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NYS NEMSIS 3.5 Educational Snip #2024-009

By NEMSIS Educational Snip, Training

Please see the latest Educational Snip from the Bureau of EMS Data and Informatics Team

The 2024 Vital Signs EMS Conference is taking place in Rochester from October 16th to the 20th.  Register here and stop by our booth to say hi! Of note, the week of the conference, the DI Unit will not be sending an educational snip. 

The Data and Informatics (DI) Unit at the Bureau of EMS & Trauma Systems is sending weekly Educational Snips highlighting various NEMSIS fields. Our goal is to help providers reduce documentation errors and warnings requiring adjustment throughout documentation. Each Educational Snip will start with a question, an outline of various fields, and elements (answers) within those fields. We are providing the NEMSIS named elements; the ePCR software used by your EMS agency might look different, and you should have custom values selected by the Department of Health available to you. If you have questions about specific documentation scenarios or if you would like clarification on particular data elements, please reach out to your organization’s leadership, Regional Program Agencies, or the DI Unit.   

EMS agencies credentialed by New York State are now submitting ePCRs that adhere to the National Emergency Medical Services Information System (NEMSIS) 3.5 documentation standard. NEMSIS establishes a minimum documentation standard that requires fields that must be completed on an ePCR and NYS further defines these requirements to meet minimal additional requirements. Standardized documentation improves quality documentation. Measuring provider effectiveness, system efficiency, and patient outcomes is paramount to the success of EMS organizations across New York State.  

Q: How are scene fields documented under NEMSIS 3.5? 

NYS has worked to decrease the amount of validation rules resulting in failures; however, scene fields are vital for accurate documentation and system assessment. The DI unit has noticed many validation failures due to the Incident City field. This snip describes the scene fields that are required. 

Note: all fields are named by NEMSIS with the Field Name (Field Identifier) (e.g. EMS Agency Number (eResponse.01)) 

Incident Location Type (eScene.09) 

This field is required by NYS for ALSFR/Transporting agencies (validation rule 2622). The list of location types is below.  

  • Private residence 
  • Nursing home 
  • Public area (not otherwise specified) 
  • Street/road/highway 
  • Urgent care 
  • Hospital  
  • Doctor’s office 
  • Apartment/condo 
  • Industrial/construction area 
  • Institutional residence 
  • Other private residence 
  • Other, (not otherwise specified) 
  • Parking lot 
  • Place of business, (not otherwise specified) 
  • Restaurant/cafe 
  • School 
  • Sidewalk 
  • Sports area 
  • Warehouse 
  • Daycare 
  • Abandoned house 
  • Airport 
  • Military installation 
  • Mobile home 
  • Other ambulatory care 
  • Recreational area, (not otherwise specified) 
  • Clubhouse 
  • Gym 
  • Prison/jail 
  • Store 
  • Public building 
  • Park  
  • Religious institution 
  • School dorm 
  • Pool 

Incident Facility Code (eScene.10) 

This field is required by NYS for ALSFR/Transporting agencies (validation rule 2835). Each facility name/label might appear different based on your software vendor, or your agencies needs. NYS has required codes for hospitals and skilled nursing facilities that are required for care transported to or from one of these facility types. 

Incident Street Address (eScene.15) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2623, 2624, 2625, 2626). Not values are not accepted for this field. If the secondary address is filled out without the primary address line being completed, the validation will fail.  

Incident City (eScene.17) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2627, 2628) when a unit responding to scene time is documented. Not values are not accepted.  

Incident State (eScene.18) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2727, 2728) when a unit responding to scene time is documented. Not values are not accepted.  

Incident Zip (eScene.19) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2629, 2630). Not values are not accepted.  

Incident County (eScene.21) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2631, 2632). Not values are not accepted. 

Incident Country (eScene.22) 

This field is required by NYS for BLSFR and ALSFR/Transporting agencies (validation rules 2725, 2726). Not values are not accepted. 

AMR’s Earn While You Learn Program

By EMS Jobs, Training

Greetings Everyone,

AMR has posted information regarding their up and coming EWYL program. If you or someone you know is interested, please download the attachment and follow the directions.

http://ubmdems.com/wp-content/uploads/2024/10/AMR-Buffalo-NY-EWYL-Flyer-December-2024.docx

Erie County EMS Speaker Series

By Training

Greetings Everyone,

Please see the attached flyer regarding Mental Health Training hosted by Erie County. For more information, please download the flyer and register with them.

http://ubmdems.com/wp-content/uploads/2024/10/ECEMS-Speaker-Series-10-10-24.pdf

Mercy Flight Virtual CME Series

By Training

http://ubmdems.com/wp-content/uploads/2024/09/MF-CME-Flyer-2024-1.jpg

http://ubmdems.com/wp-content/uploads/2024/09/MF-CME-Flyer-2024-1.jpg

http://ubmdems.com/wp-content/uploads/2024/09/MF-CME-Flyer-2024-1.jpg

NYS NEMSIS 3.5 Educational Snip #2024-008

By NEMSIS Educational Snip, Training

Greetings,

See this weeks NEMSIS Educational Snip:

The Data and Informatics (DI) Unit at the Bureau of EMS & Trauma Systems is sending weekly Educational Snips highlighting various NEMSIS fields. Our goal is to help providers reduce documentation errors and warnings requiring adjustment throughout documentation. Each Educational Snip will start with a question, an outline of various fields, and elements (answers) within those fields. We are providing the NEMSIS named elements; the ePCR software used by your EMS agency might look different, and you should have custom values selected by the Department of Health available to you. If you have questions about specific documentation scenarios or if you would like clarification on particular data elements, please reach out to your organization’s leadership, Regional Program Agencies, or the DI Unit.   

  

EMS agencies credentialed by New York State are now submitting ePCRs that adhere to the National Emergency Medical Services Information System (NEMSIS) 3.5 documentation standard. NEMSIS establishes a minimum documentation standard that requires fields that must be completed on an ePCR and NYS further defines these requirements to meet minimal additional requirements. Standardized documentation improves quality documentation. Measuring provider effectiveness, system efficiency, and patient outcomes is paramount to the success of EMS organizations across New York State.  

  

The DI Unit is holding monthly NEMSIS 3.5 ePCR briefings via Webex. In these briefings, issues that EMS agencies commonly face regarding patient care documentation will be addressed. EMS providers will have the opportunity to ask any questions or raise any concerns about 3.5 submission criteria they wish. Feedback from these briefings is vital for their ongoing success. If you are an EMS provider, an EMS leader, an EMS medical director, or a software vendor who attends these meetings, please fill out a survey through this link, under the ‘Data’ section of the page.  

 

Q: How has documentation of procedures (eProcedures) changed under NEMSIS 3.5? 

Many response elements were changed across procedure fields. 

Note: all fields are named by NEMSIS with the Field Name (Field Identifier) (e.g. EMS Agency Number (eResponse.01))  

 

Date/Time Procedure Performed (eProcedures.01, validation rule BLSFR 2582/ALSFR & Ambulance 2583) 

When a procedure is performed, this field is required by NYS. It triggers additional required fields listed below.  

 

Procedure Performed Prior to this Unit’s EMS Care (eProcedures.02, ALSFR & Ambulance 2585) 

This field is recommended by NYS. Response elements include “yes” and “no”. The date and time of the procedure cannot be prior to arrival at the patient unless this is answered “yes”.  

 

Procedure (eProcedures.03, BLSFR 2586/ALSFR & Ambulance 2587) 

This field is required by NYS when Date/Time Procedure Performed is documented. To view the entire list of procedures, visit New York – NEMSIS and download the data dictionary excel file.  

 

Number of Procedure Attempts (eProcedures.05, BLSFR 2588/ALSFR & Ambulance 2589) 

This field is required by NYS when procedures are performed by crew members of unit caring for patient. This field numbers between 1 through 10.  

 

Procedure Successful (eProcedures.06, BLSFR 1238/ALSFR & Ambulance 1239) 

This field is required by NYS when a procedure is attempted on the patient. The response options for this field are “Yes” and “No”. 

 

Procedure Complication (eProcedures.07, BLSFR 2592/ALSFR & Ambulance 2593) 

This field is recommended (especially for ALS/Transporting units) by NYS when procedures are performed by crew members of unit caring for patient. Response values are listed below. Note, if there is no complication one should respond “none” instead of using a not value like “not applicable”.  

·       Altered Mental Status 

·       Apnea 

·       Bleeding 

·       Bradypnea 

·       Diarrhea 

·       Esophageal Intubation-immediately 

·       Esophageal Intubation-other 

·       Extravasation 

·       Hypertension  

·       Hyperthermia 

·       Hypotension 

·       Hypothermia 

·       Hypoxia 

·       Injury 

·       Nausea 

·       None 

·       Other 

·       Respiratory Distress 

·       Tachycardia 

·       Vomiting 

·       Bradycardia 

·       Itching 

·       Urticaria 

 

Response to Procedure (eProcedures.08, BLSFR 2594/ALSFR & Ambulance 2595) 

This field is recommended (especially for ALS/Transporting units) by NYS when procedures are performed by crew members of unit caring for patient. Response elements include “Improved”, “Unchanged”, and “Worse”.  

 

Procedure Authorization (eProcedures.11, BLSFR 2596/ALSFR & Ambulance 2597) 

This field is required by NYS. Response elements listed below.  

·       On-Line (Remote Verbal Order) 

·       On-Scene 

·       Protocol (Standing Order) 

·       Written Orders (Patient Specific) 

 

Procedure Authorizing Physician (eProcedures.12, BLSFR 2598/ALSFR & Ambulance 2599) 
This field is required by NYS when a procedure was authorized outside of standing orders. It is a free text field.  

 

Vascular Access Location (eProcedures.13, ALSFR & Ambulance 2620) 

This field is recommended by NYS when vascular access is obtained. It is now associated with the date and time of the procedure and allows documentation for each attempt at vascular access. EMS professionals can also document when a patient received vascular access prior to arrival of EMS. Options have been added to this field. All elements are listed below.  

·       Antecubital Left 

·       Antecubital-Right 

·       External Jugular-Left 

·       External Jugular-Right 

·       Femoral Left IV 

·       Femoral-Right IV 

·       Foot-Right 

·       Foot-Left 

·       Forearm-Left 

·       Forearm-Right 

·       Hand-Left 

·       Hand-Right 

·       Internal Jugular-Left 

·       Internal Jugular-Right 

·       IO-Iliac Crest-Left 

·       IO-Iliac Crest-Right 

·       IO-Femoral-Left Distal 

·       IO-Femoral-Right Distal 

·       IO-Humeral-Left 

·       IO-Humeral-Right 

·       IO-Tibia-Left Distal 

·       IO-Sternum 

·       IO-Tibia-Right Distal 

·       IO-Tibia-Left Proximal 

·       IO-Tibia-Right Proximal 

·       Lower Extremity-Left 

·       Lower Extremity-Right 

·       Other Peripheral 

·       Other Central (PICC, Portacath, etc.) 

·       Scalp 

·       Subclavian Left 

·       Subclavian-Right 

·       Umbilical 

·       Venous Cutdown-Left Lower Extremity 

·       Venous Cutdown-Right Lower Extremity 

·       Upper Arm-Left 

·       Upper Arm-Right 

·       Radial-Left 

·       Radial-Right 

·       Wrist-Left 

Unlock Your EMS Leadership Potential—At No Cost to You or your agency!

By Training

Greetings Everyone,

Here is a great opportunity from our partners to the south of us:

Attention All NYS EMS Agencies:

Do you know an EMS provider aspiring to become a leader in your field? Don’t miss this exclusive opportunity to enhance your leadership skills and pave the way for a successful future. We are excited to open this opportunity to all NYS EMS agencies and strongly encourage you to send EMS providers who aspire to become leaders in their field. Thanks to a grant received by Southern Tier Health Care System, participation in this program is free of charge to all who wish to attend.

Do you know an EMS provider aspiring to become a leader in your field? Don’t miss this exclusive opportunity to enhance your leadership skills and pave the way for a successful future.

Join us for “Stepping Into EMS Leadership”, an immersive virtual training experience tailored specifically for EMS providers. Led by Lisa Giruzzi and Robbie MacCue, FP-C, MBA, co-founders of the EMS Leadership Academy, this program is designed to develop and strengthen a diverse network of collaborative leaders within organizations and systems serving as EMS leaders.

Why Attend “Stepping Into EMS Leadership”?

Gain a competitive edge: Equip yourself with the necessary skills to stand out as a future leader in the EMS industry.
Interactive virtual training: Engage in immersive activities and discussions to foster practical learning.
Network with like-minded professionals: Connect with fellow EMS providers who share your aspirations and build valuable relationships.

Key Topics Covered:

The Foundation for Becoming an Effective Leader
The Foundation for Being the Leader People Want to Follow
Expanding Leadership Capacity

All Sessions Virtual : 6-8pm

Week #1: Monday, Oct 7 and Thursday, Oct 10
Week #2: Tuesday, Oct 15 and Thursday, Oct 17
Week #3: Monday, Oct 28 and Wednesday, Oct 30

Follow-up Sessions for Continued Support and Development:
November 7: 6:00 p.m.
December 5: 6:00 p.m.
January 9: 6:00 p.m.
February 6: 6:00 p.m.
March 6: 6:00 p.m.
April 3: 6:00 p.m.

Register today at: bit.ly/stemsleadership.

NYS CIU Course Posting – Erie County

By Training

Greetings Everyone,

Please see the below message:

Erie County EMS is hosting a CIU course on October 23rd, 2024 from 18:30 to 21:30 at their Amherst Campus. The course is free to attend. Sign up for this course at https://www3.erie.gov/ems/certified-instructor-update-ciu . You must sign up in order to attend this course. See agenda attached.

http://ubmdems.com/wp-content/uploads/2024/09/CIU-Agenda-10-23-24-1.pdf

NYS NEMSIS 3.5 Educational Snip #2024-007 | Leadership & Other Stakeholders

By NEMSIS Educational Snip, Training

Greetings Everyone,

Please see this weeks NEMSIS mini-education snapshot:

NYS NEMSIS 3.5.0 | Educational Snip #2024-007

The Data and Informatics (DI) Unit at the Bureau of EMS & Trauma Systems is sending weekly Educational Snips highlighting various NEMSIS fields. Our goal is to help providers reduce documentation errors and warnings requiring adjustment throughout documentation. Each Educational Snip will start with a question, an outline of various fields, and elements (answers) within those fields. We are providing the NEMSIS named elements; the ePCR software used by your EMS agency might look different, and you should have custom values selected by the Department of Health available to you. If you have questions about specific documentation scenarios or if you would like clarification on particular data elements, please reach out to your organization’s leadership, Regional Program Agencies, or the DI Unit.

EMS agencies credentialed by New York State are now submitting ePCRs that adhere to the National Emergency Medical Services Information System (NEMSIS) 3.5 documentation standard. NEMSIS establishes a minimum documentation standard that requires fields that must be completed on an ePCR and NYS further defines these requirements to meet minimal additional requirements. Standardized documentation improves quality documentation. Measuring provider effectiveness, system efficiency, and patient outcomes is paramount to the success of EMS organizations across New York State.

The DI Unit is holding monthly NEMSIS 3.5 ePCR briefings via Webex. In these briefings, issues that EMS agencies commonly face regarding patient care documentation will be addressed. EMS providers will have the opportunity to ask any questions or raise any concerns about 3.5 submission criteria they wish. Feedback from these briefings is vital for their ongoing success. If you are an EMS provider, an EMS leader, an EMS medical director, or a software vendor who attends these meetings, please fill out a survey through this link, under the ‘Data and Informatics’ section of the page.

Q: How has documentation of eSituation fields changed from NEMSIS 3.4 to NEMSIS 3.5?

6 elements were changed from NEMSIS 3.4 to NEMSIS 3.5. 5 of the elements are Required in New York State and 1 is a Recommended element.

Note: all fields are named by NEMSIS with the Field Name (Field Identifier) (e.g. EMS Agency Number (eResponse.01))

Date/Time of Symptom Onset (eSituation.01, validation rule 1365)

This is a required field in NYS and must be documented for each symptom recorded. In NEMSIS 3.5, new values were added to this field for Pertinent Negatives: ‘Unable to Complete’ and ‘Approximate’. The format of the date is as follows: mm/dd/yyyy. The format of the time is as follows: hh:mm:ss.

Initial Patient Acuity (eSituation.13, validation rule 1377)

This is a required field in NYS. A new value was added to this field. The list of values for this field is shown below:

  • Critical (Red)
  • Emergent (Yellow)
  • Lower Acuity (Green)
  • Dead Without Resuscitation Efforts (Black)
  • Non-Acute/Routine

Date/Time Last Known Well (eSituation.18, validation rule 1378)

This is a required field in NYS when primary impression is CVA, which stands for Cerebral Vascular Accident, or TIA, which stands for Transient Ischemic Attack. In NEMSIS 3.5, a new Pertinent Negative was added: Unable to Complete

Justification for Transfer or Encounter (eSituation.19)

This field is recommended in NYS. It is a new element released with NEMSIS 3.5. This should only be documented when Type of Service Requested (eResponse.05) is Hospital-to-Hospital Transfer, Hospital-to-Hospital Transfer (with Sending Hospital Staff), Hospital-to-Hospital Transfer (Critical or Specialty Care), Other Medical Needs Transport, or Mobile Integrated Health Care Evaluation or Visit.

 

Reason for Interfacility Transfer/Medical Transport (eSituation.20)

This is a national field. There is no validation rule requiring it in NYS. New elements were added in NEMSIS 3.5. The full list is shown below:

  • Cardiac Specialty
  • Convenience Transfer (Patient Request)
  • Diagnostic Testing
  • Dialysis
  • Drug and/or Alcohol Rehabilitation Care
  • Extended Care
  • Maternal/Neonatal
  • Medical Specialty Care (Other, Not Listed)
  • Neurological Specialty Care
  • Palliative/Hospice Care (Home or Facility)
  • Pediatric Specialty Care
  • Psychiatric/Behavioral Care
  • Physical Rehabilitation Care
  • Return to Home/Residence
  • Surgical Specialty Care (Other, Not Listed)
  • Trauma/Orthopedic Specialty Care