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<p>EMS Providers,<br>
<br>
See below and attached PowerPoints regarding a new "workflow" starting at umass today are 1100hrs. <br>
<br>
<br>
----- Forwarded message from Christopher Montiverdi <<a href="mailto:cmontiverdi@holdenma.gov">cmontiverdi@holdenma.gov</a>> -----<br>
Date: Tue, 23 Jan 2024 08:10:38 -0500<br>
From: Christopher Montiverdi <<a href="mailto:cmontiverdi@holdenma.gov">cmontiverdi@holdenma.gov</a>><br>
Subject: Fwd: Fw: Ambulance Intake Procedure Change<br>
To: <a href="mailto:enaiman@holdenma.gov">enaiman@holdenma.gov</a><br>
Cc: <a href="mailto:ssmith@holdenma.gov">ssmith@holdenma.gov</a>, <a href="mailto:rhall@holdenma.gov">rhall@holdenma.gov</a><br>
<br></p>
<p>Capt:</p>
<p> </p>
<p>So UMass went live with a new triage process for ambulances. Its going to be a work in progress to work out all the bugs, but all-in-all it isn't too bad. I worked last night and offloaded a patient that I normally would have taken to the front triage in about 10 minutes. attached is a power point that the ED and one of the WEMS Lt. put together. They are asking for crews to leave an alternate exit than the main ED ambulance entrance. If you walk down CT hallway (where we bring stokes and falls on thinners) keep walking to the end of that hallway, go thru double doors and turn right, that will take you out to the ED dock. In the slide deck they call that hallway the "Brightway".....</p>
<p> </p>
<p>Chris</p>
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<th align="right" nowrap valign="baseline">Subject:</th>
<td>Fw: Ambulance Intake Procedure Change</td>
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<th align="right" nowrap valign="baseline">Date:</th>
<td>Tue, 23 Jan 2024 12:57:41 +0000</td>
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<th align="right" nowrap valign="baseline">From:</th>
<td>Montiverdi, Christopher <a class="moz-txt-link-rfc2396E" href="mailto:Christopher.Montiverdi@umassmemorial.org"><Christopher.Montiverdi@umassmemorial.org></a></td>
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<th align="right" nowrap valign="baseline">To:</th>
<td>Christopher Montiverdi <a class="moz-txt-link-rfc2396E" href="mailto:cmontiverdi@holdenma.gov"><cmontiverdi@holdenma.gov></a></td>
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<br>
<br>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
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<div dir="ltr" id="divRplyFwdMsg"><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: rgb(0, 0, 0);"><b>From:</b> McCluskey, Adam <a class="moz-txt-link-rfc2396E" href="mailto:Adam.McCluskey@umassmemorial.org"><Adam.McCluskey@umassmemorial.org></a><br>
<b>Sent:</b> Friday, January 19, 2024 6:16 PM<br>
<b>To:</b> EMS Program <a class="moz-txt-link-rfc2396E" href="mailto:EMSProgram@umassmemorial.org"><EMSProgram@umassmemorial.org></a><br>
<b>Subject:</b> Ambulance Intake Procedure Change</span>
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<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Hello All, </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">I wanted to follow up on a page sent this afternoon. There was a trial of the new ambulance intake procedure (previously ambulance triage) today from 1100-1500. From preliminary feedback the process seems to have operated smoothly with reduction in wait times between EMS arrival and hand off to appropriate staff. </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Briefly, in an attempt to facilitate EMS handoff to prevent delays in triage, and to mitigate communication breakdown between nursing and EMS staff, a joint committee of nursing, EMS, and hospital administrators was appointed to design and implement a new work flow for the triage process.. The new process will go into effect officially Monday 01/22/24 at 1100 with plan to evaluate efficacy after 30 days. </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">The new plan is as follows: </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">When EMS arrives at the ED the patient will be registered, and the charge nurse will either direct patient to placement in a room/ hallway, or to placement in EMS triage. This EMS triage area will be directly across from the registration/ flow desk extending down the hallway towards exit to cath. lab/ cafeteria hallway. If directed to ambulance triage report will be given to assigned Ambulance Triage RN and assigned to either one of the beds in this area, or one of the wheel chairs in this area. This ends EMS involvement. The patient will then be evaluated for stability and assigned accordingly, with hospital staff to transfer patient to main triage or to room/ hallway. The ask is that after giving report to the Triage RN that EMS crews continue down this hallway (past staff bathroom), exit through the double doors and utilize the exit from the ED at the end of this hallway to reduces traffic from unloaded stretchers. </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr;"><span style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Nursing staff and hospital staff are aware of this new work flow and can assist during the first few weeks. Please provide assistance to out of town Fire/EMS agencies once you are familiar with the process. Any questions about work flow, or feedback about the new process please email me, and this will be passed along to the assigned committee. I am attaching a power point created by Nurse Manager Dulmaine that provides visuals for the above described work flow. <a class="x_OWAAutoLink moz-txt-link-freetext" data-auth="Verified" href="https://umassmemorial-my.sharepoint.com/personal/dulmak01_umassmemorial_org/Documents/Ambulance%20Intake/Ambulance%20Intake.pptx" id="OWAde8cdc45-cf80-323e-303d-83eed5ef2bef" moz-do-not-send="true" name="OWAde8cdc45-cf80-323e-303d-83eed5ef2bef">https://umassmemorial-my.sharepoint.com/personal/dulmak01_umassmemorial_org/Documents/Ambulance%20Intake/Ambulance%20Intake.pptx</a></span></div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);"> </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Thank you, </div>
<div style="direction: ltr; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Adam McCluskey </div>
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<p><br>
<br>
----- End forwarded message -----<br></p>
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<div><span style="font-size:12px;">Ethan Naiman</span></div>
<div><span style="font-size:12px;">Captain/EMS Coordinator</span></div>
<div><span style="font-size:12px;">Holden Fire Department</span></div>
<div><span style="font-size:12px;">1370 Main Street</span></div>
<div><span style="font-size:12px;">Holden, MA 01520</span></div>
<div><span style="font-size:12px;">Office: 508-210-5659<br>
enaiman@holdenma.gov</span></div>
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