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We fly both RN/MD (ER residents) and RN/EMT-P crews at our program. RN/MD flights: the MD charts the assessment and history of present illness/injury, any procedures performed, etc. The RN charts IV's, vitals, meds given, etc. There ends up being duplicate charting between MD and RN however and I think its due to our QA/QI program. The RN is usually the one that gets "dinged" by the QA police if something isn't charted. All RN/MD flights must have a signature from the medical control physician. Can be kind of a pain to get the signature if you've been busy flying all day and the medical control doc is now off shift for a few days! The RN is in charge of all pt packaging and re-stocking, etc. post flight. When it is an RN/EMT-P crew: Assessment and packaging is a definitely a team effort although the RN is primarily responsible for the assessment, receiving report, and giving report at the receiving hospital. When charting, the RN completes the assessment and the narrative portion of the transport record. The EMT-P usually will chart the vitals, complete the other post flight forms (debrief sheet, QA forms, callback card, etc.) We haven't "swapped" flight for flight -- only if on the rare occasion that we fly RN/RN.
When we fly with a Specialty team (Children's Transport Team) They are "in charge" and have their own transport record. We have a 1 page form that we fill out with the usual flight info, pt. demographics and just a brief narrative on the transport. Of course we assist them with procedures, etc. but it is technically "their flight" so they have to do their full documentation. We usually get a copy of their transport record to include in our file.
I'm hoping we get to do computer charting one of these days. I type much faster than writing! :-)
Lisa, RN
Flight For Life - WI and IL
IraJB@aol.com wrote:
On this same topic. . . .
Are there some programs that have each crew member do their own separate
charting? I am most curious for the ~5% that fly RN/MD or for specialty team
transports [specialty team member(s) typically with the flight nurse].
Thanks.
Ira Blumen
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