Version 5.0

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Version 5.0
Field Bridge Webpage Module I
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Overview

• The Virginia OEMS has been using State Bridge
  VPHIB for over 11 months now. Their initial
  push was to insure all Virginia agencies were
  preparing and submitting Patient Care Reports
  correctly and in a timely manner.
• They feel this task is now complete and are now
  beginning the next step of reviewing the quality
  of data submitted.
• Most agencies across Virginia found that they
  were submitting data at much less than 100
  complete.
• We were tasked with determining the states data
  requirements and creating validation rules that
  were inline with these requirements.
• As a result, there are many more fields that
  require data.
• This training is designed to show you each screen
  and tab and answer any questions about the
  system.

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Ground Rules

• Narratives One must be created for ALL calls.
• Transports, Refusals, Cancelled, Stand-bys etc
  .etc.
• CAD Interface If you are unable to pull CAD
  data into the laptop
• Check the SPRINT connection. Sometimes Sprint
  lies, it says you are connected, but you are not.
  Try GOOGLE.
• If Sprint has been verified and connected and you
  are still unable to load the data, contact system
  administrators.
• Not Applicable or Not Known.
• The state has decided this is not appropriate
  data submission for some fields. They have been
  removed as options in these fields. .
• Some field names have been changed in an attempt
  to make the data flow better.

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Terminology

• NEMSIS
• National Emergency Medical Services Information
  System.
• NEMSIS is the national repository that will be
  used to potentially store EMS data from every
  state in the nation

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Terminology

• VPHIB
• Virginia Pre-Hospital Information Bridge
• VPHIB is used for a variety of uses including
  system planning, system evaluation, grants
  management, support legislative inquiries,
  contribute to other state and national databases,
  monitor triage programs and more.

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Terminology

• STATE BRIDGE
• The ImageTrend State Bridge enables State EMS
  agencies to securely collect, analyze and report
  on statewide EMS data

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Terminology

• RESCUE BRIDGE
• Rescue Bridge is fire and EMS solution
  incorporating ePCR, fire inspections,
  pre-planning and inventory data collection and
  management in a paperless environment.

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Terminology

• FIELD BRIDGE
• Field Bridge is a pre-hospital patient care data
  collection and reporting application. Designed to
  assists EMS personnel in quickly generating
  complete electronic ePCRs in a mobile
  environment.

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Terminology

• NFIRS
• National Fire Information Reporting System
• A standard national reporting system used by U.S.
  fire departments to report fires and other
  incidents(EMS) to which they respond to.

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Terminology

• VFIRS
• Virginia Fire Information Reporting System
• The Virginia Department of Fire Programs (VDFP)
  manages these reports. VFIRS is the statewide
  system for tracking all emergency responses with
  fire departments in Virginia. 

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Log into Field Bridge
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Image Trend Ver. 5.0Training

• Log into Field Bridge
• Username
• Password
• Verify Database you are signing into.
• DFREM
• Co1
• Co2
• Etc.etc.
• You can SYNC here or once you have signed in.
• SETTINGS is where you would SYNC-ALL.
• SYNC-ALL will reload the entire database.

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• Field Bridge SYNC actually loads updated database
  items from the Rescue Bridge server located in
  Minnesota.
• Items in this SYNC include but are not limited
  to
• New or updated member names.
• New or updated validation rules.
• New or updated medications.
• New or updated apparatus.
• Many more items.
• Items not loaded are
• Records generated on other laptops.

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• Now you are ready for the next call.
• If you staff units, you can pre-fill some
  information that will forward to the ePCR when
  you open a new one.
• They are
• Current Unit
• Select from the dropdown the unit you will be
  staffing.
• Current Shift
• Select from the dropdown
• Career, Volunteer, Combo
• Current Crew
• Select Add Personnel
• Select from the dropdown the personnel riding and
  their position on the unit.

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Starting A Call
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• When a call comes in
• Select DOWNLOAD CAD from the top left screen.
• A popup of calls, including your unit number,
  will appear.
• You can also select All which will display all
  calls and units for several days.

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To Scene Tab
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• ePCR is now open and ready for input.
• RED tabs indicate missing data thats required by
  the State of Virginia for ePCR reporting.
• ALL To Scene TABS need to be completed for ALL
  calls. Even Cancelled Calls.

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• To Scene Personnel Tab

• If you entered crew on the dashboard, this will
  auto fill.
• You can also add or remove personnel here if
  desired.
• You should verify correct personnel and positions
  have been added.

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• To Scene Dispatch Information Tab

• If everything is working with CAD and the server,
  this data is automatically loaded with the
  exception of several type of calls.
• There is a open Image Trend problem ticket on
  these items.

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• To Scene Dispatch Information Tab

• If you have to fill any of these fields these out
  due to CAD service interrupts, PLEASE enter the
  Incident number as YYXXXXX.
  (Max of 7 characters)
• Rip and Tear will display the incident as
  2011-12345
• DO NOT ENTER the - or the 20 for 2011.

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Image Trend Ver. 5.0Training

• To Scene Incident Address Tab

• If everything is working with CAD and the server,
  this data is automatically loaded with the
  exception of several fields.
• They are
• Postal Code
• First Due Zone

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• To Scene Incident Address Tab Postal Code

• Postal Code
• If you are unsure of the postal code, you can use
  the Postal Code reference dropdown and select
  the correct code.
• You will find the most used postal codes in and
  around the Fauquier County area. - If you need
  one added, see your administrator.

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• To Scene Incident Address Tab First Due Zone

• First Due Zone
• Select the correct FIRST DUE ZONE. Use the
  zone for the dispatched box number.
• Example
• Box 0101 would be zone 01-Warrenton.
• Box 0701 would be zone 07-Catlett.
• Etc.

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• To Scene Response Information Tab

• Response Information has several fields we are
  unable to DEFAULT.
• They are
• Location Type
• Primary Role of Unit
• The other fields DEFAULT but should be
  reviewed.
• They are
• Response Request.
• Vehicle Type.
• Response Mode to Scene.
• Response Urgency.

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• To Scene Response Information Tab Location
  Type

• Location Type
• Select the correct type.

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• To Scene Response Information Tab Primary
  Role of Unit

• Primary Role of Unit
• Select the correct role.

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• To Scene NFIRS Incident Type

• Incident Type
• Select the correct type from the dropdown.
• Most used EMS selection are now at the TOP.

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• To Scene NFIRS Primary Action Taken

• Primary Action Taken
• Select the correct action from the dropdown.
• Most used EMS selection are now at the TOP.

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Patient Information Tab
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• Patient Information

• Patient Information

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• Patient Information Response Disposition

• Select the correct option
• Treated and Transported ALS/BLS - if you
  transport.
• Treated, Transferred - care if you flew the pt,
  or turned over to another agency.
• Treated, Transported by Law Enforcement.
• Treated, Transport by POV.
• Treated and Released if you treated and released.
  
• Patient Refused Care Must obtain a signature
  and reason why they refused. State says All
  refusals are AMA.
• Dead at Scene If confirmed code.
• No Treatment Required if no treatment required.
  
• No Patient found if unable to locate a patient.
  
• Unable to locate a patient if unable to locate.
  
• Standby Only All Fire calls with no patient.
• Cancelled If cancelled.
• Remember - - - Must complete ALL fields on To
  Scene tab and reload CAD times before closing a
  cancelled call.

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• Patient Information Patient Demographics

• Enter Last Name and select the REPEAT PATIENT
  button above. This will search under your agency
  to see if this patients data is already there.

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• Patient Information Patient Demographics
  Repeat Patient

• If your agency transported within the last 6
  months, their name should drop down as shown
  here.
• Place curser over the correct one and double
  click or select the OPEN button to the right of
  the name.
• The data will automatically populate the correct
  fields.
• The Past Medical Hx will populate as well as long
  as it was entered by the last provider.

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• Patient Information Patient Demographics

• All fields in RED are required if you treated in
  any way, for Patient Refusals, or for DOAs.

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• Patient Information Patient Demographics

• Last Name Please not all CAPS or all small
  letters. (example-Jones not jones or JONES) .
• First Name Same rules as Last name.
• Enter your Unit Number (example- M1, A1-1, )
• If you transport more that one patient, please
  add a unique number at the end of your unit
  number. (example- M1-1,M1-2. or A1-1-1, A1-1-2)
• Race Select from dropdown.
• Ethnicity Select from dropdown.
• Gender Select from dropdown.
• SSN Try to obtain, but if you can not, please
  enter 999-99-9999, Do Not Enter 0s
  or 8s.
• Date of Birth MM/DD/YYYY
• Age will auto calculate.
• Address If the patient is home, you can select
  the GET INCIDENT ADDRESS bar above and it will
  auto fill from the dispatched address.
• Postal code will auto fill as well. If home
  address is different, just enter the postal code
  and select the SET FROM POSTAL CODE bar.

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• Patient Information Past Medical History

• Medical History selection box
• Selecting the () will give you a dropdown to
  select from. Place curser over the correct
  selection and click once, then move to another
  and click once again. If you want to remove a
  selection, just place curser over and click
  again.
• Other medical history
• Enter any history that is not in the dropdown.
• History obtained by-
• Select from dropdown
• Pregnancy-
• If Female and between 12 and 50, State requires
  this data.
• Patient Medications
• Select Add Patient Medication and select from
  dropdown. If medication is not listed, email
  Butch, the name of the drug and It will be added
  to the list
• Patient Drug Allergies
• Select Add Patient Medication and select from
  dropdown.

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• Patient Information Barriers to Patient Care

• If any barriers to patient care, change here.
• We currently DEFAULT to None.

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• Patient Information First Responder Agencies /
  Prior Aid

• We DEFAULT all fields. If any differences just
  change.

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• Patient Information Vehicular Information

• If vehicle accident was indicated and injury was
  indicated ALL fields are required.
• Select from the dropdowns of each box.

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Vitals, Meds, Procedures Tab
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• Vitals, Meds, Procedures

• Vitals, Meds, Procedures

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• Vitals, Meds, Procedures Provider Impression

• Must enter provider impression.
• Select from dropdown
• Must also enter secondary impression. State
  Required.
• Can use Not Applicable in this field.

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• Vitals, Meds, Procedures Patient Condition

• Onset Date/Time
• Handy, but not required
• Chief Complaint Required
• Free form text.
• Duration of that complain Required
• Unit of measure
• Select from dropdown.
• Secondary Complain
• If applicable.
• Duration of Secondary Complaint
• If complain.
• Alcohol/drug Use Required
• Required DEFAULT to NO.
• Primary Symptom Required
• Select from dropdown.
• Other Symptoms Required
• Select from dropdown.
• Anatomic Location Complain Required
• Select from dropdown

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• Vitals, Meds, Procedures Patient Condition

• Trauma Information
• Possible Injury Required
• Select from dropdown
• Cause of Injury
• Select from dropdown
• Mechanism of Injury
• Select from dropdown.
• Injury Intent
• Select from dropdown.
• Height of Fall (feet)
• Enter number of feet. If from standing position
  (enter 1 foot).

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• Vitals, Meds, Procedures Vitals, Meds,
  Procedures, EKGs

• Vitals, Meds, Procedures, EKGs tab
• Enter your Medications.
• Select the Add Med button.
• Enter your Procedures.
• Select the Add Proc button.
• Enter your Vitals
• Select the add vitals button.
• Enter your EKG assessment.
• Select the Add EKG button
• Each are defined in the next few slides.

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• Vitals, Medications, Procedures, EKGs ADD
  VITALS TAB (1)

• Blood Pressure
• Enter numbers
• Pulse
• Enter pulse.
• Resp
• Enter rate.
• SpO2
• Enter number
• SpO2 Qualifier
• Select from dropdown
• Pulse Rhythm
• Select from dropdown
• Resp. Rhythm
• Select from dropdown.
• BP Location
• Select from dropdown.
• Patient Position
• Select from dropdown.
• Remember

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• Vitals, Medications, Procedures, EKGs ADD
  VITALS TAB (2)

• Pain Scale
• Enter numbers .
• Blood Glucose
• Enter number. If meter says High or low, check
  the appropriate box .
• ETCO2
• Currently not available. .
• GCS
• Enter number
• APGAR
• Enter a number.
• Temp F C
• Enter a number.
• Temp Method
• Select from dropdown.
• Crew
• Will DEFAULT to PCP. Make sure correct name
  displayed.
• Response Level
• Select from dropdown.
• Remember

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• Vitals, Medications, Procedures, EKGs ADD
  VITALS TAB (3)

• Response Level
• Select from dropdown.
• Stroke Scale
• Select from drop down if appropriate.
• Breathing
• Select from dropdown.
• Airway
• Select from dropdown.
• Prior to arrival
• Select from dropdown.
• Revised trauma Score
• Enter number.
• Pediatric Trauma Score
• Enter number.
• Remember
• Make sure date / time is correct

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Image Trend Ver. 5.0Training

• Vitals, Medications, Procedures, EKGs ADD PROC
  TAB

• Procedure Name
• Select from dropdown
• Size of Equipment
• Enter if appropriate.
• Location
• Select from dropdown
• Attempts
• Enter a number
• Success
• Select from dropdown
• Patient Response
• Select from dropdown
• Prior to Arrival
• Select from dropdown.
• Crew Id
• Make sure correct name is displayed.
• Authorization
• Select from dropdown
• Authorizing Physician

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Image Trend Ver. 5.0Training

• Vitals, Medications, Procedures, EKGs ADD MED
  TAB

• Medication Name
• Select from dropdown
• Dosage
• Enter number.
• Dosage Unit
• Select from dropdown
• Route
• Select from dropdown.
• Response to Medication
• Select from dropdown
• Prior to Arrival
• Select from dropdown.
• Crew Id
• Make sure correct name is displayed.
• Authorization
• Select from dropdown
• Authorizing Physician
• Complication
• Select from box.

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• Vitals, Medications, Procedures, EKGs ADD EKG
  TAB

• Select the correct EKG method
• Place curser over correct dot and click.
• Interpretation
• Select from dropdown
• EKG Ectopy
• Select from dropdown.
• EKG Lead
• Select from dropdown
• Cause for Change
• Select from dropdown.
• AED, Pacing, Co2 Mode
• Select from dropdown.
• Type of Shock
• Select from dropdown.
• Crew Id
• Make sure correct name is displayed.
• Shock or Pacing Energy
• Select from dropdown
• Total Number of Shocks

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• Vitals, Meds, Procedures - Assessments

• You can select
• Medical
• Injury
• Burn
• Note If you select any of the three, you will
  get a picture of a anatomically correct human.
• Open with caution in public.

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• Vitals, Meds, Procedures Assessments Medical

• 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

• Click on the anatomical location of the injury
  and add information.
• Open with caution in public.

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• Vitals, Meds, Procedures Assessments Burn

• 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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• Vitals, Meds, Procedures Cardiac Arrest

• Cardiac Arrest
• DEFAULT NO
• If yes, Change it to YES.
• Required fields will change to RED, however ALL
  fields should be reviewed if Cardiac Arrest
  YES.