Difference between revisions of "Obstetrical Patient Transport Decision"

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* If imminent delivery or medically unstable mother, transport to the closest ED, (not closest obstetric facility).
 
* If imminent delivery or medically unstable mother, transport to the closest ED, (not closest obstetric facility).
 
* If patient with non traumatic abdominal, pelvic or back complaints, (including bleeding or vaginal fluid leak).
 
* If patient with non traumatic abdominal, pelvic or back complaints, (including bleeding or vaginal fluid leak).
** Transport to the closest appropriate obstetric facility.
+
** Transport to the closest appropriate obstetric facility with a NICU (Winnie Palmer or Advent Health Orlando).
 
** Contact appropriate obstetric facility ED for radio report and any additional direction/assistance.
 
** Contact appropriate obstetric facility ED for radio report and any additional direction/assistance.
 
** May transport to the patient’s requested obstetric receiving facility, (i.e. high risk pregnancy with pre-selected obstetrical destination); if patient is not having imminent delivery.
 
** May transport to the patient’s requested obstetric receiving facility, (i.e. high risk pregnancy with pre-selected obstetrical destination); if patient is not having imminent delivery.
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'''If patient is a TRAUMA ALERT'''
 
'''If patient is a TRAUMA ALERT'''
* Transport to Orlando Regional Medical Center (as per protocol)
+
* Transport to Orlando Regional Medical Center or Central Florida Regional (as per protocol)
 
* Non Trauma Alert patients are to be transported to the ED of the closest OB receiving facility.
 
* Non Trauma Alert patients are to be transported to the ED of the closest OB receiving facility.
  
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'''Appropriate Obstetric Receiving Facilities:'''
 
'''Appropriate Obstetric Receiving Facilities:'''
  
Central Florida Regional Hospital (Seminole)
+
Florida Hospital Altamonte (Seminole)
  
Florida Hospital Altamonte (Seminole)
+
Oviedo Medical Center (Seminole)
  
 
Winnie Palmer Hospital (Orange)
 
Winnie Palmer Hospital (Orange)

Revision as of 09:15, 12 October 2020

Section 1 - ADMINISTRATIVE POLICIES

1.13 OBSTETRICAL PATIENT TRANSPORT DESTINATION

Patient known to be < 20 weeks gestation:

  • Last menstrual period, < 20 weeks or verifiable ultrasound proven dates or other proof of < 20 weeks gestation.
  • Transport to the closest Emergency department (not closest obstetric facility).


Patient known gestation or possible gestation > 20 weeks:

  • If imminent delivery or medically unstable mother, transport to the closest ED, (not closest obstetric facility).
  • If patient with non traumatic abdominal, pelvic or back complaints, (including bleeding or vaginal fluid leak).
    • Transport to the closest appropriate obstetric facility with a NICU (Winnie Palmer or Advent Health Orlando).
    • Contact appropriate obstetric facility ED for radio report and any additional direction/assistance.
    • May transport to the patient’s requested obstetric receiving facility, (i.e. high risk pregnancy with pre-selected obstetrical destination); if patient is not having imminent delivery.


If patient is a TRAUMA ALERT

  • Transport to Orlando Regional Medical Center or Central Florida Regional (as per protocol)
  • Non Trauma Alert patients are to be transported to the ED of the closest OB receiving facility.


Appropriate Obstetric Receiving Facilities:

Florida Hospital Altamonte (Seminole)

Oviedo Medical Center (Seminole)

Winnie Palmer Hospital (Orange)

  • Call ORMC and transport at their directive.

Florida Hospital Orlando (Orange)

Winter Park Memorial (Orange)

NOTE: South Seminole Hospital OB Department is permanently closed as of January 31, 2011. Do not transport patients to that facility.