Clinical Operating Guidelines: Transport Destination Decision Process
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Questions and Answers

What should transport providers do if a patient lacks decision-making capacity or if consent is implied?

  • Consult an online medical control system.
  • Transport the patient to a facility of their choice.
  • Consult their supervisor and then make a decision.
  • Transport the patient to the closest appropriate facility. (correct)

When should transport providers consult their supervisor and online medical control according to the text?

  • Only when they are transporting pediatric patients.
  • If they need a second opinion on the patient's condition.
  • If a patient refuses treatment/transport but lacks capacity or when consent is implied. (correct)
  • When a patient lacks decision-making capacity.

What should providers do if a patient requests transport to a facility that lacks the ability to care for their condition?

  • Ignore the patient's request and take them to that facility.
  • Ask the patient's physician to come to the current location.
  • Immediately transfer the patient to another facility without further consultation.
  • Explain the need for specialty care and consult their supervisor. (correct)

What is the main purpose of establishing guidelines for declaring a STEMI Alert?

<p>To ensure accurate assessment of STEMI Alert criteria (D)</p> Signup and view all the answers

What is a key requirement for declaring a STEMI Alert?

<p>ST segment elevation &gt; 1 mm in two contiguous leads (A)</p> Signup and view all the answers

What action should be taken first upon meeting the STEMI Alert criteria?

<p>Declare a STEMI Alert to communications (C)</p> Signup and view all the answers

Which of the following would exclude a patient from a STEMI Alert?

<p>Asymptomatic but has ECG readings consistent with STEMI criteria (A)</p> Signup and view all the answers

When should a 12-lead ECG be transmitted upon meeting the STEMI Alert criteria?

<p>As soon as possible (B)</p> Signup and view all the answers

What information should accompany the 12-lead ECG when transmitted?

<p>Patient's name (C)</p> Signup and view all the answers

What must be included in the alert to the transport hospital regarding a STEMI Alert patient?

<p>Transport radio report and patient's name (B)</p> Signup and view all the answers

What are the ECG findings that would prompt a provider not to declare a STEMI Alert?

<p>Isolated V1 and V2 elevation only (B)</p> Signup and view all the answers

According to the guidelines, what should be done if the Cincinnati Prehospital Stroke Screen (CPSS) is positive for stroke?

<p>Assess for a possible LVO (C)</p> Signup and view all the answers

What action should be taken if the patient exhibits signs of stroke and has positive VAN Score along with positive CPSS screening?

<p>Declare a Stroke Alert (C)</p> Signup and view all the answers

In the context of Stroke / LVO Alert, what does VAN positive imply?

<p>Patient has weakness, visual disturbances, aphasia, or neglect (B)</p> Signup and view all the answers

Which factor determines whether a patient should be transported to a Primary Stroke Center (PSC) or a Thrombectomy Capable Stroke Center (TCSC)?

<p>The distance to the TCSC compared to the PSC (A)</p> Signup and view all the answers

What information should be captured using the FILM tool for the receiving facility?

<p>Unit Number, Family contact info, Recent Interventions, Last known well, Medications (C)</p> Signup and view all the answers

In what situation does the ePCR need to reflect the decision regarding which provider attends to the patient?

<p>&gt; PL5 provider completes a full evaluation (A)</p> Signup and view all the answers

What should the transport provider do if the patient refuses the recommended destination?

<p>Transport the patient to the facility of their choosing (D)</p> Signup and view all the answers

When there are multiple patients to be transported in one unit, who determines the transport destination?

<p>The patient with higher acuity (A)</p> Signup and view all the answers

What should be done if a patient has a memorandum of transfer from another healthcare provider?

<p>Transport the patient to the destination indicated in the memorandum (B)</p> Signup and view all the answers

When is splitting patients at the scene during transport acceptable?

<p>When it puts either patient in danger (B)</p> Signup and view all the answers

What should be documented if a patient refuses recommended treatment?

<p>The refusal of treatment should be documented (A)</p> Signup and view all the answers

What should a transport provider do if the patient does not require specialty care and has no preference for a destination?

<p>Transport the patient to the nearest appropriate facility (B)</p> Signup and view all the answers

Under what circumstance should a supervisor be contacted regarding transport?

<p>If there is uncertainty about the recommended destination (D)</p> Signup and view all the answers

What action should be taken if a patient has an expressed preference for a different facility?

<p>Respect the patient's preference if possible and safe (B)</p> Signup and view all the answers

When should a patient be advised of associated risks during transport?

<p>Before being transported to any facility (A)</p> Signup and view all the answers

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