Podcast
Questions and Answers
What is the primary role of MDFR in emergency inter-hospital transportation?
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?
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?
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?
What determines the form of transport for a patient needing inter-facility transportation?
What type of facility will STEMI Alert patients be transported to?
What type of facility will STEMI Alert patients be transported to?
What information is noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?
What information is noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?
Which of the following patients qualifies for inter-facility transportation by MDFR?
Which of the following patients qualifies for inter-facility transportation by MDFR?
What aim does the maximum transport time of 30 minutes serve for both Trauma and STEMI Alerts?
What aim does the maximum transport time of 30 minutes serve for both Trauma and STEMI Alerts?
What is the maximum time frame for transporting patients identified with a 'Stroke Alert' from the Emergency Department?
What is the maximum time frame for transporting patients identified with a 'Stroke Alert' from the Emergency Department?
Who is primarily responsible for processing inter-facility transfer requests?
Who is primarily responsible for processing inter-facility transfer requests?
What must be noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?
What must be noted on the electronic Fire Alarm Inter-Hospital Transfer Quality Compliance Form?
When an Air Rescue transfer is needed, who decides if an air transfer is the most appropriate?
When an Air Rescue transfer is needed, who decides if an air transfer is the most appropriate?
What must the FAO submit before the end of the shift after a transfer occurs?
What must the FAO submit before the end of the shift after a transfer occurs?
What information must the FAO Chief/Supervisor obtain for inter-facility transfer?
What information must the FAO Chief/Supervisor obtain for inter-facility transfer?
In what situation will the FAO Chief/Supervisor forward transfer requests to a contracted private ambulance provider?
In what situation will the FAO Chief/Supervisor forward transfer requests to a contracted private ambulance provider?
Who should be consulted if the requesting physician is not available during a transfer request?
Who should be consulted if the requesting physician is not available during a transfer request?
What must the Rescue Unit Officer-in-Charge do upon arrival at the requesting hospital?
What must the Rescue Unit Officer-in-Charge do upon arrival at the requesting hospital?
What is required for all patients transferred, according to MDFR policy?
What is required for all patients transferred, according to MDFR policy?
How will the FAO confirm acceptance of a patient for out-of-county transfers?
How will the FAO confirm acceptance of a patient for out-of-county transfers?
What is the primary information that needs to be gathered by the FAO when a 911 call is received from within the hospital?
What is the primary information that needs to be gathered by the FAO when a 911 call is received from within the hospital?
What type of information is NOT typically collected for a patient transfer?
What type of information is NOT typically collected for a patient transfer?
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.
