NEMSIS Version 3 - Procedure Label by. SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment

Transcription

1 NEMSIS Version 3 - Procedure Label by Category Assessment: Orthostatic Vital Signs Assessment: Patient Assessment SNOMED CT Description SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment EMS Chapter Two Definition Physical examination Cardiac: 3 Lead ECG Obtained 3 lead electrocardiographic monitoring Cardiac: 12 Lead ECG Obtained 12 lead ECG Cardiac: 15 Lead ECG Obtained Cardiac: 18 Lead ECG Obtained 15 lead electrocardiographic monitoring lead electrocardiographic monitoring Cardiac Monitoring - Application of electrodes and data transmission Cardiac Monitoring - Rhythm and diagnoistic EKG interpretation Cardiac: Cardiopulmonary Resuscitation (Manual) Cardiopulmonary resuscitation Cardiopulmonary Resuscitation (CPR) Cardiac: Cardiopulmonary Resuscitation (Mechanical Device) Mechanically assisted chest compression Mechanical CPR Device Cardiac: Cardioversion Cardioversion Cardioversion - Electrical Cardiac: Defibrillation External ventricular Defibrillation - Manual (Manual) defibrillation Defibrillation - Automated / Semi- Automated (AED) Implantable cardioverter / defibrillator magnet use Cardiac: Intra-Aortic Intraaortic balloon pump Balloon Pump Maintenance maintenance Aortic Balloon Pump Monitoring Cardiac: Left Ventricular Assist Device Maintenance Circulatory care: mechanical assist device Cardiac: Pacing (External and Internal) Cardiac pacing Transcutaneous Pacing Transvenous Pacing - Maintenance

2 Cardiac: Pericardiocentesis Pericardiocentesis Percutaneous Pericardiocentesis Cardiac: Precordial Thump Precordial thump Cardiac: Vagal Maneuver Vagal stimulation Carotid Massage CNS: Epidural Catheter Maintenance Epidural catheter maintenance CNS: Intracranial Pressure Monitoring Procedure for monitoring intracranial pressure Maintenance of Intracranial Monitoring lines CPR: Impedance Threshold Device Active compression decompression cardiopulmonary resuscitation with use of inspiratory impedance threshold device Inspiratory Impedance Threshold Device General: Contact Medical Control Informing doctor General: Decontamination Decontamination General: Eye Irrigation Irrigation of eye Eye Irrigation Nonivasive Eye Irrigation Morgan Lens General: Hypothermia Induction Therapy Hypothermia induction therapy General: Monitoring of Preexisting Devices and Interventions Monitoring of patient General: Patient Cooling (Cold Pack or General) Active external cooling of subject Therapeutic Induced Hypothermia (TIH) - includes special instructions in the rule Esophageal Temperature Probe for TIH Technology and Pharmacology Dependent Patients General: Patient Warming (Warm Pack or General) Active external warming of subject General: Restraint Applied (Chemical) Chemical restraint General: Restraint Applied (Physical) Physical restraint Restraints - Chemical Restraints - Physical Restraints - Verbal GI/GU: Nasogastric Tube Insertion Insertion of nasogastric tube Gastric Decompression - NG/OG Tube Insertion

3 GI/GU: Gastro Intestinal Tube Maintenance Maintenance of gastrointestinal tract tube GI/GU: Orogastric Tube Insertion Insertion of orogastric tube GI/GU: Urinary Catheterization Insertion of catheter into urinary bladder Gastric Decompression - NG/OG Tube Insertion Urinary Catheterization - Initiation Urinary Catheterization - Maintenance Applied for Stabilization collar See "Spinal Immobiliation - Cervical Collar" Trouser Application trouser MAST / Pneumatic Anti-Shock Garment Musculoskeletal: Reduction of Dislocated Joint Musculoskeletal: Spinal Immobilization (Cervical) Closed reduction of dislocation Cervical spine immobilization Musculoskeletal: Spinal Immobilization (Full) Stabilization of spine Spinal Immobilization - Cervical Collar Spinal Immobilization - Long Board Spinal Immobilization - Manual Stabilization Musculoskeletal: Splinting (General) Application of splint Spinal Immobilization - Seated Patient Splinting - Manual Splinting - Rigid Splinting - Soft Splinting - Vacuum Musculoskeletal: Splinting (Pelvic Binder/Sling) Pelvic sling Musculoskeletal: Splinting (Traction) Application of traction using a traction device External Pelvic Compression Splinting - Traction OB: Childbirth Delivery procedure Assisted Delivery OB: Fetal Heart Monitor External fetal monitor Surveillance surveillance Oxygen Therapy - Humidifiers Oxygen Therapy - Nasal Cannula Oxygen Therapy - Non-breather Mask Oxygen Therapy - Simple Face Mask Oxygen Therapy - Venturi Mask Peak Expiratory Flow Testing Pulse Oximetry

4 Respiratory: Airway Device Removal Respiratory: Airway Opened Removal of device from airway Manual establishment of airway Respiratory: Bagged Ventilations (via Mask) Bag valve mask ventilation Extubation Bag - Valve - Mask (BVM) Respiratory: Bagged Ventilations (via Tube) Lung inflation by intermittent compression of reservoir bag Bag - Valve - Mask (BVM) Flow Restrictive Oxygen Powered Ventilatory Device Respiratory: BiPAP Respiratory: Chest Decompression Respiratory: Chest Tube Insertion Respiratory: Chest Tube Maintenance Respiratory: CPAP Respiratory: Cricoid Pressure Applied Respiratory: Cricothyrotomy (Dilation Device) Respiratory: Cricothyrotomy (Needle) Dual pressure spontaneous ventilation support Tension pneumothorax relief Insertion of pleural tube drain Maintenance of thoracic drain Continuous positive airway pressure ventilation treatment Application of cricoid pressure Percutaneous dilatational cricothyroidotomy Percutaneous cricothyroidotomy Chest Decompression - Needle Chest Tube Insertion Chest Tube Monitoring CPAP Cricoid Pressure - Sellick's Maneuver Cricothyroidotomy - Needle Respiratory: Cricothyrotomy (Surgical) Open cricothyroidotomy Cricothyroidotomy - Surgical Respiratory: ETCO2 Colorimetric Detection Respiratory: ETCO2 Digital Capnography Respiratory: Foreign Body Removal Colorimetric respired carbon dioxide monitoring Digital respired carbon dioxide monitoring Removal of foreign body from airway Respiratory: Heimlich Maneuver Heimlich maneuver Respiratory: Intubation (Existing Tracheostomy Stoma) Insertion of tracheostomy tube Carbon Monoxide Monitoring End Tidal CO2 Monitoring / Capnometry / Capnography Obstruction - Direct Laryngoscopy

5 Respiratory: Intubation (Nasotracheal) Nasotracheal intubation Respiratory: Intubation (Orotracheal Through Laryngeal Mask Airway) Tracheal intubation through a laryngeal mask airway Respiratory: Intubation (Orotracheal) Orotracheal intubation Respiratory: Intubation (Rapid Sequence) Rapid sequence induction Intubation - Nasotracheal Intubation - Orotracheal Intubation - Medication Assisted (paralytics) RSI - Adult age 13 and older Intubation - Medication Assisted (paralytics) RSI - Pediatric age 12 and under Intubation - Medication Assisted (nonparalytic) Intubation - Maintenance with paralytics Respiratory: Intubation using exchange catheter to place invasive airway Respiratory: Laryngeal Mask Airway Insertion Airway exchange catheter procedure Laryngeal mask airway insertion Respiratory: Laryngoscopy (Direct) Direct laryngoscopy Respiratory: Laryngoscopy (Indirect) Indirect laryngoscopy Respiratory: Mouth-to- Mask/Mouth Ventilation Expired air ventilation Respiratory: Nasopharyngeal Airway Insertion Nasopharyngeal airway insertion Respiratory: Obturator Airway (EOA) Insertion Obturator airway insertion Intubation - Bougie Style Introducer Airway - Supraglottic Intubation - Lighted Stylet Intubation - Digital Airway - Nasal Respiratory: Oropharyngeal Airway Insertion Insertion of oropharyngeal airway Respiratory: PEEP Applied Positive end expiratory pressure ventilation therapy, initiation and management Respiratory: Retrograde Intubation Retrograde intubation Respiratory: Suction Airway Airway suction technique Respiratory: Supraglottic Airway Insertion (Double Lumen) Insertion of esophageal tracheal double lumen supraglottic airway Airway - Oral PEEP Intubation - Retrograde Suctioning - Tracheobronchial Suctioning - Upper Airway Airway - Supraglottic

6 Respiratory: Tracheostomy Tube Change Changing tracheostomy tube Tracheostomy Maintenance - Includes replacement Trachostomy Maintenance - Airway management only Respiratory: Transtracheal Jet Insufflation Transtracheal jet ventilation Respiratory: Ventilator Care and Adjustment Ventilator care and adjustment Ventilators - Automated Transport (ATV) Manual Transport Ventilators Soft Tissue: Burn Care Burn care Soft Tissue: Escharotomy Escharotomy Soft Tissue: General Wound Care Wound care Soft Tissue: Hemostatic Agent Application Soft Tissue: Occlusive Dressing Application Soft Tissue: Pressure Dressing Application Application of chemical hemostatic agents Application of dressing, occlusive plastic Application of dressing, pressure Soft Tissue: Tourniquet Application Application of tourniquet Soft Tissue: Wound Irrigation Irrigation of wound Dressing / Bandaging Hemorrhage Control - Direct Pressure Hemorrhage Control - Pressure Point Hemorrhage Control - Tourniquet Vascular: Arterial Cannulation Vascular: Arterial Cannulation (Femoral Artery) Vascular: Arterial Cannulation (Umbilical Artery) Insertion of catheter into artery Femoral artery cannula insertion Umbilical artery cannula insertion Vascular: Arterial Line Maintenance Arterial catheter care Vascular: Arterial Line Monitoring Vascular: Arterial Puncture for Blood Draw Arterial pressure monitoring, invasive method Arterial puncture for withdrawal of blood for diagnosis Vascular: Central Line Maintenance Care of central line Arterial Blood Pressure Indwelling Catheter - Maintenance Central Venous Catheter Maintenance / Patency / Use Central Venous Catheter Insertion

7 Vascular: Central Venous Pressure Monitoring Central venous pressure monitoring Central Venous Catheter Maintenance / Patency / Use Central Venous Pressure Monitor Interpretation Vascular: External Jugular Vein Catheterization Catheterization of external jugular vein Vascular: Extremity Vein Catheterization Catheterization of vein Vascular: Femoral Vein Catheterization Catheterization of common femoral vein Vascular: Intraosseous Cannulation Intraosseous cannulation Vascular: Scalp Vein Catheterization Vascular: Subclavian Vein Catheterization Vascular: Swan Ganz (PA Wedge Pressure) Monitoring Vascular: Umbilical Vein Catheterization Vascular: Venous Catheter Removal Peripheral venous cannula insertion - scalp Catheterization of subclavian vein Pulmonary artery wedge pressure monitoring Catheterization of umbilical vein Removal of peripheral intravenous catheter Vascular: Venous Puncture for Blood Draw Phlebotomy Peripheral - Including External Jugular Vein - Initiation Peripheral - Excluding External Jugular Vein Intraosseous - Initiation Venous Blood Sampling - Obtaining Capillary Blood Sampling Invasive Intracardiac Catheters - Maintenance Blood Chemistry Interpretation Blood / Blood By-Products Initiation (out of facility initiation) Colloids - (Albumin, Dextran) - Initiation Crystalloids (D5W, LR, NS) - Initiation / Maintenance Diagnostic Interpretation - Blood Glucose - See also Section 10.3 Diagnostic Interpretation - Blood Lactate - See also Section 10.3 Medication Administration Routes Aerosolized Atomized Auto-Injector Buccal

8 Endotracheal Tube (ET) Intradermal Intramuscular (IM) Intranasal (IN) Intraosseous Intravenous (IV) Piggyback Intravenous Cannulation - Fluid Administration - Fluid Maintenance - Peripheral - Excluding Jugular - Initiation Intravenous Cannulation - Fluid Administration - Fluid Maintenance - Peripheral - Including Jugular - Initiation Use of Peripheral Indweiling Catheter for IV medications (Does Not include PICC) Intravenous (IV) Push Nasogastric Nebulized Ophthalmic Oral Rectal Subcutaneous Sublingual Sublingual (nitroglycerin) Topical Use of Mechanical Infusion Pumps

9 EMT EMT - IV AEMT EMT-I Paramedic PCC Chapter 2 Table Comments X X X X X X A.2 X X X A.2 X X X X X X A.2 X X X X X X A.2 X X A.2 X X X A.2 X X X X X X A.2 A.2 A.6, C.2 X X X A.2 A.2

10 A.2 X X A.2 A.6 X X X A.6 VO X X A.2 VO X X A.6 X X X X X X Section 12 Separate section of the Rules X X X A.6 X X A.1

11 X X A.1 X X A.6 X X X X X X A.2 X X X X A.1 X X X A.1

12 X X X A.1 X X X A.1 A.1 X X C.2 X X A.1 X X A.1 X X A.1

13 X X A.1 X X X A.1 X E.1 A.1 A.1 A.1 Suggested Change - X X X A.1 X X X A.1 X X A.1 A.1 x x x x A.1

14 X X A.1 X X A.1, C.1 X E.1 X X X X X X A.2 X X X X X X A.2 X X X X X X A.2 A.2 X X X A.2 A.2

15 X X X A.2 C.2 X X X X A.4 X X X X X A.4 X X X X A.4 X X X X X A.6 A.2 X E.1 A.4 A.4 X X X X X A.4 X X X X A.6

16 X X X A.5 X X X A.5 X X X X A.5 X X X X X A.5 X X X X A.5 X X X A.5 Suggest creating category for naloxone delivery by EMT X X X X X A.4 X X X X A.4 X X X X X A.4 X X X X X A.5 X X A.5 X X X A.5 X X X A.5 X X X X A.5 X X X A.5 Suggest creating category for PICC to clarify