1140 - Transport/Destination Flashcards
Transport/Destination - 1140
Transport of unstable patients should begin within ________ minutes.
10
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Transport/Destination - 1140
Adult destination determination policy
The officer-in-charge will determine transport destination after considering the following: (3)
• Patients who are UNSTABLE or in CARDIAC ARREST will be transported to the closest most appropriate hospital
• Patients who are STABLE will be transported to the hospital where the patient is usually seen and has the patient’s medical records
• Special Treatment Circumstances: (3)
▪ Patients to meet stroke alert status will be transported to a State of Florida approved comprehensive or primary stroke center
▪ Patients you meet STEMI alert status should be transported to a facility with it Interventional cardiac catherization capability
▪ Patients with pregnancy related complaints will be transported to a facility with obstetric (OB) capability
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Transport/Destination - 1140
Pediatric destination determination policy
The officer-in-charge will determine transport destination after considering the following: (3)
- Pediatric patients who are UNSTABLE or in CARDIAC ARREST should be transported to the closest approved Pediatric Emergency Department
- Transfer to an alternate hospital should only take place if the hospital is closer to the scene of the incident in the patient’s immediate condition is such that the patient’s life will be in danger if care is delayed by proceeding directly to a an approved pediatric emergency department
- Patients who are STABLE should be transported to the hospital where the patient is usually seen and has the patient’s medical records
- STABLE pediatric with a simple injury or complaint and no hospital affiliation: transport to the closest approved Pediatric Emergency Department
- STABLE pediatric with a complex complaint and/or medical history (i.e. congenital cardiac neurological abnormalities) transport to Baptist Downtown or UF Health.
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Transport/Destination - 1140
Pediatric should be secured to the stretcher with the Pediatric Restraint Device (if size appropriate) or their own car seat.
True or false?
True
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Non-transport situations
The following situations will not require transport of patient to hospital by rescue. (Must complete signed AMA or non-emergency/non-transport transport refusal) (7)
- Situations where no emergency exists
- Injuries of a superficial or minor in nature
- Situations where transport would endanger the safety of rescue crew members
- Patients, otherwise stable, who require transport to mental health resource or Detox facility
- Situations where patients request private provider or private vehicle transportation
- Patients refuse transportation
- DOS victims will not be transported
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Transport after administration of medications (3)
- Patients will not be giving medications in the field and then released or allowed transport by private vehicle
- Prior to medication administration, patient condition permitting, patient should be informed that if JFRD personnel administer medication, the patient must be transported by JFRD for physician evaluation
- Even if the patient’s condition improves, the patient should still be transported by rescue for evaluation
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Transport of passengers
Family, friends or other passengers will not be routinely transported UNLESS REQUIRED for the continuation of patient care.
True or false?
True
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Transport of passengers
Transport of passengers is at the sole discretion of the officer in charge of the rescue unit.
• Exceptions (4)
- Pediatric patients requiring a parent or Guardian
- Geriatric patients requiring a guardian or caregiver
- Patients with language barriers requiring a translator
- Patients with speech disabilities requiring someone proficient in sign language
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Transport of multiple patients - Maximum of two
Many times JFRD personnel are faced w/ situation of txporting more than 1 patient to the hospital via 1 Rescue Company.
True or false?
True
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Transport of multiple patients - Maximum of two
In this situation, need a patient shalll be left unattended in the back of the Rescue Unit, under any circumstances.
True or false?
True
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If txporting a max. of 2 pts to hosp. via 1 Rescue, have OIC of Engine provide personnel to ride along in order to assist in pt care/monitor pt until they can be taken into ER. True or false?
True
pg. 2
In situations where extraordinary circumstances exist, multiple pt incidents, IC may elect to deviate from these existing guidelines in determining destination of patients. True or false?
True
pg. 2
Transport/Destination - 1140
Patients will be transported by rescue (with proper consent)
The following situations require transport: (17)
• Life threatening emergencies in those situations which could become life-threatening
• Chest pain/cardiac signs and symptoms/epigastric discomfort
• Systolic BP > 180 mmHg OR Diastolic BP > 110 mmHg
• Abdominal pain
• Reported loss of consciousness
• Report of blood in stool or vomit
• Severe sudden onset headache, light intolerance and/or neck stiffness
• Difficulty breathing
• Pregnancy
• Diabetic emergencies
• Altered mental status
• All drowning patients
• Patients to meet trauma, STEMI or stroke alert status
• Patients who require or have received Advanced Life Support treatment and or medications
• Conditions that might be exacerbated by improper handling or inappropriate transport
• Pediatric patients 15 years of age or younger who are symptomatic
▪ Exceptions are superficial injuries when a competent parent or legal guardian is on scene or documented sign refusal of treatment or transportation
• Elderly patients 65 years of age or older
▪ Exceptions are non-symptomatic confident patients without a documented chief complaint or documented signed refusal treatment/ transportation
pg. 1
All pts will be txported based on pt assessment in the most appropriate manner consistent with their condition. Deviations will be documented on the patient care report.
True or false?
True
pg. 1
Transport/Destination - 1140
Patients transported by Rescue will normally be transported to the emergency department.
• Exceptions (4)
- Obstetric patients may be taken directly to the labor and delivery from ED when accompanied by an RN, PA or physician
- Obstetric patients may be taken directly to Baptist Pavilion, Baptist Beaches OB or St. Vincent’s Southside Women’s Center after consultation with the ED via radio
- STEMI alerts may be taken directly to the cardiac catherization lab when accompanied by an RN, PA or physician
- Inter-facility transfers may be taken directly to the appropriate department. Transferring physician will determine the transport destination
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