event Types of Communications Communication links system Emergency Medical Dispatcher Initial dispatch communication Run times Calling on-scene Medical communications Types of Communications Medical communications Purpose Oral report Treatment instructions Notify receiving hospital 8

9 Types of Communications Communication basics System maintenance Summary Working knowledge of EMS communications is important Access to system begins with citizen making call & ends when patient is delivered to hospital & run report is completed Modern EMS communications systems have specific equipment needs Ambulances are equipped with mobile two-way radios &/or cellular phones Summary Portable radios hand-held devices with power output of 1-5 watts Poor output is sometimes problem with mobile & portable radios Federal Communications Commission Skill & knowledge of all parties required to communicate well 9

10 Questions? 10