EMS Policy Manual - Contra Costa Health Services
EMS Policy Manual - Contra Costa Health Services EMS Policy Manual - Contra Costa Health Services
Contra Costa Emergency Medical Services POLICY #: 25 PAGE: 3 of 3 C. Emergency Room Patient handoff report should repeat STEMI Alert information and include: 1. Patient identification 2. Presenting complaint 3. Additional background information: a. Past medical history b. Advanced directives if known 4. Allergy and medication history including high-risk medications a. Anticoagulants b. Insulin c. Digoxin d. Erectile Dysfunction Drugs (ERDs) 5. Previous history of Coronary Artery Surgery or thrombolytic (clot busting) therapy 6. Cardiologist if known VI. DOCUMENTATION A. A copy of the P12ECG (multiple if performed) shall be delivered to the nurse caring for the patient at arrival in the Emergency Department. B. A copy of the P12ECG (multiple if performed) shall be generated for inclusion in the prehospital Patient Care Record or incorporated via electronic means into the record. The finding of STEMI on P12ECG and confirmation of the STEMI Alert shall also be recorded in the Patient Care Record. VII. LIST OF STEMI CENTERS IN-COUNTY STEMI CENTERS OUT-OF-COUNTY STEMI CENTERS Doctors Medical Center San Pablo ValleyCare - Pleasanton John Muir Medical Center – Concord Campus Oakland Summit Medical Center John Muir Medical Center – Walnut Creek Campus Kaiser Permanente Medical Center– Walnut Creek San Ramon Regional Medical Center – San Ramon Sutter Delta Medical Center - Antioch
Contra Costa Emergency Medical Services EMS STEMI RECEIVING CENTER DESIGNATION POLICY #: 26 PAGE: 1 of 3 EFFECTIVE: 05/25/12 REVIEWED: 05/25/12 I. PURPOSE To define requirements for designation as a Contra costa County STEMI Receiving Center (SRC) for patients transported via the 9-1-1- system with ST-elevation myocardial infarction (STEMI) who may benefit by rapid assessment and percutaneous coronary intervention (PCI). II. APPLICATION PROCESS To apply for designation as an EMS STEMI Receiving Center (SRC) for Contra Costa County, an interested hospital shall: A. Submit a Contra Costa EMS designation application to the Contra Costa EMS Agency. B. Pay applicable initial application fee and annual designation fee to cover initial and ongoing County costs to support the STEMI program. III. DESIGNATION CRITERIA A. Current California licensure as an acute care facility providing Basic Emergency Medical Services. B. Ability to enter into a written agreement with Contra Costa County identifying SRC and County roles and responsibilities. C. Meets STEMI Receiving Center Designation Criteria as defined in the STEMI Designation Application. The criteria include: 1. Hospital Services a. Special permit for cardiac catheterization laboratory. b. Intra-aortic balloon pump capability. c. Special permit for cardiovascular surgery service. 1) The Contra Costa EMS Medical Director may waive this requirement for patient or system needs. 2) Conformance with the American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Intervention (ACC/AHA/SCAI) guidelines for centers without backup cardiovascular surgery will be evaluated in consideration of the waiver. d. Continuous availability of PCI resources (24-hours/7-days a week). 2. Hospital Personnel a. STEMI Receiving Center Medical Director b. STEMI Receiving Center Program Manager c. Cardiac Catheterization Lab Manager/Coordinator d. Intra-aortic balloon pump technician(s) e. Appropriate Cardiac catheterization nursing and support personnel f. Physician Consultants 1) Cardiology interventionalist 2) CV Surgeon
- Page 11 and 12: Contra Costa Emergency Medical Serv
- Page 13 and 14: Contra Costa Emergency Medical Serv
- Page 15 and 16: Contra Costa Emergency Medical Serv
- Page 17 and 18: Contra Costa Emergency Medical Serv
- Page 19 and 20: Contra Costa Emergency Medical Serv
- Page 21 and 22: Contra Costa Emergency Medical Serv
- Page 23 and 24: Contra Costa Emergency Medical Serv
- Page 25 and 26: Contra Costa Emergency Medical Serv
- Page 27 and 28: Contra Costa Emergency Medical Serv
- Page 29 and 30: Contra Costa Emergency Medical Serv
- Page 31 and 32: Contra Costa Emergency Medical Serv
- Page 33 and 34: Contra Costa Emergency Medical Serv
- Page 35 and 36: Contra Costa Emergency Medical Serv
- Page 37 and 38: Contra Costa Emergency Medical Serv
- Page 39 and 40: INTERFACILITY EMERGENCY RESPONSE -
- Page 41 and 42: Contra Costa Emergency Medical Serv
- Page 43 and 44: Contra Costa Emergency Medical Serv
- Page 45 and 46: Contra Costa Emergency Medical Serv
- Page 47 and 48: Contra Costa Emergency Medical Serv
- Page 49 and 50: Contra Costa Emergency Medical Serv
- Page 51 and 52: Contra Costa Emergency Medical Serv
- Page 53 and 54: Contra Costa Emergency Medical Serv
- Page 55 and 56: Contra Costa Emergency Medical Serv
- Page 57 and 58: Contra Costa Emergency Medical Serv
- Page 59 and 60: Contra Costa Emergency Medical Serv
- Page 61: Contra Costa Emergency Medical Serv
- Page 65 and 66: Contra Costa Emergency Medical Serv
- Page 67 and 68: Contra Costa Emergency Medical Serv
- Page 69 and 70: Contra Costa Emergency Medical Serv
- Page 71 and 72: Contra Costa Emergency Medical Serv
- Page 73 and 74: Contra Costa Emergency Medical Serv
- Page 75 and 76: Contra Costa Emergency Medical Serv
- Page 77 and 78: Contra Costa Emergency Medical Serv
- Page 79 and 80: Contra Costa Emergency Medical Serv
- Page 81 and 82: Contra Costa Emergency Medical Serv
- Page 83 and 84: Contra Costa Emergency Medical Serv
- Page 85 and 86: Contra Costa Emergency Medical Serv
- Page 87 and 88: Contra Costa Emergency Medical Serv
- Page 89 and 90: Contra Costa Emergency Medical Serv
- Page 91 and 92: EMS Personnel Recognition of a Haza
- Page 93 and 94: Contra Costa Emergency Medical Serv
- Page 95 and 96: Contra Costa Emergency Medical Serv
<strong>Contra</strong> <strong>Costa</strong><br />
Emergency Medical <strong>Services</strong><br />
POLICY #: 25<br />
PAGE: 3 of 3<br />
C. Emergency Room Patient handoff report should repeat STEMI Alert information and include:<br />
1. Patient identification<br />
2. Presenting complaint<br />
3. Additional background information:<br />
a. Past medical history<br />
b. Advanced directives if known<br />
4. Allergy and medication history including high-risk medications<br />
a. Anticoagulants<br />
b. Insulin<br />
c. Digoxin<br />
d. Erectile Dysfunction Drugs (ERDs)<br />
5. Previous history of Coronary Artery Surgery or thrombolytic (clot busting) therapy<br />
6. Cardiologist if known<br />
VI. DOCUMENTATION<br />
A. A copy of the P12ECG (multiple if performed) shall be delivered to the nurse caring for the<br />
patient at arrival in the Emergency Department.<br />
B. A copy of the P12ECG (multiple if performed) shall be generated for inclusion in the prehospital<br />
Patient Care Record or incorporated via electronic means into the record. The finding of STEMI<br />
on P12ECG and confirmation of the STEMI Alert shall also be recorded in the Patient Care<br />
Record.<br />
VII. LIST OF STEMI CENTERS<br />
IN-COUNTY STEMI CENTERS OUT-OF-COUNTY STEMI CENTERS<br />
Doctors Medical Center San Pablo ValleyCare - Pleasanton<br />
John Muir Medical Center – Concord Campus Oakland Summit Medical Center<br />
John Muir Medical Center – Walnut Creek Campus<br />
Kaiser Permanente Medical Center– Walnut Creek<br />
San Ramon Regional Medical Center – San Ramon<br />
Sutter Delta Medical Center - Antioch