MSS Strategic Medical Paramedic Daily Shift Report

• Client / Site

• Prepared by

• Location
  Address

Details

• Date And Time

  Date

• Vehicle Call Sign

• Payroll Number

• Paramedic

• Casual

  Yes

  No

  N/A

• Crew

  A

  B

  C

  D

  Relief

• Shift

  Day

  Night

• Odometer

• Vehicle Issues

  Yes

  No

  N/A

• Vehicle Issues - If Yes (provide details and actions)

• Equipment Issues

  Yes

  No

  N/A

• Equipment Issues - If Yes please note

Equipment Handover at Shift Change

• Drugs

  Yes

  No

  N/A

• Phone

  Yes

  No

  N/A

• Keys

  Yes

  No

  N/A

• Portable Radio

  Yes

  No

  N/A

Pre-Start Operational Checks - Vehicle

• BMA Vehicle Inspection Check

  Yes

  No

  N/A

• Take photo of BMA LV Inspection.

  Media

• Lifepak 15 Operational Check

  Yes

  No

  N/A

• Take photo of LifePak test

  Media

• Vehicle Torches

  Yes

  No

  N/A

• OCE report reviewed

  Yes

  No

  N/A

• Med Kit and Operational Equipment

  Yes

  No

  N/A

• Oxygen Level - Oxy Viva

  Full

  3/4

  1/2

  1/4

  Empty

• Oxygen Level - Vehicle

  Full

  3/4

  1/2

  1/4

  Empty

Pre-Start Drug Kit Quantity Check (as per MSSSSM Drug Management Policy)

• Drug kit contents checked, and restocked to levels as per MSSSM Drug Kit Inventory, Keys to draw taken

  Yes

  No

  N/A

• Drug Issues?

  Yes

  No

  N/A

• Drug Issues? If yes please note

Shift Duties (tick when completed)

• Medical centre left clean and tidy

  Yes

  No

  N/A

• Paramedic Office left clean and tidy

  Yes

  No

  N/A

• All Medical Cases entered into Medgate

  Yes

  No

  N/A

• All Medication Declarations entered in Medgate

  Yes

  No

  N/A

• Drug and Alcohol Databased (Medgate) updated

  Yes

  No

  N/A

• All PCR's Audited and completed

  Yes

  No

  N/A

• All Work Related cases followed up.

  Yes

  No

  N/A

• Lab results checked, reported and updated in Medgate

  Yes

  No

  N/A

• Drug and Alcohol Supplies restocked

  Yes

  No

  N/A

• All D&A Non-Negatives sent to Safework

  Yes

  No

  N/A

Shift Comments/Messages

• Further Comments

Signed

• Signature

  Sign