2015 Trumbull Memorial Hospital Demo

Interfacility Transport Interfacility Transport

Obtain oral SBAR report from facility-appropriate staff

SBAR  Situation

 Background  Assessment  Recommendation

Universal Patient Assessment

Is the patient on a medical device or medication within the Ohio EMS Scope of Practice?

No

Yes

Maintain pre-existing medical devices and medications as appropriate per the Ohio EMS Scope of Practice.

First time encountering unknown device? Provide a reasonable assessment of whether or not the device can be discontinued.

If continued, there must be NO REASONABLE ALTERNATIVE

No

Transport to appropriate facility

Yes

Follow appropriate protocol for symptom management

Transport to appropriate facility

Document patient vital signs throughout transport

Follow appropriate protocol for symptom management

Provide oral SBAR report to facility-appropriate staff

Document patient vital signs throughout transport

Per the Ohio EMS Scope of Practice, scheduled transport of patients on medications or devices beyond the appropriate scope may not occur if there was an awareness of the device when scheduled. Training on the device cannot occur at the time of transfer. If uncomfortable with the medication or device, DO NOT TRANSPORT! Know your scope of practice.

Provide oral SBAR report to facility-appropriate staff

28

EMR

EMT

AEMT

Paramedic

Extended