ALS/BLS Handover

DrParasite

The fire extinguisher is not just for show
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question: why? the people appear stable; can they be "transferred" to the waiting room, with a report given to the triage nurse? You are tying up a BLS resource babysitting a patient, who might be waiting for hours, who doesn't need monitoring. They want to be seen in the ER; ERs have told people for years that patients are see in order of priority, not order of arrival, and EMS shouldn't let you cut the line. Can't you use your clinical judgement that the patient won't benefit from having EMS babysit them?

Let's not forget, once you are on hospital property, the hospital is responsible for patient care, not EMS.
 
OP
OP
EpiEMS

EpiEMS

Forum Deputy Chief
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question: why? the people appear stable; can they be "transferred" to the waiting room, with a report given to the triage nurse? You are tying up a BLS resource babysitting a patient, who might be waiting for hours, who doesn't need monitoring. They want to be seen in the ER; ERs have told people for years that patients are see in order of priority, not order of arrival, and EMS shouldn't let you cut the line. Can't you use your clinical judgement that the patient won't benefit from having EMS babysit them?

Let's not forget, once you are on hospital property, the hospital is responsible for patient care, not EMS.
Fair point, this. We transport stable people to the waiting room (or the hallway, with dubious levels of care) BLS and transfer care to triage RN.
 

VentMonkey

Family Guy
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question: why? the people appear stable; can they be "transferred" to the waiting room, with a report given to the triage nurse? You are tying up a BLS resource babysitting a patient, who might be waiting for hours, who doesn't need monitoring. They want to be seen in the ER; ERs have told people for years that patients are see in order of priority, not order of arrival, and EMS shouldn't let you cut the line. Can't you use your clinical judgement that the patient won't benefit from having EMS babysit them?

Let's not forget, once you are on hospital property, the hospital is responsible for patient care, not EMS.
//shrugs shoulders// was simply replying to the OP’s question. It doesn’t really pertain to me. If you care that much ask the county’s medical director.
 

Tigger

Dodges Pucks
Community Leader
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We get patients assigned to the waiting room when we patch. Holding the wall is not a thing here and I ain’t mad about it.
 
OP
OP
EpiEMS

EpiEMS

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We get patients assigned to the waiting room when we patch. Holding the wall is not a thing here and I ain’t mad about it.
"Are they good to go to triage?" "[Doing the stare of life to a patient with positive cell phone sign and hemodynamically stable] Yup."
 

DrParasite

The fire extinguisher is not just for show
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We get patients assigned to the waiting room when we patch. Holding the wall is not a thing here and I ain’t mad about it.
Never heard of it in NJ, NY or NC... esp for hours. Seems to be very common in California, esp SoCal. I think the first time I ever heard of it was on this forum.

I think the longest I have ever been in an ER just waiting was 30 minutes, and that was because the Charge nurse was having a really really bad day
 

DesertMedic66

Forum Troll
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Never heard of it in NJ, NY or NC... esp for hours. Seems to be very common in California, esp SoCal. I think the first time I ever heard of it was on this forum.

I think the longest I have ever been in an ER just waiting was 30 minutes, and that was because the Charge nurse was having a really really bad day
Flu season of 2017 I held the wall with a chest pain patient for my entire shift. Picked him up from his doctors office at 0900 and got to the hospital by 0930. He was discharged from our gurney at 1815.
 
OP
OP
EpiEMS

EpiEMS

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Never heard of it in NJ, NY or NC... esp for hours.
Likewise, not in NY or CT -- I hit 30 minutes a couple of weeks ago and was pretty surprised.
 

Bullets

Forum Knucklehead
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Flu season of 2017 I held the wall with a chest pain patient for my entire shift. Picked him up from his doctors office at 0900 and got to the hospital by 0930. He was discharged from our gurney at 1815.
How does that work? if theyre assessing and treating on your cot inst that an EMTALA violation?
 

luke_31

Forum Asst. Chief
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How does that work? if theyre assessing and treating on your cot inst that an EMTALA violation?
If they are at the facility and the staff there is doing all the work it wouldn’t be an EMTLA violation. They are just using your stretcher as a extra bed essentially and tying you up from being able to go available for another call. It’s messed up to be sure, but when there are no appropriate beds at all, you do what you got to do. A EMTLA violation would occur if you showed up and they turned you away without performing an assessment and stabilization of the patient and then appropriately disposed the patient either home with any necessary follow up instructions or arranged a transfer to a more appropriate facility. It’s obviously a little more complicated than that, but the general idea is there.
 
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