Radio procedures, ATMIST, handover

Question 1

Purpose of radio communication

Answer 1

-transmit pertinent information
-liase and organise

Question 2

Tips talking over radio

Answer 2

-clarity is most important principle of radio coms
-simple
-brief
-direct
-be aware environments- noise, relatives etc
-stay on point
-identify numbers individually eg. one six not sixteen
-speak calmly
-ensure understanding

Question 3

Use of ATMIST for pre alert/ handover (trauma)

Answer 3

-age- include name
-time of incident
-mechanism of injury
-injuries top to toe
-vital Signs
-treatment
-ETA

Question 4

Medical patient requiring ATMIST

Answer 4

-STEMI
-fast positive stroke
-cardiac arrest
-airway/ respiratory/ circulatory compromise
-GCS less than 14

Question 5

Use of ATMIST for pre alert/ handover (medical)

Answer 5

-age and name
-time of onset
-medical complaint/ history
-investigations
-vital signs- first set and any changes
-treatment
-ETA

Question 6

Who to call for pre alert

Answer 6

-call red phone/ receiving department directly
-don’t pass through clinical hub
-use recorded line
-call ASAP
-document ATMIST on EPCR (time, who spoke to and info given)

Question 7

Handover for non time critical patients (structure)

Answer 7

SBAR
-Situation- patient and concern
-Background- HPC, PMH, drug history, allergies, obs
-Assessment- initial diagnosis, treatment
-Recommendations- the next step