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ePCR Survey Link

posted Aug 7, 2019, 12:03 PM by Lake Plains Admin   [ updated Aug 7, 2019, 12:04 PM ]

Attached is a link for anyone that uses any electronic platform for charting EMS incidents on, do express their comments, suggestions, thoughts or ideas directly to the state. We understand that this has been a very interesting transition and the state is interested in your feed back, good, bad or indifferent. I ask when submitting a response that you:

1. Offer a valid submission, particularly related to ePCR's
2. Be respectful and courteous with your submission
3. Lastly, be patient. The state will get back to you. 

This is your chance to be heard. This can be submitted by ANYONE whether its individual or agency level. Any questions please either refer to the previous announcement or get in touch with myself. Thanks.

ePCR NEMSIS 3.4.0 Update

posted Aug 2, 2019, 5:32 AM by Lake Plains Admin   [ updated Aug 7, 2019, 12:06 PM ]

PLEASE SHARE THIS EMAIL AND ATTACHMENTS WITH EMS AGENCIES IN YOUR REGIONS.  The email is also sent to all Bureau Field and Central Office staff and software vendor contacts!

 

With special thanks to the Regional Elite Site administrators, the program agency directors, and software vendors, we have fixed the high volume errors resulting from the implementation of NYS Schematron 2019 – 01.  The Schematron, generated from validation rules establishing a documentation standard, have been extensively tested by multiple Program Agency directors, EMS agency ePCR contacts, ImageTrend and Bureau staff.  The implementation of Schematron 2019 – 01 resulted in many significant challenges for some responding crews across NYS resulting in an inability to close charts and advance them to the NYS Elite Site.  The dialogue and effort extended to resolve these issues has been extensive and comprehensive.  The full implementation plan for 2019 – 01 (Revision 1) will be released as soon as the Schematron revision is sent to the NEMSIS TAC and software vendors with a planned implementation as soon as possible; however, the affected rule changes are included on the attached document. We ask that every recipient of this email read the full contents of the email and the attachments and raise any questions as quickly as possible so we can answer them directly.

 

  1. The attached spreadsheet outlines the rules that were modified slightly to correct chart closure and submission data errors that occurred after the implementation of 2019 – 01 on July 15, 2019.  The rules were selected after an analysis of the chart rejections at the Regional Elite Sites and the NYS Elite Site.  It is our expectation that software vendors will evaluate the rules and implement them directly as written and report any issues immediately to me directly here at the Bureau. 
  2. The ePCR software vendors should be working with their client EMS agencies to ensure the providers are empowered to utilize their ePCR software platform and comply with the standards established in the Schematron.  EMS agencies should be cautioned against work arounds or fixes that bypass the standards outlined in the Schematron.
  3. The revisions in this release (2019 – 01 (Revision 1)) are meant to correct the large scale issues and we expect that 2019 – 01 (Revision 2) to be released by the end of August if the transition team deems revisions to be more urgent or if the revisions can wait for release in January 2020.

 

The addition of Pertinent Negative values to be documented as an attribute of an element.  The Pertinent Negative values allow the documentation of a pertinent negative value in addition to a real value:

 

Aspirin Administration ~ if the medication Aspirin is part of the agency protocol for Chest pain but was not administered by the responding crew, the reason why should be documented.  This is done through the use of Pertinent Negative values.  If the patient took Aspiring prior to the EMS arrival on scene, the value “Medication Already Taken” should be documented in addition to “Aspirin.”

 

Additionally, if a value is not able to be obtained, the Pertinent Negative will provide a valid rationale for an inability to obtain a real value.

 

Medication Allergies ~ if the patient’s condition or location do not allow for data to be entered into the ePCR, the responding crew may document one of the following Pertinent Negatives that fits the scenario:

 

  • Refused
  • Unable to Complete
  • Unresponsive

 

The ePCR software vendors should be able to provide background materials on how to document a Pertinent Negative on their platform.  The responding crews should be comfortable and confident documenting with clinical accuracy to match the care provided to and for the patient.  If there are any issues completing a chart or documentation standards challenge the completion of a chart, please ask the responding crews to discussion with agency leadership; if leadership is not able to resolve the issue, please complete the survey https://apps.health.ny.gov/pubpal/builder/survey/epcr-schematron-implementation-i ) and a member of the Data and Informatics team will investigate and reply back to the inquiring EMT, the agency leadership, the agency ePCR contact, the Program Agency and the Software Vendor.

 

Each program agency is requested to add the survey link to their website so the responding crews and EMS agencies have easy access through the regional sites.

 

Please advise if you have any questions.

 

Peter

 

Peter L. Brodie, BS, AEMT

EMS Data Coordinator

Bureau of Emergency Medical Services and Trauma Systems

DOH Advisory statement for Candida Auris (C.auris)

posted Dec 15, 2017, 5:51 AM by Lake Plains Admin

The NYSDOH has put a warning out to be aware of regarding a growing number of patients testing positive for the drug resistant C.auris. This has gotten as close as the Monroe county region and all people should be aware of this. Please see the attached communication regarding this issue. 

Children's Hospital

posted Dec 15, 2017, 5:46 AM by Lake Plains Admin

Children's has a new fax number for the ED when it comes to faxing PCR's to the facility. Please make note of the new number and those that are on Electronic reporting ensure that you update your system to reflect this number. The number is 716-323-1360

Oishei's Childrens Hospital Number

posted Nov 8, 2017, 7:39 AM by Lake Plains Admin

Effective at 7 am this Friday November 10, 2017.

 

 

Children’s Hospital in Buffalo will change their medical control number when the new John R. Oishei Children's Hospital opens. 

 

The Hospital disposition code will not change (937).

 

The new medical control number will be 716-323-2110.

 

The hospital main number will be 716- 323-2000.

Fentanyl Safety

posted Nov 6, 2017, 6:51 AM by Lake Plains Admin

With the rise of Opioid usage in the country, information is being put out regarding the safety of EMS providers who find themselves exposed to this danger. Please read and ensure that others are informed. Printable posters are available. 

Fentanyl Safety Recommendations for First Responders

The increased prevalence of fentanyl and other synthetic opioids in the illicit drug market means that first responders need to understand how to protect themselves from exposure in the field.  Law enforcement, fire, rescue, and emergency medical services (EMS) personnel must balance safety with mobility and efficiency when responding to scenes where the presence of fentanyl is suspected.

The Fentanyl Safety Recommendations for First Responders provides unified, scientific, evidence-based recommendations to first responders so they can protect themselves when the presence of fentanyl is suspected during the course of their daily activities such as responding to overdose calls and conducting traffic stops, arrests, and searches. 

The Recommendations do not comprehensively address all scenarios. Other activities may require additional protective actions such as when conducting field testing, executing search warrants, collecting, transporting, and storing evidence, conducting special operations such as hazardous material incident response, executing search warrants on opioid-related processing or distribution sites, or participating in other tactical operations.

The Recommendations fall into three specific categories:

  • Actions first responders can take to protect themselves from exposure.
  • Actions first responders can take when exposure occurs.
  • Actions first responders can take when they or their partners exhibit signs of intoxication.

Please click here to access a printable version of the Fentanyl Safety Recommendations for First Responders that is best suited for 8.5” X 11” paper.  Please click here to access a printable version that is best suited for 11” X 17” and larger.

Trauma Survey

posted Oct 17, 2017, 10:35 AM by Lake Plains Admin

The RTAC (regional trauma action committee) is asking for all providers assistance. They are asking that you take 2 minutes to complete the survey located in the link below. Please just take a moment, they will appreciate it greatly. Please be sure to pass this along to other providers. 

Tour of the New Children's Hospital

posted Sep 19, 2017, 9:49 AM by Lake Plains Admin

Greetings Everyone,

Representatives of the John R Oishei Children's hospital will be on hand for EMS on October 10, 2017 at 1900hrs to conduct tours of the facility. Please click on the flyer for more information. 

Child Seat Safety Check

posted Sep 18, 2017, 5:03 AM by Lake Plains Admin

Greetings everyone,

The City of Batavia Fire Department is hosting a child seat safety check at their Fire hall this Saturday, September 23rd, 2017 between 10am and 2pm. For information please see the attached flyer.

Second Opportunity for WREMAC Preceptor course

posted Sep 12, 2017, 6:20 AM by Lake Plains Admin

Our partners over at UB/MD are hosting a second class for WREMAC Preceptor. If for some reason you are unable to attend the upcoming class, perhaps this is more opportunistic for you. 

WREMAC Preceptor Training Course

Tuesday, October 24

6:30pm – 9:30pm

Wyoming County Fire Training Center

3651 Wethersfield Road

Only candidates who have been approved by his/her Medical Director will be permitted to take the course. It is each candidate’s responsibility to obtain this approval prior to the course. A brief e-mail from the Medical Director can be sent to: ubmdems@buffalo.edu

Registration deadline is Tuesday, October 17th.

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