Transfers

Question 1

Non-emergency Line answer phrase…

Answer 1

Ambulance, what is the purpose if your call?

Question 2

Protocol 45

Answer 2

Specialized Unscheduled Up-care transfer

all transfers for higher level of care not deemed life or limb

Question 3

What determines the acuity level of a Protocol 45 call?

Answer 3

Medications and equipment

escorts needed for all medication deemed ALS

Question 4

Protocol 46

Answer 4

Scheduled Interfacility Transfer

Question 5

Protocol 46 - how does the scheduled appt time need to be handled?

Answer 5

Entered into ProQA and the SCT

Question 6

Protocol 46 - how is readiness time blocked?

Answer 6

Immediate = under 30 min
Scheduled = before midnight and 30+min
Pre-Scheduled = after midnight

Question 7

Protocol 47

Answer 7

Mental Health Transfer

Question 8

Under what circumstances can a call be shunted
to Protocol 45 from Protocol 47?

Answer 8

1. Inter hospital transfer
2. Medical condition is more significant than the mental

Question 9

What gets updated for return transfer in the SCT?

Answer 9

Problem Type: Transfer Return

Question 10

Which protocol are used for Ministry Created Transfers?

Life or Limb, Team Transfers (all), Organ, Obstetric

Answer 10

CAD Protocol

MTPS Transfers us ProQA

Question 11

Process to access the CAD Transfer Protocols

Answer 11

1. F10 to open SCT
2. Problem/Nature: Transfer-Gateway
3. Priority X
4. Choose the blue question icon as per usual

if the type of ministry transfer is clearly communicated - set problem/n

Question 12

Which calls qualify for the Problem/Nature Transfer - Life or Limb

Answer 12

• CritiCall has declared Life or Limb
• Stemi
• Code Stroke
• Obstetrics with Fetal Distress or Severe Hemorrhage

Question 13

Launch all Team Transfers with which Problem/Nature

Answer 13

Transfer - Team Emergency

This will access the SOP

Question 14

True or False: Team Transfer - Emergency problem/nature is used for all transfers with Ornge or other teams whether they have a pt or not

Answer 14

True

Question 15

How do you access the SOP for the MTPS transfers?

Answer 15

Caduceus to use ProQA

Protocols 45, 46, and 47

Question 16

Steps to send Specialized Unscheduled Transfer for Up-care to queue in ProQA

Stat transfers

Answer 16

1. Verify and accept the send point in ProQA
2. Close ProQA
3. Save the SCT
4. Re-Open ProQA and complete the protocol as required

Caduceus opens ProQA // Save at the bottom of the SCT

Question 17

Where in the MTPS Protocol 45 override handled?

Answer 17

If overriding, switch protocol to 45-D-00 and document the authorizing persons name, badge and time of authorization

Question 18

Protocol for a card 45 override

Answer 18

45-D-00

Question 19

Inter-facility definition has been extended to include:

Answer 19

• Hospitals
• Nursing Homes
• Homes for the Aged
• Approved homes for Special Care
• Managed in-home programs for the terminally ill
• Outpost Nursing Stations
• Phsycians Offices
• Community Health Centres

Mostly where a dr is often available or on scene

Question 20

Describe the difference between IMMEDIATE, SCHEDULED, and PRESCHEDULED in the ProQA MTPS

Answer 20

• IMMEDIATE - 30 min or less
• SCHEDULED - requested time is before midnight today
• PRESCHEDULED - after midnight tonight

Question 21

Return Transfers will have which problem/nature and priority?

Answer 21

Transfer-Return
Green

as always, ensure the time is set to 23:23 on the day of the return

Question 22

Updates to pt condition, equipment, or medications are handled differently for MOH and MTPS Transfers - explain

Answer 22

• MTPS updates require the launch of ProQA and re-completion of MTPS protocol
• MOH transfer updates are documented in the SCT comments (including the callers name and phone number

Pro tip - always confirm the pt name, health card number - confirm call!

Question 23

If hospital wants ACP support…

Answer 23

Hospital will be referred to ORNGE

Question 24

Black out hours for low acuity transfers

Answer 24

0000hrs to 0800 hrs

on duty Fleet Supervisor permission required

Question 25

Return wait times for Georgian Dispatched Units

Answer 25

30 minutes

Notify originator at time of booking