III-A-24 Emergency Inter-hospital Transfer of the Sick and Injured 08/24/2020

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Questions and Answers

What is the primary role of MDFR in emergency inter-hospital transportation?

To transport patients meeting Trauma Transport Protocol or identified as STEMI or Stroke Alerts. (correct)

To provide routine patient transfers between hospitals.

To offer assessments for all patients at emergency departments.

To manage all ambulance services within the Fire District.

What must a patient do to qualify for advanced life support transfer by MDFR?

Request transportation from the nearest fire station.

Be located at a major trauma center.

Hold a valid medical insurance policy.

Meet the Trauma Transport Protocol and have no available private ambulances. (correct)

How soon must MDFR transport a patient under the Trauma Transport Protocol?

Within 45 minutes of assessment.

Within 30 minutes of arrival at the Emergency Department. (correct)

Only when a doctor's order is received.

Within 60 minutes of request.

What determines the form of transport for a patient needing inter-facility transportation?

The MDFR Rescue unit at patient contact. Signup and view all the answers

What type of facility will STEMI Alert patients be transported to?

The nearest STEMI facility. Signup and view all the answers

What information is noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?

Requesting physician’s name and title. Signup and view all the answers

Which of the following patients qualifies for inter-facility transportation by MDFR?

Patients at non-trauma centers that meet TTP. Signup and view all the answers

What aim does the maximum transport time of 30 minutes serve for both Trauma and STEMI Alerts?

To minimize treatment delays for critically ill patients. Signup and view all the answers

What is the maximum time frame for transporting patients identified with a 'Stroke Alert' from the Emergency Department?

30 minutes Signup and view all the answers

Who is primarily responsible for processing inter-facility transfer requests?

The FAO Chief Signup and view all the answers

What must be noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?

The requesting physician’s name and title Signup and view all the answers

When an Air Rescue transfer is needed, who decides if an air transfer is the most appropriate?

The Rescue Unit Officer-in-Charge Signup and view all the answers

What must the FAO submit before the end of the shift after a transfer occurs?

Fire Alarm Inter-Hospital Transfer Quality Compliance Form Signup and view all the answers

What information must the FAO Chief/Supervisor obtain for inter-facility transfer?

Name of the transferring facility Signup and view all the answers

In what situation will the FAO Chief/Supervisor forward transfer requests to a contracted private ambulance provider?

If the request does not meet established guidelines Signup and view all the answers

Who should be consulted if the requesting physician is not available during a transfer request?

The EMS Field Supervisor Signup and view all the answers

What must the Rescue Unit Officer-in-Charge do upon arrival at the requesting hospital?

Contact the appropriate hospital representative for information Signup and view all the answers

What is required for all patients transferred, according to MDFR policy?

A completed patient report Signup and view all the answers

How will the FAO confirm acceptance of a patient for out-of-county transfers?

By contacting the receiving facility directly Signup and view all the answers

What is the primary information that needs to be gathered by the FAO when a 911 call is received from within the hospital?

Confirmation of service need and transfer information Signup and view all the answers

What type of information is NOT typically collected for a patient transfer?

The patient's dietary preferences Signup and view all the answers

Study Notes

Emergency Inter-Hospital Transport Services

MDFR serves as the primary provider for emergency inter-hospital transportation for patients meeting specific protocols, including Trauma Transport Protocol (TTP), STEMI Alerts, and Stroke Alerts.
Advanced Life Support (ALS) transfers occur via MDFR only when private ambulances are unavailable in a medically acceptable time frame.

Trauma Alerts

Inter-facility transport for trauma patients must occur within a maximum of 30 minutes from the Emergency Department arrival to a suitable Trauma Center.
Documentation of the requesting physician's details is recorded on the Fire Alarm Inter-Hospital Transfer Quality Compliance Form, maintained by the Communications Division.
Transport methods, whether air or ground, are determined by the MDFR Rescue unit upon patient assessment.

STEMI and Stroke Alerts

STEMI Alert transports must also be completed within 30 minutes for patients at a non-STEMI facility, directing them to the nearest STEMI facility.
Stroke Alert patients are similarly transported to the closest Comprehensive Stroke Center within the same 30-minute window.
The process involves noting the requesting physician's information on the compliance form.

Request for Service

The Fire Alarm Office (FAO) Chief processes all inter-facility transfer requests; if unavailable, the FAO Dispatch Supervisor can handle them.
Inter-Hospital Transfer Quality Compliance Form must be submitted before the end of the shift.
FAO verifies the need for service through contact with the Emergency Department after a 911 call from the hospital.

Approval Guidelines

The FAO Chief or Supervisor can authorize transfers adhering to established guidelines.
Requests not meeting guidelines are forwarded to a contracted private ambulance provider, with an exception for urgent needs after EMS Field Supervisor consultation.
Hospital personnel may be asked to accompany patients whose conditions exceed MDFR operational scope.

Patient Transfer Procedures

Ground Transfers: Involves closest Rescue Unit responding in emergency mode, gathering patient information upon arrival, and ensuring required records accompany the patient.
Air Transfers (In-County): Requests must go through FAO; ground units confirm patient transfer needs, and if air transport is warranted, coordination for air rescue is initiated.
Air Transfers (Out-of-County): Limited to jurisdictions with transfer agreements; acceptance confirmation from receiving facilities is necessary.

Documentation and Compliance

Completion of the electronic patient care report (ePCR) is required for documentation during patient transfers.
Signatures from sending physicians must be obtained in the "TRANSPORT DISPOSITION" section of the ePCR for legal and procedural compliance.
Patient reports are generated in accordance with MDFR policy and the Medical Operations Manual to ensure thorough records are kept.

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Description

This quiz covers the protocols established by MDFR for emergency inter-hospital transportation, including criteria for trauma alerts and advanced life support transfers. Learn about the procedures and priorities for transporting patients under specific medical circumstances.