Clinical Excellence and Patient Follow-Up
OhioHealth has a long history of working with EMS to ensure the best possible patient care. Our relationships and available resources have grown significantly throughout the years. In 1982, with the implementation of our renowned, trend-setting helicopter service, Grant LifeFlight, we began developing strong relationships with public safety agencies. With the 1995 evolution of LifeFlight into Grant LifeLink, we once again strengthened our commitment to EMS. In 2014, Grant LifeLink became OhioHealth EMS. With our transition into OhioHealth EMS, our clinical, educational and operational opportunities have again broadened in scope and geographical coverage.
We actively solicit feedback and are open to suggestions for improving our service to EMS, partnering with EMS on common issues and building critical patient pathways. Whether your experience with an OhioHealth hospital exceeds or fails to meet your expectations, we want to know about it.
Compliments, complaints, suggestions and other comments may be provided to a Hospital EMS Coordinator using this EMS Communications Card. The completed card may be placed into the EMS coordinator mailbox, where available, faxed or emailed as an attachment. You may also contact us or find EMS Coordinators by location.
EMS Equipment Return
The large volume of EMS equipment coming in to OhioHealth hospitals can make returning equipment to the owner organizations challenging at times. However, our Emergency Departments strive to clean and prepare equipment for return as quickly and accurately as possible.
To help us, EMS agencies should clearly and permanently label all equipment with the agency’s full name, address and phone number, whenever possible; there may be multiple townships or EMS organizations with the same name or abbreviation. Without clearly marked labeling, we may not be able to return equipment to the owner.
Check with the Hospital EMS Coordinator or an ED associate for more information about the EMS equipment return process and designated areas for equipment pick-up.
At OhioHealth Grant Medical Center, equipment belonging to EMS agencies inside the Franklin County I-270 Loop are placed into the EMS equipment room at the top of the ambulance entrance ramp. Equipment belonging to EMS organizations outside the Franklin County I-270 Loop will be returned to the agency, typically on a weekly basis, by the Emergency Department via our contracted shipping service.
EMS Medical Direction
We are extraordinarily fortunate. OhioHealth EMS has access to vast resources, including experienced EMS medical directors.
EMS Medical Records (Patient Care Reports, ECGs, Etc.)
As healthcare professionals, EMTs and paramedics are already aware of how important accurate patient documentation is. An EMS Medical Record (Patient Care Report):
- Provides a comprehensive picture of your patient’s condition before arrival
- Tells hospital caregivers what EMS care was provided
- Is reviewed by multiple physicians and specialists caring for your patient
- Helps improve patient outcomes
- Helps decrease clinical errors and patient safety events
- Helps determine the best course of care for your patient
- Provides information required for CQI
- Is required by organ and tissue teams to determine the viability of recovery
- Is required for Medical Examiner cases
- Is required for some patient registries and hospital clinical certifications, including Trauma Center designation, STEMI Registry, etc
The Ohio Division of EMS issued a statement regarding EMS run sheets that stated:
“It is the strong opinion of the EMS Board that a run report should be left at the receiving facility as soon as possible after the patient’s care has been completed and successfully transferred to the receiving staff… If the EMT is unable to leave a complete run report, then they should leave an abbreviated version at the bedside, in a format determined by the local Medical Director, with all of the information they have available at that time. This should include, but is not limited to:
- Patient’s full name
- Chief complaint
- History of the present illness/mechanism of injury
- Past medical history
- Vital signs with documented times
- Pre-hospital assessment and interventions, along with the timing of any medication or intervention and the patient’s response to such interventions (e.g. At 1332, adenosine 12 mg given rapid IV push followed immediately by a 50ml NaCL flush. There was a 1-3 second period of transitional bradycardia immediately following administration. The cardiac rhythm returned to a narrow complex tachycardia at 200bpm)”
Note: The abbreviated version of the run report does not take place of a complete run report.
Leave a Copy of the EMS Medical Record with the Emergency Department
The transporting EMS provider should leave a copy of the EMS Medical Record or abbreviated report with the patient’s bedside (primary) nurse or at the pre-designated location. Locked EMS report drop boxes may be available in some OhioHealth Emergency Departments. If your patient has already been moved or the nurse is not available, the EMS report may be placed into the locked EMS report drop box. Final versions of EMS Medical Records should be faxed to the ED within the same shift. Contact the Hospital EMS Coordinator for the ED fax number.
A wireless printer may be located in OhioHealth Emergency Departments that fire and EMS crews may use to print their EMS medical records. A USB cable may also be connected for use. If the printer needs toner, paper or servicing, please advise the Hospital EMS Coordinator or an ED associate.
Requests for EMS Medical Records by Hospital EMS Coordinator
Periodically, the Hospital EMS Coordinator may request copies of EMS medical records, including patient care reports, copies of ECGs, etc. All requests containing personally identifiable information will be sent via the OhioHealth Secure Mail Center. For information about this system, please see Patient Follow-Up above.
EMS Work Spaces
A dedicated EMS work space and refreshments may be available in OhioHealth Emergency Departments. In some locations, a television for local news and weather is available. If the EMS work space needs attention, please advise the Hospital EMS Coordinator or an ED associate.
Regional Guidelines from the Central Ohio Trauma System
The Central Ohio Trauma System (COTS) mission is to save and improve lives through the coordination of trauma and emergency healthcare resources. COTS supports prevention, education, data collection and research initiatives. COTS’ purpose is to serve as the forum for addressing issues affecting the delivery of trauma/emergency healthcare services and injury prevention in central Ohio.
OhioHealth Hospital EMS coordinators are members of the COTS Prehospital Committee, a multidisciplinary group of representatives from a variety of public safety, healthcare and other organizations working together to address issues related to trauma, emergency services and healthcare disaster preparedness in central Ohio. Initiatives include development of regional guidelines for hospital diversion, EMS personnel exposure, family violence, process improvement and other issues.