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Making a good first impression is essential to establishing positive rapport with your patient. Within the first few seconds of that encounter, most patients will make a value judgment about whether they like you and whether they think you're competent to care for them.
You don't get a second chance to make a great first impression!

Studies show that people, including patients, are most likely to remember the beginning and the end of an encounter. This is called the "serial positioning effect."

That's why, in addition to a positive first impression, a positive ending encounter with the patient is also very important. Taking a moment or two to say goodbye to the patient and thank them for the opportunity to be of service leaves them with a positive impression of you.

With the serial positioning effect, the things that happen in the middle of an encounter tend to be a "blur," and details are often forgotten.

From a risk management standpoint, that can be very good. It means that if you're nice to the patient when arriving on scene and nice to them when you leave, the patient is likely to forget about the bumps (i.e., mistakes) that may have occurred in the middle-like that IV you missed! Typically, patients won't sue you if they like you-even if you do
make mistakes.

Here are nine tips for making a good first impression that will set the stage for a positive interaction with the patient-and reduce the risk of a lawsuit:

1. Recharge yourself. Take a deep breath before you enter the situation to clear your mind and to be ready to focus on the patient. Tell yourself you're going to make the patient feel better about the situation they're in.

2. Check your breath. As obvious as this is, bad breath can turn people off and sets up a barrier to communication. Always carry gum and mints and use them.

3. Have a confident physical approach. Move with purpose; look like you want to get to where you're going. Stand up straight with a confident gait as you approach the room. Start looking at faces to assess the situation and use a positive, clear tone of voice when speaking.

4. Look them in the eye. Focus on the patient. It helps you assess their emotions. It will also allow you to detect subtle changes in emotion, pain levels and distress.

5. Make an immediate introduction. Make sure you introduce yourself; explain who you are and why you're there. Avoid using clichés like "honey," "sweetie," or "buddy" when
speaking to the patient. Ask the patient if it's okay to call them by their first name. Acknowledge family members, too; they may have valuable information about the patient's past and present medical history that can help you.



READ THE FULL ARTICLE AT JEMS

Published in UK News
By Matthew House, DHC, MSc, LL.B (hons) , Michael Jackson, MBA, MSc, DipIMC(Ed), FCPara , Joanne Dinning, MSc , Peter McMeekin, PhD

Transport of cardiac arrest patients entails substantial costs and involves risk due to emergency blue-light transportation. Photos courtesy North West Ambulance Service NHS Trust
In the United Kingdom, sudden cardiac arrest accounts for close to 100,000 deaths annually.1 Despite improvements in resuscitation practices,2 outcomes from OHCA remain poor, regardless of interventions utilized.3
In a one-year period during 2014-2015, approximately 30,406 out-of-hospital cardiac arrests (OHCAs) in England were transported to hospitals by ambulance, with a survival rate of 8.6%.4
Transporting patients with nearly certain poor outcomes represents an ineffective use of ambulance resources.5,6 Termination of resuscitation (TOR) clinical decision rules (CDRs) for OHCA exist and have been validated.5,7,8
These TOR CDRs reduce the burden on both the ambulance and wider healthcare system, and improve public safety by reducing blue light transports, which present an inherent risk.
The guideline proposed after reviewing the study data compared 
favorably with pre-existing termination of resuscitation guidelines.
Several studies have identified predictors of unsuccessful prehospital resuscitation, allowing for the development of evidence-based and validated TOR CDRs.9,10
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The BLS guideline predicts that the patient will not survive to hospital discharge if the arrest isn't witnessed by the ambulance clinician, there's no return of spontaneous circulation (ROSC) before transport and no shocks have been administered.
The ALS guideline adds that the cardiac arrest must not have been witnessed by a bystander and there must have been no bystander CPR. Although these rules have been independently validated, it's been shown that they're not universal for all patient groups.11
Moreover, these studies involved systems with no pre-existing TOR guidelines. In systems where clinicians already terminate efforts on scene, the ALS guidelines have been shown potentially to increase the numbers of futile transportations.12
U.K. ambulance services are able to terminate attempts that have resulted in asystole following ALS.13 Therefore, the majority of patients transported to a hospital in the U.K. will be those who persist with pulseless electrical activity (PEA) on scene. (See Figure 1.)

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READ FULL STORY at  http://www.jems.com/articles/print/volume-42/issue-8/features/derivation-of-a-termination-of-resuscitation-clinical-decision-rule-in-the-uk.html
Published in UK News
Thursday, 26 October 2017 21:42

Veinlite Vein Finder

Veinlite® Vein Finders Take the Guesswork out of Venipuncture

Veinlite EMS, portable vein finder

Veinlite® is clinically proven to improve accuracy.

There’s no question that one of the most routine invasive procedures carried out by medical professionals every day is venipuncture, or vein access. But sometimes even experienced professionals have difficulty locating a suitable vein, due to a patient’s age (elderly or pediatric), obesity, or even skin color. The result is often multiple venipuncture attempts, leading to patient discomfort, dissatisfaction and delayed treatment.

One-Stick Success – No Excuses

Veinlite Risk-Free Money Back Guarantee

Veinlite vein finders deliver superior vein imaging in a unique and innovative form factor that delivers greater accuracy at a fraction of the cost of other brands. Not sure how Veinlite will work on your most challenging patients? Patients love Veinlite. We’re so sure you will too, that every unit is backed by our 100% Risk-Free Guarantee.

See bottom of the page for Video Review

Published in Products
Thursday, 26 October 2017 21:33

NHS Scotland NEWS and Sepsis Screening Tool

Superior NEWS Scoring tool designed for mobile use

With World Sepsis Day approaching on 13th September, we are delighted to announce that the NHSScotland NEWS and Sepsis screening tool is now available for Android users as well as iPhone.


app is a collaboration between NHS Education for Scotland (NES) and the Scottish Patient Safety Programme (SPSP). More information about the app as well as access options are available at http://www.knowledge.scot.nhs.uk/home/portals-and-topics/sepsis-app.aspx 

iPhone users can also update this app to version 1.4. This now includes a short introductory video by Professor Kevin Rooney, NHS Scotland National Clinical Lead for the National Sepsis Collaborative. This video is also available to Android users.

The app has been registered with the Medicines and Healthcare products Regulatory Agency (MHRA) as a medical device and was recently shortlisted for the British Computer Society Health Informatics Awards.

We want to know whether this app is supporting improvement in the recognition and timely management of patients with sepsis.  We would therefore be very grateful if you could complete our evaluation at https://response.questback.com/nhseducationforscotland/sepsisevaluation/ based on your experience in using this app.

For more information, contact:  knowledge@nes.scot.nhs.uk




 . The app is a collaboration between NHS Education for Scotland (NES) and the Scottish Patient Safety Programme (SPSP) - it provides:

A National Early Warning Scoring System (NEWS) calculator to alert clinicians to the deteriorating patient and acute illness

A Sepsis Screening tool for the prompt recognition and the timely initiation of treatment of patients with Sepsis.

An outline of the Sepsis 6 care bundle for the treatment of Sepsis

An algorithm to help identify Organ Dysfunction, Severe Sepsis, Septic Shock and when to escalate care for the individual patient.

Published in Products
Thursday, 26 October 2017 21:31

Panasonic Toughbook 20

The world's first fully rugged detachable laptop.

Call today for configuration, pricing, and availability

The Panasonic Toughbook® 20 is a fully rugged, lightweight laptop that easily detaches to become a 10.1" tablet. And it only takes one hand. The detachable laptop features a durable MIL-STD-810G and IP65 design along with a magnesium alloy chassis, so it can take the abuse of most any job site. At only 3.9 pounds, this 2-in-1 machine is good on the go. The clever built-in handle also functions as a kickstand, providing on-the-job flexibility. And even as the workday gets longer, power won't be a problem. The optional bridge battery allows hot swap battery replacement without disruption. The gloved multi touch display is sunlight-viewable, making this hybrid laptop perfect for rugged outdoor environments. With this detachable laptop tablet at your side, you can handle anything the workday throws at you.

GSA, CT NASPO, and NJ NASPO contracts available for qualified government agencies. Call 800-537-0509 for more information.

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Toughbook 20 Specifications

OS Windows 10 Pro (Available with Windows 7 downgrade option)
Durability

Fully Rugged

Display 10.1" WUXGA 800 nit gloved multi touch + digitizer display
Battery Full shift with optional 2nd battery
Ports & Expansion On Tablet: USB (optional 2nd USB), MicroSDXC, HDMI, Ethernet, Optional Serial, Headphone/mic, Micro-SIM
On Keyboard Dock: USB x 3, SDXC, HDMI, VGA, Ethernet Serial, Docking connector
Wireless Wi-Fi 802.11 a/b/g/n/ac, Bluetooth®, dual antenna pass through, optional 4G LTE multi carrier, optional dedicated GPS (u-blox), optional Contactless SmartCard/NFC reader
Weight 3.9 lbs
Warranty 3-year limited warranty, parts and labor

 

 

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Published in Products