The Department of EMS realizes that without the proper medical equipment, standards of care, and right amount of clinical oversight we can not administer the best patient care to the community. The department utilizes a peer review process designed to review all aspects of the department in an organized format. Starting in 2011 we instituted the CIR Division (Clinical Improvement and Research Division) compromised of field level staff and command staff designed to bring the most science proven evidence based treatment modalities to the department. The first quarter of 2011 was focused on the evaluation and research of our current Sudden Cardiac Arrest statistics and protocols. To see an example of how the CIR division worked to improve efficiency by implementing the pit-crew approach to positions during SCA click the picture.
In 2012, Washington County EMS implented the benchmarks. No longer are the days of "we think or believe that call went well." We wanted a more measureable process. The benchmarks were created to measure different areas for quality improvement. The areas in which we are monitoring at this time include; Pain Management, Cardiac Arrest, Chest Pain, RSI, Respiratory Emergencies, Emergency Out of County Transfers. If you are interested in looking at the benchmarks, click here.
In 2011 the department was approved a phased-in approach to bringing the new LP-15 into the hands of our paramedics. We hope to complete the phase-in by the end of 2013. Through the financial assistance of the LCRA Community Development Partnership Grant we have also recently deployed the new piston driven battery powered LUCAS II mechanical CPR device. The device is just one piece in a collaborative group of improvements to the departments' sudden cardiac arrest protocols with the overall goal to improve ROSC (return of spontaneous circulation) and ultimately patient survival from SCA. Another recent improvement was the protocol addition of the new MAD devices. The device gives our paramedics another route to administer life saving medications to high risk seizure patients or certain pediatric populations.