EMS Policy Manual - Contra Costa Health Services

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Contra Costa Emergency Medical Services C. To Report Domestic Violence: POLICY #: 23 PAGE: 2 of 2 Reporting responsibilities are fulfilled by notifying the local law enforcement agency, and by reporting suspicions and patient finding to receiving hospital staff (if transported). IV. SEXUAL ASSAULT A. Sexual assault shall be reported as above in situations involving elder, dependent adult, child, or domestic violence. B. It is recommended to transport patients who have been sexually assaulted to Contra Costa Regional Medical Center for evaluation and evidentiary exam; however, the patient may be transported to the receiving hospital of choice. C. Discourage any activity that would compromise evidence collection prior to transport such as bathing, brushing teeth, brushing hair, urinating, defecating or changing clothes.
Contra Costa Emergency Medical Services HOSPITAL CT / STEMI - CARDIAC CATH LAB AND INTERNAL DISASTER 1 DIVERSION POLICY #: 24 PAGE: 1 of 1 EFFECTIVE: 7/5/2011 REVIEWED: 7/5/2011 I. PURPOSE To assure prompt notification of diversion status throughout the EMS system so that emergency patients are transported to the most accessible medical facility that is staffed, equipped, and prepared to administer emergency care appropriate to the needs of the patient. II. TYPES OF DIVERSION Inoperable CT scanner (CT Divert) Internal Disaster (INT Divert) Inoperative Cardiac Cath Lab (STEMI Divert) III. REDDINET NOTIFICATION OF DIVERSION STATUS ReddiNet is the only accepted notification method for reporting CT, INT and STEMI diversion. Once the appropriate ReddiNet status field has been changed, ambulance dispatch centers automatically receive the notification and then relay hospital diversion status to their ambulances. Emergency Department personnel should note that using the ReddiNet “message” feature alone does not reliably result in ambulance diversion. Messaging about diversion status should only to be used after the appropriate change has been made in the ReddiNet status field. IV. HOSPITAL ELIGIBILITY FOR DIVERSION A. CT scanner inoperative (CT divert). If a hospital’s CT scanner is inoperative, diversion of specific ambulance patients as specified in the EMS patient destination policy (EMS policy #9) may be considered. These patients may include those with: 1. Suspected stroke – duration of signs and symptoms four hours or less. 2. New onset of altered consciousness for traumatic or medical reasons. B. Internal Disaster (INT Divert): A hospital is eligible for internal disaster divert whenever a “physical plant” internal disaster has occurred that has rendered emergency department services unavailable to the public, e.g., bomb threat, fire, power outage or explosion. C. Cardiac Cath Lab Inoperative (STEMI Divert). If a STEMI Receiving Center’s cardiac catheterization lab becomes inoperative due to maintenance or equipment failure, diversion of STEMI alert patients may be considered in accordance with the EMS STEMI Triage and Destination policy (EMS policy #25). V. PROCEDURE FOR REQUESTING, IMPLEMENTING AND CANCELLING DIVERT STATUS A. Obtain authorization from hospital administration according to hospital’s internal procedures. B. Update appropriate diversion status on ReddiNet the Hospital Status section. C. If diversion is anticipated to be prolonged, notify the EMS Agency (during normal working hours) or contact the EMS Duty officer (after-hours). C. Internal Disaster only: In the circumstance of hospital internal disaster the facility is to notify Sheriff’s dispatch (925-646-2441) of the nature of the emergency and request dispatch to notify all ambulance providers and the EMS Duty Officer. D. To re-establish normal ambulance traffic, the hospital will update appropriate diversion status field on ReddiNet. If ReddiNet is unavailable, the hospital is to contact Sheriff’s dispatch and request that they notify all ambulance providers and the EMS Duty Officer. 1 Formerly known as Physical Plant Casualty
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EMS Policy Manual - Contra Costa Health Services

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