Adult Hospital Destination Guidelines

 

Greenville Memorial

 

  • All Trauma Alert Levels
  • Uncooperative/Violent adult patients
  • STEMI Alerts
  • ACS
  • Post Cardiac Arrest
  • Sexual Assault Patients
  • Dialysis patients w/dialysis related complaint
  • Suspicion of leaking Aortic Aneurysm; Determined by age, presentaion, & physical exam.
  • Stroke Alerts with R.A.C.E score ≥ 4 Comprehensive Stroke Center.
  • Stroke, TIA (R.A.C.E score < 4)
  • OB patients greater than 14 weeks; w/OB complaint

 

SFH Downtown

 

  • Uncooperative/Violent adult patients
  • STEMI Alerts
  • ACS
  • Post Cardiac Arrest
  • Sexual Assault Patients
  • Dialysis patients w/dialysis related complaint
  • Suspicion of leaking Aortic Aneurysm; Determined by age, presentaion, & physical exam.
  • Stroke, TIA (R.A.C.E score < 4)

 

Any Prisma , St. Franics Facility or PMC

 

  • ACS Patients
  • Stroke, TIA (R.A.C.E score < 4)

 

Any Prisma, or St. Francis Facility

  • ACS
  • Sexual Assault Patients

 

Greenville Memorial, SFH Eastside, or Greer Memorial

 

  • OB patients greater than 14 weeks with OB complaint

 

PEARLS:

 

  • With With a R.A.C.E score of ≥ 4 recommend transport to a comprehensive stroke center
  • Any acute coronary syndrome patient that presents a high suspicion for need of intervention should be transported to a PCI capable hospital.
  • Once the destination hospital has been determined, the EMS crew must call the receiving facility via a recorded line as soon as possible. The report should include Age, Sex, Chief complaint, & Vital signs.
  • A more complete report should be given for higher acuity patients.
  • Any deviation of this Hospital Destination Guideline should be made by the diverting physician on a recorded line.
  • Behavioral patients should be evaluated on a one-by-one basis by the EMS crew and will be transported to the nearest, most appropriate facility.
  • Every attempt should be made to transport all OB patients to the hospital in which their OB physician is located.
  • The patient retains the right to refuse a diversion. In these cases notify the receiving hospital that the diversion was refused by patient, and have the patient sign a refusal declining the recommendation to divert to a more appropriate facility.