COMMUNICATING WITH HOSPITAL OR MEDICAL CONTROL

  • There are several reasons to contact the hospital:

    • To notify the hospital when time is needed to set-up for the patient. Examples include major trauma, cardiac arrest, hazardous materials, bedbugs, and Cardiac or Stroke Alerts or Sepsis patients.

    • Contact all hospitals with all serious patients, e.g., stroke, MI, respiratory distress, shock and major traumas or to obtain orders for procedures or medications indicated by diamonds in these Standing Orders.

    • To obtain advice, for example, guidance from the MCP might be needed before a medication is given, even though Standing Orders allow it to be used without permission. Another situation might be a patient with an unfamiliar condition.

  • When contacting the hospital, make sure a clear picture is painted. Hospital personnel cannot see the pt. The ability to communicate findings will directly impact the hospital’s response.

  • When calling about a trauma patient, include MIVT, ETA, the components of the GCS, and patient assessment findings, especially those relevant to the decision to transport to a Trauma Center.

  • If consultation with a physician is desired, specifically request Medical Control Physician.

  • AEMTs must call the hospital whenever they transmit an EKG.

  • When calling with an alert (Trauma, Cardiac, or Stroke) say, “We recommend a ________ Alert.”

  • Remember that the hospital may have more information, and may or may not decide to act on your recommended alert. Examples:

    • Patients who meet Trauma Destination Protocols do NOT always warrant the hospital calling in a surgical team immediately.

    • A patient who meets Cardiac Alert criteria may have prior EKGs in their hospital record that indicate that the alert is unnecessary.

  • Every crew transporting a patient is expected to provide a completed run sheet to the hospital upon delivery or within 3 hours.

 

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