New Edition 3 PCR
The PHECC PCR is in circulation since 2005 and is in use nationally in statutory services, voluntary and auxiliary organisations and private service providers approved to implement 3rd Edition CPGs.
Feedback to the PCR has always been good and advancements in clinical practice coupled with feedback collected through an online survey carried out last year have informed a revision of the PCR. The new Edition 3 PCR is currently being circulated.
As you are aware, there were limited quantities of the existing PCRs available recently. This was due to paper supplier problems which have been now rectified. Thank you for your patience.
All PCR feedback is very welcome at
jacqueline@phecc.ie
What are the differences between PCR Edition 2 and Edition 3?
| |
PATIENT INFORMATION |
| |
Patient Information
|
Moved to Section 2 following Incident Information |
| |
INCIDENT INFORMATION |
| |
Dispatch Classification |
Dispatch Classification changes in line with national AMPDS implementation complete as follows:
A. DISPATCH CLASSIFICATION REFERENCE:
6 boxes to be completed with information given to you by EMS Control Centre for example: 9 ECHO 1, suffix A will be entered as follows:
B. PRIORITY RESPONSE:
This is the response code given to you by EMS Control Centre as per PHECC EMS Priority Dispatch Standard
C. INTER FACILITY PATIENT TRANSFER
Agreed Inter facility transport per PHECC Inter Facility Transport Standard
E = Mobile Intensive Care
D= Acute Emergency Care
C= Non Acute Emergency Care
B= Non Acute Care
A= Ambulatory
|
| |
DOA
(Dead on Arrival) |
Recognition of death
Cessation of Resuscitation
Transported
Algorithms no longer on back of PCR
|
| |
Treat & Refer
|
Tick Box Options:
To be completed by paramedics and advanced paramedics who have completed treat and referral
programme
|
| |
CLINICAL INFORMATION |
| |
CS (Clinical Status)
|
Tick Box Options:
To be completed following assessment of patient. On PCR Edition 2 was located beside ED handover signature
|
| |
VITAL OBSERVATIONS |
| |
Vital Observations
|
Additional Column |
| |
Pre Hospital Early
Warning Score
|
Score to be entered as per patient assessment in 3rd Edition CPGs |
| |
Revised Trauma Score |
Score to be entered as per patient assessment in 3rd Edition CPGs
|
| |
Peak Expiratory
Flow Rate
|
Enter rate as per flow meter |
| |
FAST
|
Tick Box Entry:
Select YES or NO if criteria present or not present
|
| |
MEDICATION TREATMENT |
| |
Medication Treatment |
Additional Rows No medication code required
|
| |
CARE MANAGEMENT |
| |
Care Management
|
Tick Box Entry:
Revision of some elements for example:
Manoeuvre/Suction/Manual FB Clearance, OPA/NPA, LMA/LT, Simple Facemask, Venturi Facemask, Nasal Cannula are included in ‘Basic Airway Management option SAO2 monitor and ETCO2 monitor are now recorded in Vital Observations
Cardiac Support contains a tick box reminder to complete the Out of Hospital
Cardiac arrest section overleaf
|
| |
OUT OF HOSPITAL CARDIAC ARREST |
| |
Out of Hospital Cardiac Arrest |
Tick Box Entry:
Complete as per information required
If CFR Report has been completed select YES and take top copy for handover with top copy of PCR to hospital/destination facility
|
| |
DECLINED TREATMENT AND/OR TRANSPORT |
| |
Declined Treatment
and/or Transport |
Complete as per tick box YES/NO entries and two practitioners to record PHECC Register PINs and Report to EMS CC.
|