Harbor:Diversion for ALS and BLS: Difference between revisions
(Created page with "Guidelines for BLS Diversion triggers: **# ESI 2’s – 5-8 **WR #s – 50-60 **WR LOS – >12hrs **No trauma bays open **OCN to notify Joy LaGrone + Attending to notify DE...") |
No edit summary |
||
| Line 1: | Line 1: | ||
Guidelines for BLS Diversion triggers: | Diversion decisions made by MICN, Overall Charge RN and Area Charge RNs, and Attending huddle q4 hours prn | ||
**# ESI 2’s | |||
ALS Diversion | |||
*ED Saturation (aka Diversion) is a process of marking the ED in the countywide ReddiNet system as “closed” to adult Advanced Life Support (ALS) arrivals. | |||
**ED Saturation does NOT redirect BLS arrivals or patients arriving to Harbor as a specialty center (e.g. Trauma, STEMI, Perinatal). | |||
*Up to two hours at a time. At the end of the two-hour diversion, ReddiNet will automatically re-open the hospital to all 9-1-1 traffic. | |||
*If the nearest two alternative EDs are also noted as “ED Saturation”, ALS ambulances will be directed to the closest ED, regardless of “ED Sat” status on ReddiNet. (everyone is open) | |||
*Goal of ED Saturation is to ensure safety of current ED patients and of patients being transported by EMS. Diversion facilitates this by: | |||
**Allowing staff the time to move patients within or through the ED to free up space/staff resources to care for additional patients, without pressure of incoming patients. | |||
**Allowing the ED time to prepare for next round of sick patients. | |||
Guidelines for ALS Diversion triggers: | |||
*Not enough space to care for the next critical patient coming by ambulance | |||
**Not enough treatment spaces despite decompress patients to other beds/hallway | |||
**Not enough staff (RN, RT, provider, etc.) or supplies (vents, blood, etc.) | |||
Guidelines for BLS Diversion triggers: | |||
*Above ALS diversion triggers AND | |||
* Number of ambulance triage and #ESI 2’s in waiting room = 5-8 | |||
*WR #s = 50-60 | |||
*WR LOS = >12hrs | |||
*No trauma bays open | |||
*OCN to notify Joy LaGrone + Attending to notify DEM AOD --> Approval by CMO/CEO or designee | |||
Revision as of 19:04, 25 October 2021
Diversion decisions made by MICN, Overall Charge RN and Area Charge RNs, and Attending huddle q4 hours prn
ALS Diversion
- ED Saturation (aka Diversion) is a process of marking the ED in the countywide ReddiNet system as “closed” to adult Advanced Life Support (ALS) arrivals.
- ED Saturation does NOT redirect BLS arrivals or patients arriving to Harbor as a specialty center (e.g. Trauma, STEMI, Perinatal).
- Up to two hours at a time. At the end of the two-hour diversion, ReddiNet will automatically re-open the hospital to all 9-1-1 traffic.
- If the nearest two alternative EDs are also noted as “ED Saturation”, ALS ambulances will be directed to the closest ED, regardless of “ED Sat” status on ReddiNet. (everyone is open)
- Goal of ED Saturation is to ensure safety of current ED patients and of patients being transported by EMS. Diversion facilitates this by:
- Allowing staff the time to move patients within or through the ED to free up space/staff resources to care for additional patients, without pressure of incoming patients.
- Allowing the ED time to prepare for next round of sick patients.
Guidelines for ALS Diversion triggers:
- Not enough space to care for the next critical patient coming by ambulance
- Not enough treatment spaces despite decompress patients to other beds/hallway
- Not enough staff (RN, RT, provider, etc.) or supplies (vents, blood, etc.)
Guidelines for BLS Diversion triggers:
- Above ALS diversion triggers AND
- Number of ambulance triage and #ESI 2’s in waiting room = 5-8
- WR #s = 50-60
- WR LOS = >12hrs
- No trauma bays open
- OCN to notify Joy LaGrone + Attending to notify DEM AOD --> Approval by CMO/CEO or designee