Freestanding ED Transport Criteria - Revision history

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2025-03-03T18:13:22Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 18:13, 3 March 2025
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	* Hip fractures		* Hip fractures
	* Acute delirium		* Acute delirium
	* Baker Acts ~~- Pts at South Seminole Behavioral Health may be taken to a Orlando Health Longwood FSED if it has been arranged between the facility staff and the FSED staff.~~		* Baker Acts
	* Combative Patients		* Combative Patients
	* Obstetrical patients		* Obstetrical patients

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2025-03-03T15:22:45Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 15:22, 3 March 2025
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	* Hip fractures		* Hip fractures
	* Acute delirium		* Acute delirium
	* Baker Acts		* Baker Acts - Pts at South Seminole Behavioral Health may be taken to a Orlando Health Longwood FSED if it has been arranged between the facility staff and the FSED staff.
	* Combative Patients		* Combative Patients
	* Obstetrical patients		* Obstetrical patients

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2023-04-10T13:00:56Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 13:00, 10 April 2023
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	* Acute delirium		* Acute delirium
	* Baker Acts		* Baker Acts
			* Combative Patients
	* Obstetrical patients		* Obstetrical patients
	* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions		* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2022-10-10T13:09:47Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 13:09, 10 October 2022
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	* Hip fractures		* Hip fractures
	* Acute delirium		* Acute delirium
			* Baker Acts
	* Obstetrical patients		* Obstetrical patients
	* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions		* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions

Treloars: /* Unstable patients */

2019-08-12T13:10:24Z

Unstable patients

← Older revision		Revision as of 13:10, 12 August 2019
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	* Cardiac arrest patients may be transported to the facility for stabilization		* Cardiac arrest patients may be transported to the facility for stabilization
	* Unstable or unobtainable airway requiring immediate stabilization		* Unstable or unobtainable airway requiring immediate stabilization
			* Sepsis Alerts may be transported to a FSED to facilitate immediate antibiotics.

	* The transporting unit will remain in the free standing ED standing by for emergent transfer of the patient to the appropriate hospital in the event of a successful ROSC, airway is secured and patient is stabilized.		* The transporting unit will remain in the free standing ED standing by for emergent transfer of the patient to the appropriate hospital in the event of a successful ROSC, airway is secured and patient is stabilized.

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2019-08-12T13:09:28Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 13:09, 12 August 2019
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	=== '''TRANSPORT EXCLUSION CRITERIA''' ===		=== '''TRANSPORT EXCLUSION CRITERIA''' ===
	The following conditions ARE NOT acceptable impressions for transport to the freestanding emergency department:		The following conditions ARE NOT acceptable impressions for transport to the freestanding emergency department:
	* All Emergent “Alerts”: STEMI, STROKE~~, SEPSIS~~, CARDIAC, TRAUMA		* All Emergent “Alerts”: STEMI, STROKE, CARDIAC, TRAUMA
	* Hip fractures		* Hip fractures
	* Acute delirium		* Acute delirium

Treloars: /* TRANSPORT EXCLUSION CRITERIA */

2018-06-27T14:08:28Z

TRANSPORT EXCLUSION CRITERIA

← Older revision		Revision as of 14:08, 27 June 2018
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	The following conditions ARE NOT acceptable impressions for transport to the freestanding emergency department:		The following conditions ARE NOT acceptable impressions for transport to the freestanding emergency department:
	* All Emergent “Alerts”: STEMI, STROKE, SEPSIS, CARDIAC, TRAUMA		* All Emergent “Alerts”: STEMI, STROKE, SEPSIS, CARDIAC, TRAUMA
			* Hip fractures
			* Acute delirium
	* Obstetrical patients		* Obstetrical patients
	* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions		* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions
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	* Pediatric patients with significant change in mental status or significant signs and symptoms that will most likely require admission to a pediatric facility including traumatic loss of consciousness		* Pediatric patients with significant change in mental status or significant signs and symptoms that will most likely require admission to a pediatric facility including traumatic loss of consciousness
	* Cardiac arrest patient who has had a positive Return of Spontaneous Circulation (ROSC) prior to arrival to the ED must be transported to the nearest appropriate ED with full hospital admission capabilities.		* Cardiac arrest patient who has had a positive Return of Spontaneous Circulation (ROSC) prior to arrival to the ED must be transported to the nearest appropriate ED with full hospital admission capabilities.


	=== '''GENERAL TRANSPORT RULE TO FREESTANDING EDs:''' ===		=== '''GENERAL TRANSPORT RULE TO FREESTANDING EDs:''' ===

Treloars at 21:05, 31 January 2018

2018-01-31T21:05:55Z

← Older revision		Revision as of 21:05, 31 January 2018
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	=== '''GENERAL TRANSPORT RULE TO FREESTANDING EDs:''' ===		=== '''GENERAL TRANSPORT RULE TO FREESTANDING EDs:''' ===
	Although it is impossible to list every complaint that meets criteria for transport to a freestanding emergency department, the general premise is to transport those patients who are NOT LIKELY to require emergent hospital admission, surgical or obstetrical intervention or other acute services not readily available in the freestanding ED. Pre-hospital providers are expected to closely evaluate the patient’s chief complaint, stability and condition to choose a transport destination that is '''IN THE BEST INTEREST OF THE PATIENT AND HIS OR HER CARE.''' When a situation arises where is questionable whether the patient meets freestanding ED transport criteria it is best to err in favor of transport to a full service initial facility.		Although it is impossible to list every complaint that meets criteria for transport to a freestanding emergency department, the general premise is to transport those patients who are NOT LIKELY to require emergent hospital admission, surgical or obstetrical intervention or other acute services not readily available in the freestanding ED. Pre-hospital providers are expected to closely evaluate the patient’s chief complaint, stability and condition to choose a transport destination that is '''IN THE BEST INTEREST OF THE PATIENT AND HIS OR HER CARE.''' When a situation arises where is questionable whether the patient meets freestanding ED transport criteria it is best to err in favor of transport to a full service initial facility.

			[[Category:Administrative Policies\|0121]]

Treloars: /* Section 1 - ADMINISTRATIVE POLICIES */

2014-01-17T13:46:30Z

Section 1 - ADMINISTRATIVE POLICIES

Treloars: Created page with "== Section 1 - ADMINISTRATIVE POLICIES == === 1.21 FREESTANDING ED TRANSPORT CRITERIA === The following transport guidelines apply to any facility approved and designated as..."

2013-11-13T15:31:03Z

Created page with "== Section 1 - ADMINISTRATIVE POLICIES == === 1.21 FREESTANDING ED TRANSPORT CRITERIA === The following transport guidelines apply to any facility approved and designated as..."

New page

== Section 1 - ADMINISTRATIVE POLICIES ==

=== 1.21 FREESTANDING ED TRANSPORT CRITERIA ===

The following transport guidelines apply to any facility approved and designated as a free standing or stand alone emergency department as defined in Florida Statutes.

=== '''TRANSPORT INCLUSION CRITERIA''' ===
The following conditions are acceptable impressions that are suitable for transport to the freestanding emergency department:
==== Stable patients with medical or trauma complaints not likely to require emergent admission or acute surgical intervention. These include, but are not limited to: ====
** Minor respiratory complaints
** Fever, chills, flu-like symptoms
** Cough, congestion, shortness of breath without signs of acute respiratory failure or unstable CHF
** Isolated chest pain without other profound signs and symptoms, abnormal EKG, multiple or complicated pre-existing medical conditions.
** Isolated musculoskeletal or orthopedic injuries
** Isolated head trauma in adults without acute neurological deficits or high index of suspicion of a more complex problem
** Headaches
** General abdominal or flank pain without signs of acute abdomen or surgical emergency
** Nausea/vomiting/diarrhea complaints without signs of shock
** Traumatic injuries not likely to require urgent surgical intervention
** Soft tissue injuries, lacerations, puncture wounds
** Gynecological complaints, vaginal bleeding, pelvic pain without signs of shock or severe pain or symptoms consistent with acute abdomen
** Urinary symptoms
** Pediatric patients with general medical complaints without significant signs and symptoms of shock, cardiac symptoms, impending respiratory failure, altered mental status or have complicated pre-existing conditions likely to require admission to a pediatric facility.

==== Unstable patients ====
** Cardiac arrest patients may be transported to the facility for stabilization
** Unstable or unobtainable airway requiring immediate stabilization

* The transporting unit will remain in the free standing ED standing by for emergent transfer of the patient to the appropriate hospital in the event of a successful ROSC, airway is secured and patient is stabilized.

=== '''TRANSPORT EXCLUSION CRITERIA''' ===
The following conditions ARE NOT acceptable impressions for transport to the freestanding emergency department:
* All Emergent “Alerts”: STEMI, STROKE, SEPSIS, CARDIAC, TRAUMA
* Obstetrical patients
* Cardiac related complaints with significant signs and symptoms – CHF, dyspnea at rest, or patients with significant pre-existing medical conditions
* Patients exhibiting signs and symptoms consistent with an acute abdomen that most likely require urgent or emergent admission or surgical intervention
* Multi-system trauma
* Trauma Red patients
* Open fractures
* Pediatric patients with significant change in mental status or significant signs and symptoms that will most likely require admission to a pediatric facility including traumatic loss of consciousness
* Cardiac arrest patient who has had a positive Return of Spontaneous Circulation (ROSC) prior to arrival to the ED must be transported to the nearest appropriate ED with full hospital admission capabilities.

=== '''GENERAL TRANSPORT RULE TO FREESTANDING EDs:''' ===
Although it is impossible to list every complaint that meets criteria for transport to a freestanding emergency department, the general premise is to transport those patients who are NOT LIKELY to require emergent hospital admission, surgical or obstetrical intervention or other acute services not readily available in the freestanding ED. Pre-hospital providers are expected to closely evaluate the patient’s chief complaint, stability and condition to choose a transport destination that is '''IN THE BEST INTEREST OF THE PATIENT AND HIS OR HER CARE.''' When a situation arises where is questionable whether the patient meets freestanding ED transport criteria it is best to err in favor of transport to a full service initial facility.

← Older revision		Revision as of 13:46, 17 January 2014
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	The following conditions are acceptable impressions that are suitable for transport to the freestanding emergency department:		The following conditions are acceptable impressions that are suitable for transport to the freestanding emergency department:
	==== Stable patients with medical or trauma complaints not likely to require emergent admission or acute surgical intervention. These include, but are not limited to: ====		==== Stable patients with medical or trauma complaints not likely to require emergent admission or acute surgical intervention. These include, but are not limited to: ====
	** Minor respiratory complaints		* Minor respiratory complaints
	** Fever, chills, flu-like symptoms		* Fever, chills, flu-like symptoms
	** Cough, congestion, shortness of breath without signs of acute respiratory failure or unstable CHF		* Cough, congestion, shortness of breath without signs of acute respiratory failure or unstable CHF
	** Isolated chest pain without other profound signs and symptoms, abnormal EKG, multiple or complicated pre-existing medical conditions.		* Isolated chest pain without other profound signs and symptoms, abnormal EKG, multiple or complicated pre-existing medical conditions.
	** Isolated musculoskeletal or orthopedic injuries		* Isolated musculoskeletal or orthopedic injuries
	** Isolated head trauma in adults without acute neurological deficits or high index of suspicion of a more complex problem		* Isolated head trauma in adults without acute neurological deficits or high index of suspicion of a more complex problem
	** Headaches		* Headaches
	** General abdominal or flank pain without signs of acute abdomen or surgical emergency		* General abdominal or flank pain without signs of acute abdomen or surgical emergency
	** Nausea/vomiting/diarrhea complaints without signs of shock		* Nausea/vomiting/diarrhea complaints without signs of shock
	** Traumatic injuries not likely to require urgent surgical intervention		* Traumatic injuries not likely to require urgent surgical intervention
	** Soft tissue injuries, lacerations, puncture wounds		* Soft tissue injuries, lacerations, puncture wounds
	** Gynecological complaints, vaginal bleeding, pelvic pain without signs of shock or severe pain or symptoms consistent with acute abdomen		* Gynecological complaints, vaginal bleeding, pelvic pain without signs of shock or severe pain or symptoms consistent with acute abdomen
	** Urinary symptoms		* Urinary symptoms
	** Pediatric patients with general medical complaints without significant signs and symptoms of shock, cardiac symptoms, impending respiratory failure, altered mental status or have complicated pre-existing conditions likely to require admission to a pediatric facility.		* Pediatric patients with general medical complaints without significant signs and symptoms of shock, cardiac symptoms, impending respiratory failure, altered mental status or have complicated pre-existing conditions likely to require admission to a pediatric facility.

	==== Unstable patients ====		==== Unstable patients ====
	** Cardiac arrest patients may be transported to the facility for stabilization		* Cardiac arrest patients may be transported to the facility for stabilization
	** Unstable or unobtainable airway requiring immediate stabilization		* Unstable or unobtainable airway requiring immediate stabilization

	* The transporting unit will remain in the free standing ED standing by for emergent transfer of the patient to the appropriate hospital in the event of a successful ROSC, airway is secured and patient is stabilized.		* The transporting unit will remain in the free standing ED standing by for emergent transfer of the patient to the appropriate hospital in the event of a successful ROSC, airway is secured and patient is stabilized.