2015 Trumbull Memorial Hospital Demo

EMS Transportation

EMS Transportation

EMT

1. The decision to transport should be a crew decision, with the patient’s best interest in mind. The highest trained, in-charge person is ultimately responsible . The patient has the right to refuse treatment and transport as described under the Patient Rights section. 2. The patient’s condition and their needs should help determine method of transportation and destination. Consideration should include, but not limited to, need for Paramedic versus time to closest hospital, number of crew on your vehicle, and appropriateness of closest hospital.

3. Medical helicopter transportation shall be considered on policies set forth under the Helicopter Transportation section.

4. During transport, treatment shall continue and reassessment of the patient shall continue.

5. All patients with acute mental status changes that have any life threatening complaint or condition are to be transported to the hospital by EMS. A person with altered mental status cannot refuse transport if they have a condition that is a threat to life or limb. A suicidal patient has a life threatening condition and is not considered to be in a normal state of mind ; therefore all suicidal patients should get transported to the most appropriate facility for evaluation . If they have a medical condition that requires treatment or monitoring then EMS must transport. EMS cannot legally take an alert, oriented, and medically competent person against their will without a civil commitment (pink slip), even if they express suicidal tendencies. Family and friends are not to transport suicidal patients once EMS has gotten involved, unless the patient refused care and there is no pink slip. In any situation that a patient with altered mental status or suicidal/homicidal tendencies tries to refuse care, get law enforcement involved immediately.

AEMT

1. All guidelines for EMT’s shall apply to AEMT’s.

2. If IV’s are in place, they are to be monitored.

Paramedic

1. All guidelines for EMT’s and AEMT’s shall apply to Paramedics.

170

EMR

EMT

AEMT

Paramedic

Extended