Hospital Diversion Statuses and EMS Codes
The ER dept. requests that no P2 or P3 patients are transported to their facility.
Yellow Status
The ONLY non-cardiac facility in Montgomery County.
Montgomery General (Medstar Montgomery)
Referral Indication for a Primary vs. Comprehensive Stroke Center.
Primary: Patients who are positive for stroke symptoms w/ a LAMS of 3 or under (within 22 hours of onset)
Comprehensive: Patients who are positive for stroke symptoms w/ a LAMS of 4 or 5.
When EMS700 is in service.
Everyday from 0900-2100.
Age the patient CANNOT exceed to be eligible for transport to a pediatric non-trauma facility.
18 years old.
ER dept. is closed and cannot accept any patients due to unexpected and unsafe conditions.
Code Black (Formerly known as Mini Disaster)
The two comprehensive stroke centers in Montgomery County.
Shady Grove (Adventist) and Suburban (JHU)
15 years old.
Besides requesting transport destinations, when else are you REQUIRED to communicate with EMS700?
Obtaining a refusal, guidance on specific situations.
Holy Cross Silver Spring Capabilities (5 capabilities)
1) Cardiac 2) Primary Stroke 3) Perinatal
4) Peds Non-Trauma 5) OB/Prenatal
Patients that should NOT be transported to hospitals on Red Status.
Stable P2 and P3 patients requiring ECG monitoring.
The closest adult and pediatric SAFE hospital.
Shady Grove.
Referral Indications for Eye Center (include 1 specific example).
Significant injury to the eye including impaled objects, lacerations, avulsions, detached retina, chemical exposures.
The percent capacity of the ED being occupied by patients for hospitals at an Advisory Level 2.
76% - 100% of the ED's capacity.
What is required for transport to Walter Reed Medical Center?
Patient must have a military ID or be the dependent of military personnel (that have a military ID and are within TriCare).
The amount of time that must pass from the arrival of the patient at triage to placement in a wheelchair or hospital bed to declare reroute status.
20 minutes.
List in order our 3 closest trauma facilities from R2 (regardless of trauma level).
1) Suburban
2) Medstar Washington Hospital Center
3) Inova Fairfax
In order to meet extremity specialty criteria, the injury of the hand/fingers must pass which knuckle.
2nd Knuckle
3 different methods of contacting EMS700/a duty officer.
1) 7A13 during operating hours
2) Duty Officer's Phone Number
3) Requesting an alternate channel via 7A1 (outside of standard operating hours)
What type of patient should we avoid transporting to Suburban Hospital and why.
Pregnant patients since Suburban does not have any OB specialists on call.
All hospitals are busy so the EMS provider must pick between their two closest APPROPRIATE facilities to transport to.
Code Blue
List in order our two closest Adult Burn centers from R2.
1) Medstar Washington Hospital Center
2) John's Hopkins Bayview
Referral Indications for Neuro Specialty Centers.
The percent capacity of the ED being occupied by patients for hospitals at an Advisory Level 4.
131% or more of the ED's capacity
State what a hyperbaric capabilities are and ONE referral indication.
Hyperbaric facility has equipment and speciality staff to operate a hyperbaric chamber.
Referral Indications: Hx of SCUBA, breathing in a pressurized environment (flight) or altitude chamber w/ sudden depressurization.