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Treatment and Protocols

Overview

Document patient interventions for NEMSIS compliance and clinical oversight. The EPR FireWorks ePCR Assessment Treatment section captures procedure performance, medication administration, and protocol application including intervention timing, provider identification, clinical response, and authorization details.

Choosing Documentation Methods

Use Quick Procedures/Medications for:

  • Common interventions (IV access, oxygen, aspirin, nitroglycerin)

  • Protocol-driven care with standard dosages

  • Time-critical documentation during active resuscitation

  • First-pass documentation requiring later refinement

Use Manual Entry for:

  • Medications not in your department's configured presets

  • Non-standard dosages or routes

  • Procedures requiring detailed custom documentation

  • Complex multi-step interventions (surgical airways, complicated vascular access)

Note: Quick Action availability depends on your department's EPR FireWorks configuration. If presets are not configured, use manual entry methods.

EPR FireWorks Assessment tab showing Treatment section with left navigation displaying Complaint, Vital Signs, Cardiac Monitor, Exam, and Treatment (expanded to show Procedures, Medications, Protocols sub-items in that order). Main content area shows Procedures section with Quick Procedures interface and documented procedure table, followed by Medications section below

Procedures

Document procedure performance for clinical documentation and NEMSIS reporting.

Using Quick Procedures

Access pre-configured procedure buttons for rapid field documentation.

  1. Locate procedure presets. Click Frequently Used tab or Select Preset dropdown to access grouped procedures.

    image-20251109-132618.png

  2. Click the procedure button to automatically document performance with pre-configured details, including procedure name, equipment size, and authorization.

    image-20251109-132633.png

  3. Refine preset entries. For each procedure added using presets, click the Pencil (Edit) icon, then update the procedure details accordingly.

Result: Procedures appear in the patient timeline with preset configurations, ready for refinement based on actual performance details.

Adding Procedure Details

Document procedures not available in Quick Actions or require full manual entry.

  1. Navigate to Assessment> Treatments.

  2. Add procedure entry. In the Procedures section, click '+' (add), then select the procedure from the Procedure sidebar.

    EPR FireWorks Procedure sidebar displaying alphabetical procedure list with search functionality at top. Categories include Airway Management, Cardiovascular, Hemorrhage Control, Immobilization, and Vascular Access. Each category expands to show specific procedures. Search box allows filtering by procedure name. Recently performed procedures appear at top for quick access.

To update or modify existing procedures, click the Edit (pencil) icon next to any documented medication entry.

image-20251109-131313.png

Recording Procedure Timing and Performance

Document when the procedure was performed and initial performance outcomes.

  1. Establish administration timing. Set Date and Time of Procedure Performed.
    Note: If the procedure was performed before the unit’s arrival, in the Prior To Arrival field, click Yes.

    image-20251109-131504.png

  2. Document complications if applicable. Select Procedure Complication, deselect None, and then select all applicable complications from the sidebar list.

    image-20251109-132424.png

  3. Identify the staff member. Select Procedure Crew Member ID and Role/Type of Person Performing the Procedure.

  4. Track procedure success. Set Procedure Successful status, and then select Response to Procedure.

    EPR FireWorks Procedure Performance interface

Documenting Procedure Details and Authorization

  1. Record equipment specifications. Enter Size of Procedure Equipment and # of Procedure Attempts.

  2. For vascular access, document anatomical details. Select Vascular Access Location and enter other relevant anatomical information.

  3. Complete authorization. Select Procedure Authorization type and Procedure Authorizing Physician if direct medical control was obtained.

  4. Add clinical remarks in the Comments field.

    PR FireWorks Procedure Additional Info section

  5. Close the sidebar to save changes.

Medications

Document medication administration for clinical documentation and NEMSIS reporting.

Using Quick Medications

Access pre-configured medication buttons for rapid field documentation.

  1. Locate medication presets. Click alphabetical category tabs (A-C, D-F, G-L, M-O, P-Z, Other) or Select Preset dropdown to locate the desired preset.

    image-20251109-133817.png

  2. Document pre-configured medication rapidly. Click the medication preset button to automatically add administration with pre-configured dosage, units, and authorization.

  3. Refine preset entries. For each medication added using presets, click the Pencil (Edit) icon, then update the medication details accordingly.

    EPR FireWorks Quick Medications interface displaying alphabetical category tabs across top (A-C, D-F, G-L, M-O, P-Z, Other) with medication preset buttons in scrollable grid below. Select Preset dropdown visible in upper right showing grouped medications by category (Cardiac, Respiratory, Pain Management, Sedation). Each medication button shows drug name, common dosage, and route. Search functionality and Recently Used section appear at top.

Result: Medications appear in the patient timeline with preset configurations, ready for refinement based on actual administration details.

Adding Medication Details

Document medications not available in Quick Actions or requiring full manual entry.

  1. Scroll down to the Medications section.

  2. Add medication entry. Click '+' (add), and then select the medication from the Medications Given sidebar.

    EPR FireWorks Medications Given sidebar displaying alphabetical medication list organized by pharmacological class. Search functionality at top allows filtering by drug name, class, or indication. Common medications appear in expandable categories (Analgesics, Antiemetics, Cardiovascular, Respiratory, Sedatives). Each medication entry shows drug name, concentration options, and common routes. Recently administered medications appear at top with timestamp and patient context.

To update or modify existing medications, click the Edit (pencil) icon next to any documented medication entry.

image-20251109-113741.png

Recording Medication Administration Details

Document medication dosage, route, and response to medication.

  1. Establish administration timing. Set Date and Time of Medication Administered.
    Note: If the medication was administered before the unit’s arrival, in the Prior To Arrival field, click Yes.

    image-20251109-113056.png

  2. Track dosage. Enter the Dosage value, and then select Units.

  3. Identify the medication provider. Select Medication Provider and Role/Type of Person Administering Medication.

  4. Specify administration method. In Medication Administered Route, select the route used.

    image-20251109-114152.png

  5. Record patient response. Select any Medication Complication if adverse reactions occurred, and Response to Medication.

    image-20251203-193511.png

Result: Medication administration details documented with complications and response to medication.

Documenting Medication Response and Controlled Substance Details

Record medical authorization and complete controlled substance tracking.

  1. Complete authorization. Select Medication Authorization type and Medication Authorizing Physician if direct medical control was obtained.

  2. For controlled substances, complete Medication Lot Number, Medication Expiration Date, and Medication Vial Number.

  3. Add clinical remarks in the Comments field (if applicable).

    Additional info section - authorization and controlled substance documentation.

  4. Close the sidebar to save changes.

Note: The Vaccination section expands below standard medication fields when documenting immunizations. Select Medication Dose Number and Medication Manufacturer for vaccine-specific requirements.

Vaccination section expanded in Medication Details sidebar showing Medication Dose Number dropdown field and Medication Manufacturer text field appearing below standard medication documentation fields, demonstrating conditional interface expansion for immunization-specific documentation requirements

Protocols

Document applied clinical protocols for quality assurance and medical oversight.

Adding Protocol Details

  1. Navigate to Assessment > Protocols

  2. Add protocol entry. Click '+' (add) to open the Protocol Details sidebar.

    image-20251109-143421.png

  3. Select Protocols Used from the department-configured protocol list.

    image-20251109-145642.png

  4. Specify patient age group. Select Protocols Age Category (Adult Only, General, or Pediatric Only).

    EPR FireWorks Protocol Details sidebar showing Protocols Used dropdown with department-configured protocol list organized by category (Cardiac, Respiratory, Trauma, Medical, Behavioral).

  5. Close the sidebar to save changes.

To update or modify existing protocols, click the Edit (pencil) icon next to any documented protocol entry.

image-20251109-150024.png

Next Steps

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