Utah Admin. Code R426-4-500 - Scene and Patient Management
(1) Designated Emergency medical service
dispatch centers shall use a selective medical dispatch system to determine
which licensed ambulance provider will be notified for patient
transport.
(2) When responding to a
medical emergency call, EMS personnel shall follow protocols approved by the
service provider's medical director, and act within their scope of
practice.
(3) EMS personnel shall
establish communication with online medical control as soon as
reasonable.
(4) Licensed Paramedic
tactical service provider may only function at the invitation of the local or
state public safety authority. When called upon for assistance, the licensed
tactical paramedic provider shall immediately notify the local emergency
medical service dispatch center to coordinate patient transportation.
(5) Patients who are to be transferred to a
different hospital, patient receiving facility, or mental health facility may
be delayed by the licensed ambulance provider for severe weather, hazardous
conditions, or any other situation that may endanger the safety of the EMS
personnel, employed staff, the person being transported, or the public.
(a) Severe weather should be evaluated based
on the licensed ambulance provider's written policies. Policies for weather
assessment should be shared with hospitals and other receiving facilities in
the geographical service area. During periods of severe weather, the transport
should be delayed until the transportation risks are acceptable. The licensed
providers shall maintain a weather assessment policy.
(b) When EMS personnel are not immediately
able to respond due to unusual demands with other events, the licensed
ambulance provider shall communicate the delay with the transferring hospital
or facility. Additionally, the transferring hospital or facility should notify
the receiving hospital facility, or mental health facility regarding the delay.
Communications shall provide an estimated response time. The licensed ambulance
provider is responsible to coordinate with the discharging facility an
acceptable delay period or make reasonable attempts to arrange the transport
with another licensed ambulance provider.
(6) Personnel shall be evaluated by the
licensed ambulance provider for fatigue as to reduce possibilities of accidents
while driving. If the licensed ambulance provider determines that personnel
have fatigue to the point of compromised ability to drive or perform medical
skills, the licensed ambulance shall discuss transport options with the
transferring facility. Additionally, the transferring facility should notify
the delay to the receiving facility. Options may include a possible transport
delay, or assistance through mutual agreements.
Notes
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