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.


jacqueline@phecc.ie welcomes all feedback. 
PCR and Bulletin available to download at www.phecc.ie