3000 Referal Pathways

Question 1

What are examples of alternate care pathways for paramedics?

Answer 1

Virtual care/telemedicine, primary care centres, culturally appropriate services, palliative care teams, disability services, hospital direct admission pathways, geriatric services, mental health, community nursing providers, drug and alcohol services, COVID clinics, hospital in the home, allied health services, GPs, mobile radiology and pathology services.

Question 2

If a patient has a pre-existing care provider, what should a paramedic do?

Answer 2

Engage with the existing care provider (e.g., GP, mental health team, palliative care team) and advocate for their continued care.

Question 3

What services are offered at primary care centres and hospital avoidance programs?

Answer 3

Imaging (X-ray, ultrasound, CT), pathology (blood, urine), pharmacy (medications), wound care, IV therapies, plastering, point-of-care (POC) testing, and specialized referrals.

Question 4

What conditions are suited for fast workup and immediate care in primary care centres?

Answer 4

Infections, wounds/cuts, and simple fractures.

Question 5

What should a paramedic assess before deciding against transport to ED?

Answer 5

Patient expectations, mobility assessment, goals for care (ACD, 7-step pathway), technological requirements, and social determinants of health (housing, transport, demographics).

Question 6

When must a paramedic transport a patient directly to the ED?

Answer 6

When the patient is deteriorating or presenting with a life-threatening condition.

Question 7

What patient benefits are associated with virtual healthcare?

Answer 7

Increased convenience, better access to specialists, and reduced travel time, especially for remote or underserved areas.

Question 8

What challenges do clinicians face with virtual healthcare?

Answer 8

Adapting to new technologies and maintaining effective patient engagement.

Question 9

What technological advancements support virtual healthcare?

Answer 9

High-speed internet and mobile devices for remote consultations and monitoring.

Question 10

What policy issues need to be addressed for virtual healthcare?

Answer 10

Licensing, reimbursement, and privacy concerns to ensure quality care delivery.