Podcast
Questions and Answers
What is the purpose of indicating the peak census level in the bypass notification worksheet?
What is the purpose of indicating the peak census level in the bypass notification worksheet?
- To assess the hospital's staffing needs during emergencies
- To determine resource allocation for emergency services (correct)
- To report the hospital's overall patient satisfaction score
- To track historical patient admission trends for the hospital
Who is responsible for granting bypass requests according to the worksheet?
Who is responsible for granting bypass requests according to the worksheet?
- The Department of Public Health (IDPH) (correct)
- The hospital administrator
- The medical director
- The emergency department head
What requirement is mentioned before logging bypass notifications and times?
What requirement is mentioned before logging bypass notifications and times?
- Verification of the hospital's open status
- Documentation of incident command activation (correct)
- Assessment of available hospital beds
- Approval from regional emergency management
What information is critical to include when a bypass is requested?
What information is critical to include when a bypass is requested?
Which of the following times must be recorded in the bypass notification worksheet?
Which of the following times must be recorded in the bypass notification worksheet?
What does 'surge capacity' refer to in the context of a hospital?
What does 'surge capacity' refer to in the context of a hospital?
Under what circumstance can a patient be transported to a more distant hospital?
Under what circumstance can a patient be transported to a more distant hospital?
What condition indicates that a hospital might request a bypass due to insufficient critical beds?
What condition indicates that a hospital might request a bypass due to insufficient critical beds?
What is NOT presumed about a System hospital concerning its resources?
What is NOT presumed about a System hospital concerning its resources?
Which of the following is a requirement for a System hospital when considering bypass status?
Which of the following is a requirement for a System hospital when considering bypass status?
Which situation could lead to an internal disaster declaration?
Which situation could lead to an internal disaster declaration?
What does bypass status enable a hospital to do?
What does bypass status enable a hospital to do?
What does a trauma center need to consider when all staffed operating suites are in use?
What does a trauma center need to consider when all staffed operating suites are in use?
What does the ED wait time average indicate in the context of hospital capacity?
What does the ED wait time average indicate in the context of hospital capacity?
Which type of facilities can a patient be transported to if necessary?
Which type of facilities can a patient be transported to if necessary?
What is a possible result of activating a surge plan?
What is a possible result of activating a surge plan?
What must a System hospital do before declaring bypass status?
What must a System hospital do before declaring bypass status?
What defines a 'Nearest Trauma Center'?
What defines a 'Nearest Trauma Center'?
What could be a reason for a hospital to transfer patients to other facilities?
What could be a reason for a hospital to transfer patients to other facilities?
What is the primary aim of the policy regarding hospital resource limitation?
What is the primary aim of the policy regarding hospital resource limitation?
What is the significance of a hospital being designated as a Comprehensive Stroke Center (CSC)?
What is the significance of a hospital being designated as a Comprehensive Stroke Center (CSC)?
Why might alternate care areas be expanded during a surge plan activation?
Why might alternate care areas be expanded during a surge plan activation?
Which of the following can lead to a hospital declaring a surge plan activation?
Which of the following can lead to a hospital declaring a surge plan activation?
What is required for a hospital to qualify as a Primary Stroke Center (PSC)?
What is required for a hospital to qualify as a Primary Stroke Center (PSC)?
Under what conditions can a hospital request a bypass?
Under what conditions can a hospital request a bypass?
What does the term 'Peak Census' refer to in a hospital setting?
What does the term 'Peak Census' refer to in a hospital setting?
Which type of patients can be accepted by Advocate LGH while on bypass under normal circumstances?
Which type of patients can be accepted by Advocate LGH while on bypass under normal circumstances?
If a specialty care unit is unavailable at a hospital, how is the emergency department viewed?
If a specialty care unit is unavailable at a hospital, how is the emergency department viewed?
What is the protocol for transporting acute stroke patients during bypass status?
What is the protocol for transporting acute stroke patients during bypass status?
What governs the assessment of travel time for determining the nearest hospital?
What governs the assessment of travel time for determining the nearest hospital?
What is the transport protocol for pregnant patients in active labor when hospitals are on bypass?
What is the transport protocol for pregnant patients in active labor when hospitals are on bypass?
What is meant by 'hospital surge capacity plan'?
What is meant by 'hospital surge capacity plan'?
In which situation can unstable pediatric patients be transported despite bypass status?
In which situation can unstable pediatric patients be transported despite bypass status?
What is the procedure if multiple hospitals in a geographic area are on bypass status?
What is the procedure if multiple hospitals in a geographic area are on bypass status?
What action should be taken if the EMS Administrative Director fails to respond within 5 minutes when coordinating multiple bypassing hospitals?
What action should be taken if the EMS Administrative Director fails to respond within 5 minutes when coordinating multiple bypassing hospitals?
Under which circumstance can the bypass status be vacated for medium or large scale multiple patient incidents?
Under which circumstance can the bypass status be vacated for medium or large scale multiple patient incidents?
Which patients are prioritized for transport to the closest hospital with OB units, regardless of bypass status?
Which patients are prioritized for transport to the closest hospital with OB units, regardless of bypass status?
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Study Notes
Emergency Care Definitions
- Nearest Hospital: Closest facility to an emergency scene with a full-time emergency department, compliant with approved Program Plan.
- Nearest Trauma Center: Level I or II center reachable within 30 minutes, based on Trauma Triage Guidelines.
- Comprehensive Stroke Center (CSC): Certified facility meeting specific requirements for stroke care.
- Primary Stroke Center (PSC): Certified hospital providing essential stroke care, designated by recognized bodies.
Hospital Bypass Protocols
- Bypass Requests: Initiated by medical, nursing, and administrative staff based on IDPH criteria; typically diverts EMS patients to alternate hospitals.
- Peak Census: Indicates when a hospital is nearing capacity, affecting bed availability and resource management.
- Surge Capacity: Ability to cope with sudden increases in patient volume beyond normal capability.
Patient Transport Guidelines
- Transport Priorities: Patients must be taken to the nearest appropriate facility unless medical benefits justify traveling to a farther location.
- Exceptions: Include situations with unstable patients, acute strokes, pregnant patients in labor, and unstable pediatric cases, regardless of hospital status.
Bypass Status Conditions
- Multiple Hospitals on Bypass: If several hospitals nearby are on bypass and travel to the nearest alternative exceeds 15 minutes, bypass may not be honored.
- Resource Hospital: Notified if overload occurs due to simultaneous bypass declarations among multiple facilities.
Staffing and Resource Management
- Insufficient Resources: Declaring bypass status may be warranted due to insufficient staff for patient needs or internal disasters.
- Hospital Notifications: Bypass requests and statuses should be logged, detailing time and personnel involved in the decision-making process.
Summary of Operational Guidelines
- Hospitals must strive to avoid bypass status and ensure efficient patient care during peak census or surge capacity scenarios.
- Communication protocols among regional EMS and hospitals are critical for handling resource limitations effectively.
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