EMS Policy Manual - Contra Costa Health Services

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Contra Costa Emergency Medical Services POLICY #: 33C PAGE: 3 of 3 VII. GROUND AMBULANCE RESPONSIBILITIES A. Ground ambulance units shall make trauma base contact as soon as possible to provide early notification of patient arrival. B. A ground unit paramedic, who accompanies a patient in a rescue aircraft must assure the presence of appropriate medical equipment and must obtain orientation to the aircraft and to medical air transport procedures prior to transport. VIII. HELICOPTER RENDEZVOUS A. If a helicopter rendezvous is deemed appropriate even considering added transport time, a helispot (rendezvous site) as close as possible to the scene should be established. B. A first-responder paramedic may elect to maintain primary patient care responsibility by accompanying the patient in transport to the helispot in order to facilitate communication with the treating helicopter crew. IX. MULTICASUALTY INCIDENT (MCI) RESPONSES Detailed roles and responsibilities for EMS helicopter providers during multicasualty incidents are specified in the County MCI Plan. Helicopters: A. Respond to an incident only when requested. B. Prepare to stage at closest airport or location designed by the Incident Commander. X. INCIDENT REVIEW AND QUALITY IMPROVEMENT A. Helicopter providers shall participate in EMS Agency quality improvement activities. B. Contra Costa EMS maintains oversight of helicopter utilization and works with helicopter provider agencies in assuring appropriate use of helicopter resources.
Contra Costa Emergency Medical Services SEARCH FOR DONOR CARD POLICY #: 34 PAGE: 1 of 1 EFFECTIVE: 01/01/12 REVIEWED: 10/01/11 I. PURPOSE Section 7150.55 of the Health and Safety Code requires emergency medical personnel to make a reasonable search for a document of anatomical gift, or other information identifying the patient as a donor or an individual who has refused to make an anatomical gift, “upon providing emergency medical services to an individual, when it appears that the death of that individual may be imminent. This requirement shall be secondary to the requirement that ambulance or emergency medical personnel provide emergency medical services to the patient.” No search is to be made by emergency medical personnel after the patient has expired. II. DEFINITIONS “Imminent Death”: A condition wherein illness or injuries are of such severity that in the professional opinion of emergency medical personnel, death will probably occur before the patient arrives at the receiving hospital. This definition does not include any conscious patient regardless of the severity of illness or injury. “Reasonable Search”: A brief attempt by emergency medical personnel to locate documentation that may identify a patient as a potential organ donor, or one who has refused to make an anatomical gift. This search shall be limited to a wallet or purse that is on or near the individual, to locate a driver’s license or other identification card with this information. If a purse or wallet is searched by emergency medical personnel, the search must be done in the presence of a witness. “Donate Life California” A donor registry (internet-based, accessible by hospital personnel involved in transplant or tissue donation decisions) also contains the information on donor status that is present on driver’s licenses or identification cards issued since 2006. III. PROCEDURE Emergency medical treatment and transport of the patient remains the highest priority for field personnel. This search shall not interfere with patient care or transport. A. If a document of anatomical gift or evidence of refusal to make an anatomical gift is located by emergency medical personnel, and the individual is taken to a hospital, the hospital shall be provided with the documentation. In situations where the investigating law enforcement officer has requested the card, hospital notification of documentation found will meet this requirement. Verification of documentation can be made through the “Donate Life California” registry. B. If emergency medical personnel are unable to perform a search due to overriding medical care priorities or sensitivity concerns at the scene and/or during the transport, the hospital shall be notified that the search has not been performed along with surrounding circumstances. C. Details of any search, including witnesses, what was found and who was notified, shall be documented on the Prehospital Care Report (PCR) completed for that patient. D. Most importantly, a completed PCR that describes the circumstances and timing of events leading to the patient’s condition as well as prehospital patient care delivered are critical to hospital personnel responsible for anatomical gift decisions.
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EMS Policy Manual - Contra Costa Health Services

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