When WDMEMS/IA EMS Alliance purchased the Zoll X-series monitors in June 2012, we also made the decision to change our PCR (patient care report) software from Med Media EMStat to Zoll RescueNet TabletPCR. Besides the TabletPCR software, which is installed on the station computers, as well as the Toughbooks in each ambulance, the ePCR app is installed on the iPads that we carry in some of our ambulances.
Zoll RescueNet Tablet PCR is very easy to use. There are buttons/tabs at the top of the application that turn from grey to yellow when information has been entered, to allow you to see what you have and have not charted. The lists for medications, allergies, medical history, etc, are able to be edited to keep up to date on the newest medications and conditions that become available or are discovered. The report is automatically saved frequently to reduce loss of information in case of catastrophic failure of the computer. There is also an ability to generate reports on several different types of information (percentage of patients transported that take metoprolol, for example).
The "trip" tab is for your run number, PSAP (public safety answering point) number, mileage information, pickup address, and scene information. The patient's personal information is entered under the "patient" tab. The "subjective" tab includes information on the chief complaint, the patient's medical history, home medications, allergies, etc. The "objective" tab is where assessment is entered. Vital signs are entered under the "vital signs" tab. Interventions is where information on IVs initiated, medications given, etc. is entered. "Outcome" is for transport details and drop off information. Finally, the "review" tab is where your narrative is typed. The quick log (pictured above) allows for interventions to be quickly logged/time stamped when they occur.
For more information on TabletPCR, visit the website at TabletPCR.
Did you forget to hit print when that patient had an episode of an arrhythmia? Just transfer the file from the X-series to the computer, using a zip drive, cable, or via Bluetooth, and use RescueNet Code Review to find the arrhythmic episode and analyze it or print it off for the hospital's records. Code Review also helps with the QI/QA process for codes. The software keeps records of events, alarms, and all of the vital signs information that the X-series obtains during patient care.
For more information on Code Review, visit the website at: RescueNet Code Review.
Also purchased was RescueNet Billing, which was a huge improvement for our billing department. RescueNet Billing helps our billing department avoid mistakes and duplicates, and improves efficiency by automating several processes to improve the collections process.
For more information about RescueNet Billing visit: RescueNet Billing.
The Zoll X-series monitor has the capability to upload wirelessly to the Zoll ePCR app for iOS. This is the first time that this feature has been available and the convenience can't be beat! There are several other user-friendly features, including the ability to talk-to-text for your narrative for your report. There is also a scanning feature, in which you can use the camera on the iPad to scan the patient's driver's license to automatically enter the patient's name, address, and date of birth into your patient information section.
More more information on the ePCR app, check out the website at ePCR.
In an attempt to reduce the use of paper at WDMEMS/IA EMS Alliance, our HIPAA/billing sheets and PCS (Physician Certification Statements - for the documentation of necessity of non-emergency medical transport) are now also on the iPad with the ability to fill them out and attach them to our PCRs.