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TEMSIS EliteTransition TrainingPractice ScenariosElite Practice ScenariosAttached are practice training scenarios with all of the information preformatted for providers topractice using the new elite system. These scenarios provide structured information intended to takethe provider through all of the various features of the runform, while also focusing on several keytypes of calls.To use these scenarios:1) Log onto the TEMSIS Elite Practice site using the information below.2) Create a new incident, in either the web or field version, and3) Enter the information on the scenario as if you were entering a regular runform. The systemadds an incident number automatically. You can enter a unique call number that you and yourtraining officer can recognize the give you credit for the practice.The Scenarios currently include: Cardiac ArrestChest PainStrokeMinor TraumaThese are all transporting scenarios. We will be adding a couple more, to include at least one nontransport scenario.Login information to the training site:Training Site Web raining Login Information:Organization IDUsernamePasswordnewhampshire (No Space!)providerProvider#1 (Capital “P”)Or, You can log into your own account in Elite and enter Runs in your service. All practiceruns will be delated before the system goes live for real patient data.Elite Site Web lite Login Information:Organization IDUsernamePasswordUpdated 11-12-2015newhampshire (No Space!)Your TEMSIS UsernameYour TEMSIS PasswordNEMSIS V3\Elite Transition\TEMSIS Elite Transition Training Practice Scenarios DatePage 1 of 1

Elite Training ScenarioCardiac Arrest (Transport)ElementCall Data to EnterRESPONSE TIMES PANEL (On the Top Right Side)Dispatch Notified 1700Unit Dispatched 1701Enroute 1704stArrive Scene (1 Resp.) 1708Arrive Scene (Transp. Unit) 1712Patient Contact 1713En Route Hosp. / Left Scene 1758Arrived Destination 1816Unit In Service 1900DISPATCH INFO TABDISPATCH INFO PANELType of Call Emergency Response (Primary Coverage Area)Dispatch Reason Unknown Problem/Person DownDispatch Delays None/No DelayINCIDENT ADDRESS PANELLocation Type Home / Residence (Single Family Private)Street Address 99 TEMSIS WayIncident Zip Code 03301 Click “Set From Postal Code” INCIDENT NUMBERS PANELPatient # for Incident 1Service Use – Call # or ID Enter something identifiable for you and your training officerRESPONSE RESOURCES TABRESPONDING UNIT PANELINTENDED Role of Unit Ground TransportHighest Responder Level Equip. Paramedic (w/ALS Equip)Resp. Unit Call Sign Medic 1Resp. Unit ID Rescue 51RESPONDING CREW PANELCrew Members Click “Add” Crew Members Click a ProviderCrew Response Role Click on Response – Driver/PilotCrew Response Role Click on Transport – Primary Patient CaregiverCrew Members Click “Add” ,Crew Members Click another ProviderCrew Response Role Click on Transport – Driver/PilotEMS Shift NightRESPONSE PRIORITY PANELDelays to Response BlankResponse Urgency ImmediateResponse Priority Emergent (Immediate Response)Responding Traffic Alert Lights and SirensSCENE/SITUATION TABSITUATION PANELNumber of Patients at Scene SingleIncident/Patient Disposition Pt Eval & Tx in THIS EMS Unit (AMT/CCT Care)# of Patients Treated and/or Tx by1THIS EMS UnitInjury Possible from Mechanism NoCardiac Arrest during this incident? Yes, Prior to EMS ArrivalIs this Illness or Injury WorkNoRelated?SCENE PANELWere You the First EMS Unit onNoScene?Other Agencies on Scene Lickity-Split First RespondersEMS Agency Patient Care was Training3TEMSIS Elite Training Scenario-Cardiac Arrest1 of 4

Transferred ToIncident # for Receiving AgencyDelays at SceneIncident # for Receiving AgencyDELAYS DURING CALL PANELDispatch DelaysDelays to ResponseDelays on Scene/At PatientDelays During TransportTurn-Around DelaysPATIENT INFO TABPATIENT INFO PANELRepeat Patient Look UpFireNone/No Delay15-6789BlankBlankBlankBlankBlankAdd a last name, first name, DOB greater than 1/1/59, gender and estimated bodyweight in lbs.PATIENT ADDRESS PANELPatient’s Home Address Add an addressPatient’s Home Zip Code Add a zip codeSet From Postal Code Click Set From Postal Code Patient Phone Numbers Click Add Patient’s Phone Number 603 555 6598Phone # Type MobileGUARDIAN/EMERGENCY CONTACT PANELContact Last Name YeltsinContact First name BorisContact Relationship Other (Non-Relative)HISTORY TABPT COMPLAINTS PANELMedical History Obtained From FamilyPatient Complaints Click Add Complain Type Click PrimaryComplaint UnresponsiveDuration of Complaint 10Duration of Complaints in TimeMinutesUnitsClick “OK”Location on Body of ChiefChestComplaintOrgan/Body System of ChiefCardiovascularComplaintPT SIGNS AND SYMPTOMS PANELPrimary (Most Serious) ObservedMisc: Cardiac ArrestSign or Report SymptomPrimary Sign/Symptom Onset 16:30Other Signs/Symptoms GI/GU: Incontinence, UrineSigns of Suspected Alcohol/DrugNone ReportedUsePAST MEDICAL HISTORY PANELMedical/Surgical History BlankAdvance Directives NonePATIENT ALLERGIES PANELMedication Allergies AvaproEnvironmental Allergies BlankPATIENT MEDICATIONS PANELPatient’s Current Medication Amiloride / HydrochlorothiazideCARDIAC ARREST PANELCardiac Arrest Etiology Cardiac (Presumed)Date & Time of Cardiac Arrest 16:55Arrest Witnessed By Family MemberCPR Care Provided Prior to EMSYesArrivalWho Used AED Prior to EMS First Responders (EMS, Fire, Law)TEMSIS Elite Training Scenario-Cardiac Arrest2 of 4

ArrivalAED Use Prior to EMS Arrival Yes, Applied Without DefibrillationResuscitation Attempted by EMS Initiated Chest Compressions & Attempted Ventilation & Attempted DefibrillationType of CPR Provided Manual Compressions - ContinuousInitial Arrest Rhythm PEAAny Return of SpontaneousYes, Prior to Arrival at the EDCirculationDate/Time Resuscitation18:15DiscontinuedReason CPR/Resuc. Discontinued ROSC (Pulse or BP Noted)Cardiac Rhythm on Arrival atSTEMI Anterior IschemiaDestinationEnd of EMS Cardiac Arrest Event ROSC in the FieldASSESSMENT TABWORKING DIAGNOSIS PANELBarriers to Patient Evaluation &None NotedCareWorking Diagnosis Cardiac: Cardiopulmonary ArrestAdditional Working Diagnosis/es Cardiac: ST elevation (STEMI) MI of Anterior WallInitial Patient Status Status 1Final Patient Status Status 1Specialty Team Alert / Activation Yes – Cardiac ArrestDate/Time of Prearrival Alert 17:20EXAM PANELDate/Time of Assessment 17:13Assessment Click on Assessment Power Tool on right side/middleVITALS AND TREATMENT TABPROTOCOLS USED PANELProtocol Used Cardiac ArrestVITALS PANELBasic Vitals Add basic vitals pre and post arrest – Vitals Power Tool Available on right sideECG PANELECG Add ECG interpretations – ECG Power Tool Available on right sideMEDICATIONS PANELMedications Add arrest medications – Medications Power Tool Available on right sidePROCEDURES PANELProcedures Add procedures for arrest – Procedures Power Tool Available on right sideINVASIVE AIRWAY PANELAdd Procedure Add procedures for arrest – Airway Power Tool Available on right sideTRANSPORT TABTRANSPORT STATUS & PRIORITY PANELEMS Transport Method Ground AmbulanceTransport Priority Emergent(Immediate Response)Transport Traffic Alert Lights or SirensDelays During Transport None/No DelayPATIENT MOVEMENTTotal Pts. Transported in this EMS1UnitHow was patient moved toStretcherAmbulance?Position Pt. Secured in DuringSupineTransportTRANSFER OF CARE FOR TRANSPORTType of Destination Hospital –Emergency DepartmentReason for Choosing Destination Closest Appropriate FacilityDestination/Transferred To, Name Catholic Medical CenterTEMSIS Elite Training Scenario-Cardiac Arrest3 of 4

NARRATIVE TABNARRATIVE PANELNarrative Type your SOAP or CHART NarrativePROVIDER CARE SIGNATURE PANELProvider Care Confirmation Sign Add your signatureMILEAGE PANEL (On the Top Right Side)Loaded Miles/Destination15OdometerTEMSIS Elite Training Scenario-Cardiac Arrest4 of 4

Elite Training ScenarioChest Pain (Transport)ElementCall Data to EnterRESPONSE TIMES PANEL (On the Top Right Side)Dispatch Notified 1700Unit Dispatched 1701Enroute 1704stArrive Scene (1 Resp.) BlankArrive Scene (Transp. Unit) 1712Patient Contact 1713En Route Hosp. / Left Scene 1758Arrived Destination 1816Unit In Service 1900DISPATCH INFO TABDISPATCH INFO PANELType of Call Emergency Response (Primary Coverage Area)Dispatch Reason Chest Pain (Non-Traumatic)Dispatch Delays None/No DelayINCIDENT ADDRESS PANELLocation Type Home / Residence (Single Family Private)Street Address 1 Myocardial Infarction BLVDIncident Zip Code 03038 Click “Set From Postal Code” INCIDENT NUMBERS PANELPatient # for Incident 1Service Use – Call # or ID Enter something identifiable for you and your training officerRESPONSE RESOURCES TABRESPONDING UNIT PANELINTENDED Role of Unit Ground TransportHighest Responder Level Equip. Paramedic (w/ALS Equip)Resp. Unit Call Sign Medic 1Resp. Unit ID Rescue 51RESPONDING CREW PANELCrew Members Click “Add” Crew Members Click a ProviderCrew Response Role Click on Response – Driver/PilotCrew Response Role Click on Transport – Primary Patient CaregiverCrew Members Click “Add” ,Crew Members Click another ProviderCrew Response Role Click on Transport – Driver/PilotEMS Shift NightRESPONSE PRIORITY PANELDelays to Response BlankResponse Urgency ImmediateResponse Priority Emergent (Immediate Response)Responding Traffic Alert Lights and SirensSCENE/SITUATION TABSITUATION PANELNumber of Patients at Scene SingleIncident/Patient Disposition Pt Eval & Tx in THIS EMS Unit (AMT/CCT Care)# of Patients Treated and/or Tx by1THIS EMS UnitInjury Possible from Mechanism NoCardiac Arrest during this incident? NoIs this Illness or Injury WorkNoRelated?SCENE PANELWere You the First EMS Unit onNoScene?Other Agencies on Scene Lickity-Split First RespondersTEMSIS Elite Training Scenario-Chest Pain1 of 4

EMS Agency Patient Care wasTraining4Transferred ToIncident # for Receiving Agency First ResponderDelays at Scene None/No DelayIncident # for Receiving Agency 15-6789DELAYS DURING CALL PANELDispatch Delays BlankDelays to Response BlankDelays on Scene/At Patient BlankDelays During Transport BlankTurn-Around Delays BlankPATIENT INFO TABPATIENT INFO PANELRepeat Patient Look Up Search for DonovanPATIENT ADDRESS PANELPatient’s Home AddressPatient’s Home Zip CodeSet From Postal CodePatient Phone Numbers Click Add Patient’s Phone Number 603 555 6598Phone # Type MobileGUARDIAN/EMERGENCY CONTACT PANELContact Last Name YeltsinContact First name BorisContact Relationship Other (Non-Relative)HISTORY TABPT COMPLAINTS PANELMedical History Obtained From PatientPatient Complaints Click Add Complain Type Click PrimaryComplaint My chest hurtsDuration of Complaint 15Duration of Complaints in TimeMinutesUnitsClick “OK”Location on Body of ChiefChestComplaintOrgan/Body System of ChiefCardiovascularComplaintPT SIGNS AND SYMPTOMS PANELPrimary (Most Serious) ObservedNeuro: Hemiplegia (Paralysis on One Side of Body)Sign or Report SymptomPrimary Sign/Symptom Onset 16:30Other Signs/Symptoms Add 2 Additional Signs & SymptomsSigns of Suspected Alcohol/DrugNone ReportedUsePAST MEDICAL HISTORY PANELMedical/Surgical History BlankAdvance Directives NonePATIENT ALLERGIES PANELMedication Allergies AvaproEnvironmental Allergies BlankPATIENT MEDICATIONS PANELPatient’s Current Medication Amiloride / HydrochlorothiazideASSESSMENT TABWORKING DIAGNOSIS PANELBarriers to Patient Evaluation &None NotedCareWorking Diagnosis Cardiac: Chest Pain, Acute Coronary SyndromeAdditional Working Diagnosis/es HYPERtension, Nausea/VomitingTEMSIS Elite Training Scenario-Chest Pain2 of 4