Memo - Response to Physician's Offices
Response to Physician's Offices
When a physician has determined that a patient needs to go to the hospital, it is not up to EMS to change that determination.
- Do NOT ask the patient if they want to go to the hospital
- If the patient asks you if they have to go:
- Answer YES if you are sure.
- Leave the room and talk to the physician privately if you are not sure that the patient has an emergency medical condition
- You can only take a patient against their will if the patient meets Incapacitated Patient status as defined by Florida Law
- You must obtain a reasonable history and supporting documentation - if time permits
- Obtain a detailed report on the patient - if not available, document why.
- Take vital signs
- You DO NOT have to repeat an EKG if you can obtain a copy of one done prior to arrival. If it is abnormal, monitor the patient and obtain a repeat EKG enroute.
- Obtain a complete medication history including dose, frequency, and time of last administration.
- Be abundantly cautious during the transfer of care - at the office and at the ER. Be thorough.
- If you have problems obtaining the information needed:
- Do your best.
- Do not "have words" with the office staff.
- Be absolutely professional.
- Give the run information to Q.A. (LyWayne) via the chain of command and I will discuss the problem with the physician, personally, and advised you of the results.
- Nothing will improve if all we show is attitude . . . I cannot do anything if we have been unprofessional.