Controlled Substances -- Overage and Documentation
Two items for providers this week: vials that have more than expected amount of liquid in them, and documenting CS usage on Special Reports. 1. After a recent administration, it was observed that the vial contained more liquid than would be expected. The discussion that followed centered around the "manufacturer's overage," and the fact that the vials contain a minimum amount as labeled, but not a maximum amount. So it is conceivable, although unusual, to see more than 1ml of... read more
Warmed Saline -- Extended Expiration Date
After consultation with the pharmacy doctors, Dr. Cushman, and published research, we have learned that warmed saline can be kept on the warmer for 6 months. So, effective immediately when using warmed saline, the new bag placed on the warmer should have a new expiration date of 6 months from the current date.
Cricothyrotomy Kits
We will no longer be stocking premade “kits” in our airway bags for performing cricothyrotomies. Instead, we will just have a #10 scalpel. This change will be made effective 6/1/17 at the request of Dr. Cushman.
Weekly Monitor Operations Test
Beginning 6/1/17, we will be testing our monitors on a weekly basis every THURSDAY. This is manufacturer recommended testing/preventative maintenance. Please be diligent in completing the log for these weekly checks. Both stations have a new clipboard and paperwork reflecting all our monitors. Additionally, both chore books will be updated shortly.
Equipment Standardization Update
All of the ambulances except for 6119 and 6129 have been standardized along with this the ambulance check sheets have been updated to reflect the changes that have been made. Please review these documents to become familiar with the location of equipment, as some items may have moved. In each ambulance, you will find a list of equipment attached to the cabinets that reflect the content of each cabinet. You may also note that the seals on the cabinets have dates written on them -... read more
Chili ALS --- BLS Storage Combined
ALS and BLS supplies have been consolidated at Chili into a single room off the garage (old Chiefs’ office). There is a counter for workspace, and refrigerated meds will be placed in the refrigerator. If you have suggestions for organizing more effectively, please let Capt. Philippy or Capt. Curran know. Thanks to Jenna Cirincione, John Lents, Tyler Tornstrom, and Cassie Wihlen for their help setting it up!
Rehab bags
There is now an additional rehab bag in Chili (“Rehab bag #2”) that is a navy blue duffle bag similar in size and shape to the one in Henrietta (“Rehab bag #1”). This bag contains all the same equipment as the bag in Henrietta, except the bag in Henrietta has two RAD 57 units. Both bags contain a Cyanokit as well as updated protocol information for smoke inhalation and CO2 exposure. The rehab bag for Chili will be located in the garage on one of the walls near the ambulances for easy retrieval...
CS Kit Switchover
On April 26, 2017, the CS Kits will be switched over to the newer, smaller kits. In addition to all the medications, the only things carried in the kits will be a 3cc syringe, a 5cc syringe, and an 18G needle. Please do not add anything to the kits. Each kit will have a carabiner as well as a secure snap on it so they will be easier to carry on your person or in your pocket.
CHS E-Mail Signature
Go to http://home.henriettaambulance.org/email-signature • Select "CLICK HERE IF YOU NEED TO CREATE A NEW EMAIL SIGNATURE" • Enter your NAME, TITLE and CELL (if desired) • For TITLE, be sure to enter each title in its own box (click "ADD ANOTHER ITEM") • Click SAVE • Select your name in the pull-down. • Click APPLY. • Your signature will appear. • Select the entire signature (including the dotted line above your name). • Copy. • Paste into Gmail under SETTINGS > GENERAL >... read more
Promotional Opportunity — Lieutenant
We are now accepting letters of interest and resumes for open Lieutenant positions. This is open to per diem and full-time staff. Please see NYCU.