EMS Policy Manual - Contra Costa Health Services

More documents

Recommendations

Info

Contra Costa Emergency Medical Services POLICY #: 10 PAGE: 2 of 2 qualified to decline). Assistance from support agencies in appropriate circumstances should be utilized. IV. BASE CONTACT REQUIREMENTS A. Base contact is required: 1. When, in the prehospital personnel’s opinion, the patient’s decision to decline care poses a threat to his/her well being. 2. If the patient’s competency status is unclear (neither competent nor clearly incompetent) and treatment or transport is felt to be appropriate. 3. Any other situation in which, in the prehospital personnel’s opinion, base contact would be beneficial in resolving treatment or transport issues. B. Patients in law enforcement custody or under 5150 hold do not require consent for transportation and base contact is not required in these circumstances. Patients in custody or under a 5150 hold may decline treatment. V. DOCUMENTATION Documentation requirements are outlined in Policy 27 – “Patient Care Record.”
Contra Costa Emergency Medical Services BASE HOSPITAL COMMUNICATIONS/ DISRUPTED COMMUNICATIONS POLICY #: 11 PAGE: 1 of 1 EFFECTIVE: 07/31/08 REVIEWED: 08/20/09 I. PURPOSE A. To define the role of the base hospital. B. To define the procedure when base contact is required and communication is disrupted. II. BASE HOSPITAL ROLE A. Contra Costa EMS Policies and Procedures, including the Prehospital Care Manual, are the guidance documents that direct the actions of prehospital personnel. The base hospital is available at all times to provide additional medical direction and advice. Base contact may be necessary to address any of the following issues: 1. Base hospital orders for medical care as required by Field Treatment Guidelines; 2. Base hospital orders for care not outlined in the Field Treatment Guidelines; 3. Patient destination concerns; 4. Determination of death or cessation of resuscitative efforts; 5. Other policy concerns that may need additional input and guidance (e.g. patient refusal of care, physician on scene). B. Emergency medical care personnel are encouraged to contact the base hospital if they have any questions regarding patient treatment or disposition. III. DISRUPTED COMMUNICATION When a paramedic is directed by a field treatment guideline to contact the base hospital and he/she is unable to establish or maintain base contact and determines that a delay in treatment may jeopardize the patient, the paramedic may initiate indicated ALS care as specified in the Field Treatment Guidelines until base contact can be established or until the patient is delivered to the closest appropriate receiving facility. The paramedic shall transport the patient as soon as possible while providing necessary treatment en route. If ALS procedures normally requiring base contact are performed under disrupted communications, the paramedic shall: A. Immediately following delivery of the patient to the receiving hospital: 1. Complete the PCR documenting the ALS skills performed; 2. Notify, or request that the agency dispatcher notifies Sheriff’s Dispatch of the communication problem, if the paramedic suspects that any radio problem was due to a situation other than location. B. Within 24 hours, send a copy of the completed PCR and a written report explaining the reason(s) or suspected reason(s) for communication failure to the paramedic provider agency QI coordinator. C. The paramedic provider agency QI coordinator shall evaluate paramedic reports and submit reports on a quarterly basis to the Emergency Medical Services Agency. The paramedic shall be prepared to demonstrate that the treatment delivered was appropriate.
Page 1 and 2: Contra Costa County Emergency Medic
Page 3 and 4: EMS Policies # 1 - EMT-1 Certificat
Page 5 and 6: Contra Costa Emergency Medical Serv
Page 21: Contra Costa Emergency Medical Serv
Page 39 and 40: INTERFACILITY EMERGENCY RESPONSE -
Page 73 and 74:
Contra Costa Emergency Medical Serv
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
EMS Personnel Recognition of a Haza
Page 93 and 94:
Page 95 and 96:
show all

EMS Policy Manual - Contra Costa Health Services

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?