Fisher Road in Berlin has been closed for the foreseeable future.
Fisher Road in Berlin has been closed for the foreseeable future.
4/2/20 The Vermont Department of Health has recently migrated its COVID-19 PPE Resource Request Form to a new location. Here is the direct link to: PPE Request Form See full article below for detailed link, and link for those using direct to consumer.
3/27/20 Weekly Friday Update from VT EMS Chief Dan Batsie summary (full copy below)
i. Updated COVID-19 Personal Protective Equipment (PPE) Guidance-> EMS personnel within 6 feet of a patient should be using full PPE
Clinical Updates Full copy Details below
ii. Respirator Reuse Guidance
iii. Supraglottic Airway Guidance
iv. Please download these revised protocols for COVID-19: Field Triage Guide (revised March 27, 2020) and COVID-19: Assessment and Transport (revised March 27, 2020)which have been updated to reflect the most recent guidance.
3/24/20 CVMC has implemented the following:
PPE when transporting ALL patients PPE shall include a mask (N95 when available and definitely when performing aerosol generating procedures), gloves, gown, eye protection (face shield preferred). A surgical mask should be also placed on the patient.
All patients will be screened by CVMC staff prior to admittance to the ER.
Additionally, we will be bringing our patients into the ER as we have done in the past provided that crews are in the appropriate PPE.
3/26/20 From Mark
Procedures for transferring a code from your truck into the ER.
All active ventilation (BVM) shall cease.
IF NO advanced airway in place a mask over the patient’s mouth and continue with compressions.
IF an advanced airway in place, cover at least the tube. Continue with compressions.
DO NOT transport or encourage family to follow, there are no visitors at CVMC.
See complete message below
3/21/20 SOURCE CONTROL
Put a MASK on all ID patients
All patients with any COVID 19 or infectious issues such as shortness of breath, dyspnea, hypoxia, as well as abdominal pain, diarrhea, chest pain, lethargy etc need to have a surgical mask placed on them prior to transport.
ALL EMS transports MUST outside to be screened by a nurse.
When you arrive in the parking lot,Call the ED for any patient with
If your patient is unstable please communicate that in report to the charge nurse.
Nurse will tell you what to do/where to go.
The nurse covering the beds in ambulance bay or the charge or triage may come out and meet you to do a secondary screen. Don’t be offended if they second guess the symptoms you present. It is a safety measure.
Cheers,
Jared
Download UVMMC/CVMC transportation guidelines for patients with Infectious Disease like COVID-19.
As of November 12, 2020, no visitors are permitted until further notice with very limited exceptions. Pediatric patients may have two parents/guardians or one parent/guardian and visitor. Patients at end of life may have two designated support people. All exceptions must sign the ED visitor log book.
Update from Jared, summary of VT EMS update
* Cover plug on supraglottic airways
* Use Viral Filter
* Use surgical mask on Patient using oxygen
* Use Medical control for field triage
Contact med control before aerosolizing procedure.
* If any pt has MDI, bring it and spacer to hospital
*Full PPE for codes, see VT EMS update coming out soon
Scroll below for Jareds complete email or see VT EMS 4/3/20 update in downloads below
3/18/20 ER TRACKING SHEETS
Effective immediately all incoming ambulances to CVMC ER will be met outside by CVMC staff for patient transfer. A formal plan will be published later today.
Please advise the ER via radio upon your arrival
Let Jess, Jared, or I know of any questions
3/21/20 EMS crews to fill out a staff tracking forms for every patient (so we can call back personnel when a patient positives). There is a stack of them out in the ambulance bay. Please fill them out and attach a patient label to them. This is the personal responsibility of the EMS providers. We can more efficiently let you know when there is a positive patient if you fill out the tracking sheets.
EMS Workforce Sustainment includes information of licensing deadline extensions, temporary licensing for those who recently disengaged from EMS, pending EMT licensees receiving provisional license process.
See below for entire document
3/21/20 There are upgraded some cleaning supplies for EMS.
There should be a mop bucket that the ER will change more frequently.
There should be hand sanitizer. The biggest improvement is there is a bucket with cleaning solution and pink rags to wipe down what you need to (stretchers, inside the truck). We just ask the pink rags go into the bin with the red sign. They need to be laundered differently.
VT EMS leadership minutes from Monthly meeting 4/2/20
https://www.healthvermont.gov/sites/default/files/DEPRIP.April%202020%20Leadership%20Call.pdf
From Jared 3/21/20
https://www.emsonline.net/Announcements/Infectious-Disease-Safety-Procedures.aspx
VT EMS
https://www.healthvermont.gov/emergency/ems
CDC all EMS information
https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html
PPE Donning - https://youtu.be/Re2667Ho5UA
PPE Doffing - https://youtu.be/Zlwefwlg6fo
General Info on COVID-19
UVMMC 3/12/20- https://youtu.be/YmZVR1dd0xM
Update from Dan Batsie, Chief or VT EMS on 3/20/20 announced
1. Use good clinical judgement, but 2 licensed personal are not required for EMS transport.
2. All EMS classes and testing are suspended, with the exception of online video instruction.
PROTOCOL AMENDMENTS
1. COVID-19 Field Triage Guidance – decision tool for NO TRANSPORTS.
2. COVID-19 Assessment and Transport Protocol – for suspected COVID-19 patients.
3. Effective immediately, metered dose inhalers may be substituted for any nebulized medication.
Download complete notice below
3/16/20 Barre Citys COVID policy, feel free to edit and adopt according to your agency's need.
Link to COVID downloads
From: Blum, Jared A. <Jared.Blum@cvmc.org>
Sent: Friday, April 3, 2020 2:55 PM
Subject: updates out to EMS
1. If using any supraglottic airway, be sure to cover or plug the side or gastric ports.
2. Use a viral filter for any BVM or supraglottic airway. If you don’t have one, you can attempt to get them via different websites. If you don’t have one, when you bring in a patient, notify the hospital that there is no viral filter on the mask/airway.
3. If using O2, make sure the patient has a surgical mask covering it.
4. When using the new state EMS protocols, do not hesitate to contact medical control (it is instructed to do so in the protocol) when attempting field triage. We never encourage a patient NOT to come to the ED.
5. Contact medical control before an aerosolizing procedure.
6. State will be putting out more guidelines on reusing N95s.
7. Always ask the patient if they have an MDI (this is for any patient with any complaint) and bring the patient’s MDI to the hospital (also their spacer if they have it).
8. The state will be putting out guidelines today on termination of resuscitation in the field. ALWAYS WEAR FULL PPE FOR CARDIAC ARREST.
Cheers,
Jared
see more details in download from VT EMS 4/3/20 update
From: AHS - VDH VTEMS <AHS.VDHVTEMS@vermont.gov>
Date: March 27, 2020 at 7:31:37 PM EDT
To: "ahs.emergencypreparedness@list.vermont.gov" <ahs.emergencypreparedness@list.vermont.gov>
Subject: [AHS.EmergencyPreparedness] COVID-19 Guidance from Vermont EMS - March 27, 2020 (Corrected Version)
The challenge of novel corona virus has already asked a great deal of the emergency response community and there assuredly will be more difficulties in the days ahead. However, it is not at all surprising to see emergency responders coming together and working shoulder to shoulder to meet these complex challenges head on. The citizens of Vermont are counting on us and together we will be strong enough to meet their needs. As this pandemic unfolds, the Vermont Department of Health’s goals remain constant: keep our responders safe and enhance their hard work through thoughtful, scientific, and current guidance and support.
Vermont EMS recognizes that practitioners are receiving many COVID-19 messages, often too many to stay current with. In an effort to minimize confusion and to provide a reliable source of centralized information, we will do our best to batch messages and distribute guidance every Friday. The exception to this rule of course will be urgent safety messages or time sensitive clinical guidance. For those we will use the Health Alert Network and distribute as necessary.
In support of the COVID-19 response, this week the Vermont Department of Health would like to share the following updates:
i. Updated COVID-19 Personal Protective Equipment (PPE) Guidance
ii. Respirator Reuse Guidance
iii. Supraglottic Airway Guidance
iv. Please download these revised protocols for COVID-19: Field Triage Guide (revised March 27, 2020) and COVID-19: Assessment and Transport (revised March 27, 2020)which have been updated to reflect the most recent guidance.
Applications for these temporary licenses are available in the Documents section of the Vermont EMS website.
If there are any questions on this or any COVID-19 guidance, please contact the EMS office.
Thank you again for all the hard work and dedication in this difficult time. Please stay safe.
All the best,
Dan Batsie
From: Mark Podgwaite
Subject: [vtemsdistrict6] CVMC Minor Update
Date: March 25, 2020 at 5:33:59 PM EDT
To: "VT EMS D6 Complete Everyone
Folks: In an effort to reduce the potential for droplet exposure, the following procedures will be followed when transferring a code from your truck into the ER. All active ventilation (BVM) shall cease.
For patients with no advanced airway in place a mask over the patient’s mouth and continue with compressions.
For patients with an advanced airway in place, you will need to cover at least the tube. A washcloth, towel or the like comes to mind. Continue with compressions (open to input on this one).
Please keep in mind that CVMC is closed to visitors at this time. We all are in the habit of telling family and friends “sure jump in the front seat” or “just follow us up”, we cannot do that anymore. In cases where there is a parent, guardian, caregiver etc. needing to come to the ER, please advise the charge nurse before proceeding.
Any questions please let Jess, Jared or I know Mark
Mark PodgwaiteExecutive DirectorWaterbury Ambulance Service, Inc.Chair Vermont EMS District 6
Vermont EMS,
Novel Coronavirus (COVID-19) has posed many challenges to the safe and effective delivery of emergency medical services (EMS) in Vermont. The complex and unprecedented demands we will all face in the weeks to come will require hard work, creative thinking, and most of all teamwork. In support of the brave men and women on the front lines of this pandemic, the Vermont Department of Health is taking the following steps to protect our workforce and support your operations. These measures will take effect March 20, 2020:
In the coming weeks, Vermont EMS will examine the feasibility of pushing back personnel license renewal deadlines to match similar actions taken with National Registry recertification and to address the significant interruption in continuing education. More detailed information on these changes will be forthcoming.
PROTOCOL CHANGES AND ADDITIONS
In addition to the preceding administrative measures, the Vermont EMS Statewide Treatment Protocols will be amended to include the following additions:
We appreciate all that you are doing in response to COVID-19. The Department of Health will continue to do everything we can to help. If you have any questions regarding these updates, please feel free to contact our office.
All the best,
Dan Batsie
EMS Chief
Division of Emergency Preparedness, Response and Injury Prevention
Vermont Department of Health
108 Cherry St.
Burlington, VT 05401
(802) 865-7735
Vermont EMS Information Memorandum
TO: Vermont Emergency Providers, Service Leaders, District Medical Advisors
CC: Daniel Wolfson, MD - State EMS Medical Director
FROM: Dan Batsie, Chief of EMS, Vermont Department of Health
DATE: March 19, 2020
Subject: Novel Coronavirus (2019-nCoV) Personal Protective Equipment Update
_________________________________________________________________
SUMMARY – The Centers for Disease Control and Prevention recently updated their Interim Guidance for Emergency Medical Services (EMS) Systems. Included in this update were recommendations on personal protective equipment (PPE) in situations of supply chain interruption. Given that most Vermont emergency response agencies are facing similar challenges associated with PPE, it is now reasonable for responders to adopt the following personal protection standards.
ER Tracking Sheets
EMS crews are required to fill out a staff tracking forms for every patient (so we can call back personnel when a patient positives). There will be a stack of them out in the ambulance bay. Please fill them out and attach a patient label to them. This is the personal responsibility of the EMS providers. We can more efficiently let you know when there is a positive patient if you fill out the tracking sheets.
NEW: 3 NEG pressure rooms in old ambulance bay. You may be directed to take a patient to the old bay!
Call the ER as soon as you think you have a COVID19 patient, and again on arrival and await nursing assessment before getting out of the ambulance.
Have Patience rooming patients
The ER is busy, and doing the best they can with this blossoming issue. The rooms have to be thoroughly cleaned before being used again.
Stay tuned for No Transport protocol if COVID patients will be brought by family to ER or to testing evaluation site.
Empty stretchers can use the MRI doors if desired.
Given the concerns about COVID-19, this would be a good time for your agencies to review donning and doffing procedures for PPE (Personal Protective Equipment). Below are links for three excellent videos that UVM HealthNet Regional Transport Service produced and kindly shared with Vermont EMS.
PPE Donning - https://youtu.be/Re2667Ho5UA
PPE Doffing - https://youtu.be/Zlwefwlg6fo
General Info on COVID-19 - https://youtu.be/YmZVR1dd0xM
Although the guidance on personal protection has not changed, it is appropriate to review the key steps an EMS provider should take when a potential COVID-19 risk is identified. They are:
This Wednesday at 2pm, the Vermont State Emergency Operations Center (SEOC) will begin hosting weekly COVID-19 conference calls with law enforcement, fire service, emergency medical services, and medical examiners. These calls are to provide an overview of the State’s response to the COVID-19 pandemic and to answer questions that emergency responders may have.
If you have any specific questions you would like answered during this call, please submit them using the link below prior to the call so we can gather responses from SEOC Partners:
The first call is scheduled for Wednesday, March 18th, at 2:00PM.
Please note, there will be a separate conference call catered specifically for municipal officials and emergency management directors (EMDs) that will be held on Fridays.
There is a limit to the number of attendees the conference line can support. When possible, have a single representative from your organization and call in and report back to others.
We will share a document that captures frequently asked questions and answers following the call.
Contact your head of service or Mark Pogewaite for details on how to join the call.
From: Lindquist, Leslie A.
Subject: RE: Transport of Patients with COVID-19 to UVMMC
Good Morning,
Slight changes to the attached guideline. Part two, section J now has clearer guidance for when arriving with a complex or sick patient. Additionally, starting tomorrow the ED will start routing drive-up traffic to different locations outside of the ED. They have taken over an adjacent parking lot for UVM and are working with the National Guard. Their goal is perform triage outside, for anyone coming by car and avoid patients from entering the ED 0855unnecessarily. They have different routes for patient who need no treatment but require isolation, patients who need treatment and isolation, and acute patients who need isolation. As of right now, EMS will be unaffected and still utilizing the ambulance bay. There will be flaggers to direct ambulances around any line-up of cars in the driveway as you approach the ED.
The EMS district is keeping the most current version of this document, on the website, vtemsdistrict3.org.
Please let me know if you have any questions.
Leslie
Leslie Lindquist, MS, NRP
Transport Team Site Supervisor
Regional Transport System / Burlington Base
(802) 847-6974
Leslie.Lindquist@UVMHealth.org
The University of Vermont Health Network
Critical Care Transport Team
From: Zoom <no-reply@zoom.us>
Sent: Thursday, March 19, 2020 12:01 PM
To: Bagg, Scott <Scott.Bagg@cvmc.org>
Subject: Cloud Recording - District Six COVID-19 Meeting is now available
This message came from an external source. Please exercise caution when opening any attachments or clicking on links.
Hi Scott Bagg,
Your cloud recording is now available.
Topic: District Six COVID-19 Meeting
Date: Mar 16, 2020 06:15 PM Eastern Time (US and Canada)
Share recording with viewers:
https://zoom.us/rec/share/x95Ec-v8qXFLa7P1wWbWUK94GZroX6a8h3Ue_PIFnkpsqSkBs6YMy8nf6KXBTNlG
Thank you for choosing Zoom.
-The Zoom Team
Previous pdf's sent relating to COVIS pandemic 2020
VT EMS District #6
Mailing address: VT EMS District 6, PO Box 01, Northfield Falls, VT 05664-0001 us
Copyright © 2020 VT EMS District #6 - All Rights Reserved.
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