Clinical Operating Guidelines: Transport Destination Decision Process

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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?

To ensure accurate assessment of STEMI Alert criteria Signup and view all the answers

What is a key requirement for declaring a STEMI Alert?

ST segment elevation > 1 mm in two contiguous leads Signup and view all the answers

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

Declare a STEMI Alert to communications Signup and view all the answers

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

Asymptomatic but has ECG readings consistent with STEMI criteria Signup and view all the answers

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

As soon as possible Signup and view all the answers

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

Patient's name Signup and view all the answers

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

Transport radio report and patient's name Signup and view all the answers

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

Isolated V1 and V2 elevation only 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?

Assess for a possible LVO 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?

Declare a Stroke Alert Signup and view all the answers

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

Patient has weakness, visual disturbances, aphasia, or neglect 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)?

The distance to the TCSC compared to the PSC Signup and view all the answers

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

Unit Number, Family contact info, Recent Interventions, Last known well, Medications Signup and view all the answers

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

> PL5 provider completes a full evaluation Signup and view all the answers

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

Transport the patient to the facility of their choosing Signup and view all the answers

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

The patient with higher acuity Signup and view all the answers

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 Signup and view all the answers

When is splitting patients at the scene during transport acceptable?

When it puts either patient in danger Signup and view all the answers

What should be documented if a patient refuses recommended treatment?

The refusal of treatment should be documented 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?

Transport the patient to the nearest appropriate facility Signup and view all the answers

Under what circumstance should a supervisor be contacted regarding transport?

If there is uncertainty about the recommended destination Signup and view all the answers

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 Signup and view all the answers

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

Before being transported to any facility Signup and view all the answers