ASTM F2076-01(2006)

Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities

SCOPE
1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.
1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic, (ALS), and (BLS) patients.
1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.

General Information

• Status: Historical
• Publication Date: 28-Feb-2006
• ICS: 11.140 - Hospital equipment
• Technical Committee: F30 - Emergency Medical Services
• Drafting Committee: F30.04 - Communications

Relations

• Replaces: ASTM F2076-01 - Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities
• Effective Date: 01-Mar-2006

Standards Content (Sample)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation: F2076 − 01(Reapproved 2006)
Standard Practice for
Communicating an EMS Patient Report to Receiving Medical
Facilities
This standard is issued under the fixed designation F2076; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
INTRODUCTION
Throughout all areas of emergency medical services (EMS), there exists a need for the EMS
provider to consult with medical direction and receiving medical facilities.These consultations can be
purely for patient arrival notification, medical consultation, or to request additional medical
intervention orders. Within the EMS community, no “standard” reporting scheme exists. Hundreds of
verbal reporting formats are currently used. Some agencies divide these further for those assessments
involving medical from trauma. Failure to use a standard reporting scheme makes initial student
educationdifficult,makesrecordingofinformationcumbersome,andcanleadtotimedelaysinpatient
care or worse yet an error.
Thisconsensusformatwasdevelopedfromasurveysenttoover100emergencyphysicians,nurses,
and field providers. The 25 that were returned were analyzed to construct the initial draft. One clear
theme was present. Receiving medical facilities want to know the most important information
first . . . medical information that affects the logistics of running a busy emergency department (ED).
With the increased use of standing orders, the traditional detailed report to the ED was often not seen
as time effective or making any change in the patient’s outcome.
Thispracticeusestheacronym PISAtodescribetheinformationtobepresentedinagenericpatient
report. P is priority information that is considered absolutely critical if only 15 s of transmission (or
reception) is accomplished; I is important information that needs to be communicated if an additional
16 to 30 s is available; S is significant information that would be transmitted if an additional 31 to 60
s were available; A is additional information that should be transmitted if 61+ s are available.
1. Scope F1418 Guide for Training the Emergency Medical Techni-
cian (Basic) in Roles and Responsibilities (Withdrawn
1.1 This practice establishes the EMS standard for commu-
2007)
nications entailing a patient radio (phone) report to a receiving
F1629 Guide for Establishing Operating Emergency Medi-
medical facility.
cal Services and Management Information Systems, or
1.1.1 This report is based on receiving facility needs and is
Both
generic for medical, traumatic, (ALS), and (BLS) patients.
F1651 Guide for Training the Emergency Medical Techni-
1.1.2 This report standard is based on the hierarchical
cian (Paramedic)
information needs of an average medical receiving facility.
2.2 Other Documents:
2. Referenced Documents USDOT National Standard Curriculum for EMT-B
2 USDOT National Standard Curriculum for EMT-P
2.1 ASTM Standards:
3. Terminology
This practice is under the jurisdiction ofASTM Committee F30 on Emergency
3.1 Definitions of Terms Specific to This Standard:
Medical Services and is the direct responsibility of Subcommittee F30.04 on
3.1.1 AVPU—a brief neurological examination to determine
Communications.
a baseline level of consciousness and to assess central nervous
Current edition approved March 1, 2006. Published March 2006. Originally
approved in 2001. Last previous edition approved in 2001 as F2076 – 01. DOI:
10.1520/F2076-01R06.
2 3
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F2076 − 01 (2006)
system function. This assessment is universally taught as part 5.1.1.1 Priority = “Need to know” or critical information to
of the initial assessment for EMS providers. be transmitted in the 0- to 15-s time frame.
5.1.1.2 Important = Additional important information
3.1.2 Alert
transmitted in the 16- to 30-s time frame.
3.1.3 responds to Verbal stimuli
5.1.1.3 Significant = Additional information that supports
3.1.4 responds to Painful stimuli
the critical information;
...