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HomeMy WebLinkAboutDispatch Review CriteriaBEAUMONT FIRE -RESCUE QUALITY ASSURANCE PROGRAM DISPATCH REVIEW CRITERIA (If possible prior to reviewing dispatch tapes or transcripts have the accompanying SFRF available.) 1. Units responded 2. Transporting Ambulance Service OR. Unit Numbers for BFR or BEMS 3. Date in MM/DD/YY format AND time in AM/PM or military time 4. Name of Dispatcher (if available) 5. Name and ID Number of EMT attendant in charge (if known) 6. Check off as reviewed and write in. 7. Priority based on the SFHRF if available, otherwise based on the tape. Check which is used. 8. Nature of Call (not what it was dispatched as but what it really was, if known) 9. Dispatched As (what the dispatcher said the call was) 10. Dispatch Time (subtract "Dispatched" from "Call Received") 11. If any of the time is excessive and there is an explanation in the narrative, check "Yes," otherwise check "No." 12. If you check "Yes" to #12 write the explanation here. 13. Age of Patient 14. Gender of Patient 15. Check the highest level of care provided A.—Clinical Audit 16. Dispatch time: (the amount of time when the call was received until the call was dispatched) A = < or =1 minute I = >I minute but < 3 minutes 1J = > 3 minutes, without extenuating circumstances 17. A = the ambulance that could likely get to the patient the fastest was the ambulance that was dispatched. u = possibly another ambulance could have gotten there faster. 1J = clearly another ambulance could have gotten there faster. 18. A = the problem (reason for dispatching an ambulance) and directions to the location were as clear possible based on what the caller gave and/or dispatch was able to assist finding the location. u = the problem and/or directions could have been clearer but responders had sufficient information to respond appropriately and were able to find the location without delay. 1J = little or no patient information that resulted in inappropriate omission or dispatch of resources and/or directions were unclear resulting in a delayed response. 19. Dispatch of BL S/AL S: A = based on the "Reason for Call" the call was BLS and dispatched as BLS or was ALS and dispatched as ALS, or as soon as sufficient information was obtained ALS was requested or cancelled appropriately. u = AL S was requested when the call did not fit AL S dispatch criteria or was dispatched later than it should have been. 1J = ALS should have been dispatched based on ALS dispatch criteria but was not. 1J = >10 minutes without extenuating circumstances. Extenuating circumstances may he anything from a difficult extrication to an uncooperative patient but must he documented. 20. Trauma Team Activation: A = the Trauma Team was activated appropriately and timely. u = the Trauma Team was activated later than it should have been or was activated when the call did not fit the criteria for activation. 1J = the Trauma Team was not activated when the call fit the criteria for activation. 21. Dispatch of Additional Resources: A = additional EMS resources (EMTs, mutual aid ambulances, specialized equipment) were dispatched appropriately and timely. ti = additional EMS resources were dispatched later than they should have been or was dispatched when the call did not fit the criteria for requesting those resources. 1J = Additional EMS resources should have requested but were not. 22. Cancellation: A = EMS resources (additional EMTs, ALS, ambulances) were cancelled timely and appropriately. u = EMS resources were not cancelled or cancelled after they could have been. lJ = EMS resources were not cancelled when they clearly should have been resulting in an unnecessary lights and siren response. 23. Policy Adherence: A = dispatch policies and protocols, including the "5 Minute Rule" and MCI protocols were adhered to when applicable. ti = dispatch policies and protocols were adhered to but later than they should have been or minor policies where not adhered to but did not result in a delay of care or injury to a patient. 1J = dispatch policies and protocols were not adhered creating a potential for delaying care or injuring a patient. 24. Radio Reception: A = all radios could be clearly heard. ti = one or more radios experienced poor reception but it did not adversely affect care. lJ = one or more radios experienced poor or no reception resulting in the potential for adversely affecting care. If " or i/is noted for this issue, in the comments section indicate which radio(s) experienced the problem if ascertainahle. 25. Overall Performance: A = the overall performance of Dispatch was consistent with industry standards, Statewide protocols, Region V and service policies. u = the overall performance should be reviewed for circumstances or could be improved. 1J = the overall performance was not consistent with industry standards, Statewide protocols, Region V and service policies. 26. Other: List any other issues pertinent to the call. It could be something that was done well that should be pointed out as well as something that needs improving. A = the item was consistent with industry standards, Statewide protocols, Region V and service policies. u = the item should be reviewed for circumstances or could be improved. 1J = the item was not consistent with industry standards, Statewide protocols, Region V and service policies. 27. Other: List any other issues pertinent to the call. It could be something that was done well that should be pointed out as well as something that needs improving. A = the item was consistent with industry standards, Statewide protocols, Region V and service policies. u = the item should be reviewed for circumstances or could be improved. 1J = the item was not consistent with industry standards, Statewide protocols, Region V and service policies. 28. B. Notes: Write any additional notes needed. Check the box if there additional pages added from this section. 29. C. Action Taken By Dispatch: Check the first box if the Coordinator is notified but takes no action. If action is taken describe it here. 30. D. Action Taken By QA Committee: Check the first box if the Committee is notified but takes no action. If action is taken describe it here. 31. E. Action Taken By the EMS Medical Director: Check the first box if the Director is notified but takes no action. If action is taken describe it here. 32. F. Action Taken By Region: Check the first box if the Region is notified but takes no action. If action is taken describe it here. 33. G. Follow-up Requested: Check the first box if no follow-up is necessary, otherwise describe any follow- up requested by any agency.