Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375 www.washco-md.net Combined-FTC-FTS-Field-Educator-List-12-1-23.xlsx

Good morning, Happy Friday! We all know the request for transport for “abnormal labs” call. But what if that “abnormal lab” is an elevated D-Dimer? Does that heighten your suspicion of increased risk of a higher acuity patient? Does it change how you assess or treat your patient? What conditions are you trying to rule

200mg/20 ml vials will be restocked to units from supervisors. Please make sure you are checking concentrations with every daily check and every administration. This concentration should be used for IV pain management dosages. These will not be used as multi-dose vials. They will be available in pyxis for restock after use. 500mg/10 ml concentration

Time to inventory your sensory kits. Colten Matheny will be taking over restocking the sensory kits. Please email [email protected] with your unit numbers and sensory kit needs, please. Thank you. Melanie Higgins, BS, NRP Captain – EMS Quality Assurance Division of Emergency Services 16232 Elliott Parkway Williamsport, MD 21795 (cell) 301-491-2454 (office) 240-313-4376 (fax) 240-313-4375

Happy Monday! We are implementing the IV Nitroglycerin (via PUMP ONLY) Pilot protocol in Washington County for patients exhibiting severe acute pulmonary edema/CHF . If your units do not currently carry an IV pump and your patient meets the indications, please call for your nearest EMS supervisor unit and continue your SL and transdermal routes

Good afternoon! We are going to discontinue our stock of morphine in the supervisor units. ALL Supervisors, during your next scheduled daily check, please remove your stock of Morphine and return all your vials to me or Dave Chisholm at Elliott parkway. D75, you can probably coordinate with 1814 for them to bring your vials