When EMS brings a patient to the ED, there are many factors that can make that hand-off either good or bad. It seems like no matter how hard each side tries, the message does not always carry over. A lot of it comes down to not addressing the basics of EMS hand-offs to the emergency department. Today, we will be covering how to make that hand-off better with our paramedic friend, Geoff Horning.
Geoff Horning gives several tips in the podcast such as how to get good feedback and when. Feedback should be given immediately when possible. Do not wait to give it in the form of a complaint. Negative feedback is not best for the patient, the EMS provider, or the provider the in the ED. What tends to work best is giving everyone constructive criticism and especially praise whenever possible. We become better faster with positive feedback, not negative. Not only does quality improve more quickly, but with positive information, those who need the feedback are more willing to come back.
Above you will see the MIST approach to a time-out report by EMS. This particular example came from the Monroe-Livingston Regional EMS Council but there are other examples out there. We give an example of how to use MIST in the actual podcast so take a listen. Similar information has been given by ACEP on their site. They mention the aspects for an appropriate transfer for care for a patient between EMS providers and receiving facilities. A few quick reminders are that we are supposed to work as a team, all pertinent information should be given at hand-off, this hand-off occur in a timely manner, and that all the key players should be involved with this patient during the transfer of care. Do not forget to give all documents and labs such as the EMS report and EKGs to the receiving facility. This is the first attempt at putting a podcast out on this subject and future iterations are definitely possible. It is important that the information given here is updated and that more content is brought out when possible. With some difficulties on the podcasting end primarily with getting good sound quality, some of this will need updated in the future. Please let us know what you think in order for us to make this better for the next time. The podcast gets better with your feedback. Next week Geoff and I will cover ED to EMS transfers of care. As with this currently published podcast, sound quality will be a bit of an issue due to not being able to use FaceTime or Skype with the current restrictions in communication between the United States and Saudi Arabia. We apologize for both this podcast and the next podcast but hope you understand. Remember to share on Facebook, retweet on Twitter, and rate on iTunes to help spread the word on TOTAL EM. If you have any questions you can comment below, email at thetotalem@gmail.com, or send a message from the page. We hope to talk to everyone again soon. Until then, continue to provide total care everywhere. 
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