EMS Policy Manual - Contra Costa Health Services
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EMS Policy Manual - Contra Costa Health Services

EMS Policy Manual - Contra Costa Health Services EMS Policy Manual - Contra Costa Health Services

cchealth.org
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03.07.2013 Views

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

<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

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