Protocol: Interagency Transfers

Original Effective Date: 01/01/2001 | Revised Date: 01/01/2002


BLS PROTOCOL

INTRODUCTION

This protocol relates to transfers in which other medical personnel as present (EMT, RN, other) and have a duty to care for the patient. Transfers to and from the airport are a prime example. Your primary and singular goal is to ensure the best possible patient care. As the attending EMT in the back of an ambulance you have a clear authority and responsibility to govern patient care. However, there may be other medical personnel on board who have similar authority and responsibility to govern the patient's care. Both parties, regardless of their training, rank, or status must defer to the medical person(s) who are the most qualified t provide and govern the patient's care. For example, you would defer to the guidance of a neonatal transfer team and assist tham under their guidance. Where all parties concerned are of similar qualifications the teams must work together and determine one another's roles in providing patient care. For example, in a transfer with a Paramedic or Paramedic/Nurse team you job is to coordinate care so that when all hands are needed you've established roles at the beginning of the transfer. Do your best to ensure proper care and cooperation and report incidents if they do occur.


PROCEDURE:

  1. Patient Care
    1. All appropriate personnel should perform patient care.
    2. All patient care conflicts should be resolved via communication with on-line Medical Control at Gila Regional Medical Center.

  2. Documentation
    1. A patient care report (PCR) will be completed in its entirety for all interagency transports.
    2. If physical assessment of history is limited secondary to equipment such as isolates, non-invasive monitors etc., document such in your narrative.

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