26 Questions
What should transport providers do if a patient lacks decision-making capacity or if consent is implied?
Transport the patient to the closest appropriate facility.
When should transport providers consult their supervisor and online medical control according to the text?
If a patient refuses treatment/transport but lacks capacity or when consent is implied.
What should providers do if a patient requests transport to a facility that lacks the ability to care for their condition?
Explain the need for specialty care and consult their supervisor.
What is the main purpose of establishing guidelines for declaring a STEMI Alert?
To ensure accurate assessment of STEMI Alert criteria
What is a key requirement for declaring a STEMI Alert?
ST segment elevation > 1 mm in two contiguous leads
What action should be taken first upon meeting the STEMI Alert criteria?
Declare a STEMI Alert to communications
Which of the following would exclude a patient from a STEMI Alert?
Asymptomatic but has ECG readings consistent with STEMI criteria
When should a 12-lead ECG be transmitted upon meeting the STEMI Alert criteria?
As soon as possible
What information should accompany the 12-lead ECG when transmitted?
Patient's name
What must be included in the alert to the transport hospital regarding a STEMI Alert patient?
Transport radio report and patient's name
What are the ECG findings that would prompt a provider not to declare a STEMI Alert?
Isolated V1 and V2 elevation only
According to the guidelines, what should be done if the Cincinnati Prehospital Stroke Screen (CPSS) is positive for stroke?
Assess for a possible LVO
What action should be taken if the patient exhibits signs of stroke and has positive VAN Score along with positive CPSS screening?
Declare a Stroke Alert
In the context of Stroke / LVO Alert, what does VAN positive imply?
Patient has weakness, visual disturbances, aphasia, or neglect
Which factor determines whether a patient should be transported to a Primary Stroke Center (PSC) or a Thrombectomy Capable Stroke Center (TCSC)?
The distance to the TCSC compared to the PSC
What information should be captured using the FILM tool for the receiving facility?
Unit Number, Family contact info, Recent Interventions, Last known well, Medications
In what situation does the ePCR need to reflect the decision regarding which provider attends to the patient?
> PL5 provider completes a full evaluation
What should the transport provider do if the patient refuses the recommended destination?
Transport the patient to the facility of their choosing
When there are multiple patients to be transported in one unit, who determines the transport destination?
The patient with higher acuity
What should be done if a patient has a memorandum of transfer from another healthcare provider?
Transport the patient to the destination indicated in the memorandum
When is splitting patients at the scene during transport acceptable?
When it puts either patient in danger
What should be documented if a patient refuses recommended treatment?
The refusal of treatment should be documented
What should a transport provider do if the patient does not require specialty care and has no preference for a destination?
Transport the patient to the nearest appropriate facility
Under what circumstance should a supervisor be contacted regarding transport?
If there is uncertainty about the recommended destination
What action should be taken if a patient has an expressed preference for a different facility?
Respect the patient's preference if possible and safe
When should a patient be advised of associated risks during transport?
Before being transported to any facility
Learn about the standards and guidelines for making transport destination decisions in clinical settings, considering patients' specialized care needs and preferences. Understand how to determine the most suitable care facility based on specific conditions.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
