General Flashcards

Question

Where are critically ill pt.s to be taken?

Answer 1

Critically ill patients, including those in cardiac or respiratory arrest, shall be transported to the closest most appropriate hospital.

Answer 2

Seriously burned patients may be transported to St. John's Mercy Medical Center when the Barnes-Jewish Hospital Surgical Intensive Care Unit (SICU) does not have capability.

Answer 3

Patients who request county hospital and are critical/unstable should be transported to the closest appropriate hospital. Medical control should be contacted if necessary.

Answer 4

Pregnant patients shall be transported, regardless of age, to Barnes-Jewish Hospital, St. Anthony’s Medical Center or St. Mary’s Health Center during normal operational status.

Answer 5

Current diversion policy states that no hospital shall be on diversion for overcrowding or manpower/technology issues. True diversion will only be in effect if there is a crisis situation at the hospital (power outage, fire, bomb threat, hostage situation, etc) and this information should be available via the EMSystem and announced to the crews.

Answer 6

The physician must provide evidence of a State of Missouri medical license. The physician must speak with an on-line Medical control physician. The physician must agree to assume full responsibility for the patient and the patient’s care, and the on-line Medical control physician must directly advise the crews that they may take medical direction from the intervening physician. The physician must accompany the patient to the hospital in the medic unit. The physician must provide guidance for the run documentation, and sign the computer or paper sheet. If all of the above does not apply, the physician may not provide on-scene medical direction

Answer 7

Neither the EMT nor paramedic is to accept orders that are outside the scope of practice, or beyond the training or capabilities of the EMT or paramedic. If there is any disagreement, crews will request that their supervisor respond to the scene and defer to the on-line medical control physician. If the physician’s actions jeopardize the safety of the patient or any other person, or jeopardize patient care in any way, crews should immediately call for their supervisor and the police

Answer 8

If the physician is a local Emergency physician who is personally known to the crew, only the stipulations concerning scene safety apply. Otherwise the crews should take direction from the doctor just as they would if they were speaking over the phone or radio

Answer 9

if the patient or family members confirm that the person is the patient’s personal physician, and the physician confirms that there is a pre-existing doctor/patient relationship, the doctor enjoys special privileges by virtue of that relationship. The following procedures apply: EMTs and paramedics should defer to the orders of the patient’s personal physician. This includes, but is not limited to the right of that physician to pronounce death. Neither the EMT nor paramedic should accept orders that are outside the scope of practice or beyond the training or the capability of the EMT/Paramedic.

Answer 10

If the physician’s orders or actions would put the patient at risk or are beyond the capability of the crew, the supervisor should be contacted and the Medical control physician should be contacted. Attempt to have any conflicts resolved via doctor-to-doctor communication, using EMS equipment (radio) if necessary.

Answer 11

The physician must agree to assume full responsibility for the patient and the patient’s care, and the on-line Medical control physician must directly advise the crews that they may take medical direction from the intervening physician. The physician must accompany the patient to the hospital in the medic unit. The physician must provide guidance for the run documentation, and sign the computer or paper sheet. If the physician is not willing to comply with all of the above stipulations, the physician may not accompany the patient to the hospital. Once the physician is no longer in attendance, revert to normal operating procedures and protocols.

Answer 12

The EMT or Paramedic may, at his/her discretion, allow such personnel to assist you with patient care. Some of these personnel have special skills such as intubation and IV placement. However, it is generally not appropriate to permit them to perform invasive procedures unless they are riding with the medic or have been otherwise positively identified. In these cases, the medic is still responsible for patient care and for verifying any procedure performed

General Flashcards

(36 cards)